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CTRI Number  CTRI/2009/091/000276 [Registered on: 24/11/2010]
Last Modified On: 16/07/2014
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study
Modification(s)  
BRISK - FL  
Scientific Title of Study
Modification(s)  
A Randomized, Double-blind, Multi-center Phase III Study of Brivanib versus Sorafenib as First-line Treatment in Patients with Advanced Hepatocellular Carcinoma 
Trial Acronym  CA182-033 
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
CA182-033  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr T Raja  
Designation  Investigator  
Affiliation   
Address  Appolo Speciality Hospital.
320 Mount Road,
Chennai
TAMIL NADU
600035
India 
Phone  914424355003  
Fax    
Email  rajatraj@yahoo.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Poonam Rohira 
Designation  Disease Area Head  
Affiliation   
Address  Bristol Myers Squibb India Pvt. Ltd. The Indiabulls Finance Centre, 6th Floor , Tower 01 , Senapati Bapat Marg, Elphinstone ( W ) , Mumbai

Mumbai
MAHARASHTRA
400013
India 
Phone    
Fax    
Email  poonam.rohira@bms.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  MsShivkumar Subashri 
Designation  Hub Unit Director 
Affiliation   
Address  Bristol Myers Squibb India Pvt Ltd The Indiabulls Finance Centre
Tower 01 6th Floor Senapati Bapat Marg Elphinstone
Mumbai
MAHARASHTRA
400013
India 
Phone  912266534245  
Fax    
Email  subashri.shivkumar@bms.com  
 
Source of Monetary or Material Support
Modification(s)  
Bristol Myers Squibb India Pvt. Ltd. Mumbai , India  
 
Primary Sponsor
Modification(s)  
Name  Bristol Myers Squibb India Pvt Ltd 
Address  The Indiabulls Finance Centre Tower 01 6th Floor Senapati Bapat Road Elphinstone W Mumbai 400013  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
Nil   
 
Countries of Recruitment
Modification(s)  
  India
Argentina
Australia
Belgium
Brazil
Canada
China
Czech Republic
France
Germany
Greece
Hong Kong
Italy
Japan
Mexico
Poland
Russian Federation
South Africa
Spain
Sweden
Taiwan
Thailand
Turkey
United Kingdom
United States of America  
Sites of Study
Modification(s)  
No of Sites = 12  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr.Samir.R.Shah  303, Doctor House, Opposite Jaslok  303, Doctor House, Opposite Jaslok,-400 026
Mumbai
MAHARASHTRA 


 
Dr.M.K Goenka  Apollo Gleaneagles Hospitals  58, Canal Circular Road,-700054
Kolkata
WEST BENGAL 


 
Dr T Raja  Apollo Speciality Hospital, 320 Mount Road, Badma Complex, Chennai ? 600035  ,-600035
Chennai
TAMIL NADU 
914424355003

rajatraj@yahoo.com 
Dr.P.N.Rao  Asian Institute of Gastroenterology  6-3-661 Somajiguda,-500082
Hyderabad
ANDHRA PRADESH 


 
Dr Chanchal Goswami  B. P. Poddar Hospital & Medical Research Limited  71/1, Humayun Kabir Sarani,,New Alipore, Block G,(Near Durgapur Bridge)-7000053
Kolkata
WEST BENGAL 
00919830055035

drcgoswami@gmail.com 
Dr AVS Suresh   Bibi General Hospital and Cancer Center  16-3-991/1/C , Govt printing Press Road , Malakapet , Hyderabad , Andra Pradesh -500024
Hyderabad
ANDHRA PRADESH 
04024528122

sureshattili@yahoo.com 
Dr Abraham Koshy   Department of Gastroenterology, Lakeshore Hospital & Research Centre  NH-47,Bypass, Maradu,,-682304

 
00914842701032

koshyabe@yahoo.com 
Dr. B Sivanesan  G Kuppuswamy Naidu Memorial hospital  Valavadi Narayanaswamy Cancer Centre,Post Box No. 6327, Pappanaickenpalayam-641037
Coimbatore
TAMIL NADU 


