This open-label study will assess the safety, efficacy and pharmacokinetics of RO5323441 in combination with sorafenib in patients with advanced or metastatic hepatocellular carcinoma previously untreated with systemic therapy. In the dose-finding Part I, cohorts of patients will receive escalating doses of RO5323441 intravenously (iv) every 2 weeks in combination with sorafenib 400 mg orally twice daily. In the exploratory Part II, patients will be randomized to receive either the previously established dose of RO5323441 iv every 2 weeks plus continuous oral sorafenib or sorafenib alone. Anticipated time on study treatment is until disease progression or unacceptable toxicity occurs. For patients in the sorafenib arm with disease progression crossover to combination treatment with RO5323441 will be allowed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
6
escalating doses iv
iv every 2 weeks
400 mg orally twice daily to once every other day
Unnamed facility
Singapore, Singapore
Unnamed facility
Singapore, Singapore
Part I : Safety/dose-limiting toxicity: Incidence of adverse events
Time frame: up to 12 months
Part I: Determination of recommended Part II dose
Time frame: up to 12 months
Part II: Safety/tolerability: Incidence of adverse events
Time frame: up to 28 months
Pharmacokinetics of RO5323441 in combination with sorafenib
Time frame: up to 40 months
Pharmacokinetics of sorafenib in combination with RO5323441
Time frame: up to 12 months
Pharmacodynamic biomarkers (DCE-Magnetic Resonance Imaging evaluations, Placental Growth Factor, Vascular Endothelial Growth Factor Receptors)
Time frame: up to 40 months
Efficacy: tumor assessments by Magnetic Resonance Imaging or Computed Tomography according to RECIST criteria
Time frame: up to 40 months
Impact on wound healing (skin biopsies)
Time frame: up to 40 months
Safety: additional anti-drug antibodies sampling after termination of study drug treatment
Time frame: 2 and 4 months after last dose of study drug
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