 
Dr.S.K.Sarin  ILBS  Sector D-1,,Vasant Kunj,-100070
New Delhi
DELHI 


 
Dr Shona Nag  Jehangir Clinical Development Centre  Jehangir Clinical Development Center (JCDC) Jehangir Hospital, ,Sassoon Road,-411001
Pune
MAHARASHTRA 


 
Shyam Agarwal   Sir Ganga Ram Hospital.  Haematologist and Medical Oncologist,-110060
New Delhi
DELHI 


drshyam_aggarwal@yahoo.com 
Dr. Shaesta Mehta  Tata memorial Hospital  Dr. E Borges Road, Parel,-400012
Mumbai
MAHARASHTRA 


 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 14  
Name of Committee  Approval Status 
Asian Institute of Gastroenterology,  Approved 
B.P.Poddar Hospital & Medical research  Approved 
Bibi General Hospital & Cancer Center, IEC  Approved 
Ethics Committee Apollo Hospitals Enterprise Limited  Approved 
Ethics Committee of CIMS   Approved 
Ethics Committee,ILBS  Approved 
Ethics Committee,Sir Ganga RaM Hospital  Approved 
HUMAN ETHICS COMMITTEE  Approved 
INDEPENDENT ETHICS COMMITTEE, MUMBAI  Approved 
Institutional Ethichs Committee,Appolo Gleneagles  Approved 
Institutional Ethics Committee,Coimbatore  Approved 
Jehangir clinical development center  Approved 
Lakeshore Ethics Committee  Approved 
Regional Cancer Center, IRB   Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Advanced Hepatocellular Carcinoma,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Brivanib : Active Comparator  Drug: Brivanib Tablets, Oral, 800 mg, Once Daily, Until disease progression or unacceptable toxicity Drug: Placebo Capsules, Oral, twice Daily, Until disease progression or unacceptable toxicity 
Comparator Agent  Placebo  800mg 
Comparator Agent  Sorafenib : Active Comparator  Drug: Sorafenib Capsules, Oral, 800 mg, twice daily, Until disease progression or unacceptable toxicity Drug: Placebo Tablets, Oral, Once Daily, Until disease progression or unacceptable toxicity  
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Histologic or cytologic confirmed diagnosis of HCC. Advanced HCC

Disease not eligible for surgical and / or locoregional therapies
Progressive disease after surgical and / or locoregional therapies
Child-Pugh Class A
ECOG performance status 0-1
Adequate hematologic, hepatic, and renal function
 
 
ExclusionCriteria 
Details  Prior use of any systemic anti-cancer chemotherapy, immunotherapy or molecular targeted agents for HCC History of active cardiac disease Thrombotic or embolic events within the past 6 months Any other hemorrhage/bleeding event >= CTCAE Grade 3 within 4 weeks except for esophageal or gastric varices Inability to swallow tablets or untreated malabsorption syndrome  
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the overall survival of brivanib versus sorafenib in subjects with advanced HCC who have not received prior systemic treatment   Time Frame: Survival will be assessed continuously Designated as safety issue: No  
 
Secondary Outcome  
Outcome  TimePoints 
To compare the time to progression (TTP) (investigator assessed using modified RECIST criteria To compare the investigator assessed objective response rate (ORR) and disease control rate (DCR) using modified RECIST criteria To determine duration of response, duration of disease control, and time to response (TTR) To assess the safety profile of brivanib and sorafenib To explore PK and exposure-response in the study population To compare time to symptomatic progression To compare health-related quality of life   Time frame for every secondary outcome is 6 weeks. Designated as safety issue: No  
 
Target Sample Size
Modification(s)  
Total Sample Size="1714"
Sample Size from India="115" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   Date Missing 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  31/08/2009 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   The purpose of this study is to compare the overall survival of brivanib versus sorafenib in subjects with advanced HCC who have not received prior systemic therapy. Number of patients to be recruited from India :- 72 Patient recruitment started on 31st AUG 2009 
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