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CTRI Number  CTRI/2014/12/005310 [Registered on: 17/12/2014] Trial Registered Prospectively
Last Modified On: 01/03/2021
Post Graduate Thesis  No 
Type of Trial  PMS 
Type of Study   Drug 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Study to Collect more detailed information concerning TACE treatment followed by Sorafenib for hepatocellular carcinoma (HCC) or without sorafenib after TACE enabling us to evaluate the time to meet criteria for TACE non-eligibility  
Scientific Title of Study   Outcomes of HCC Patients Treated With TACE Followed or Not Followed by Sorafenib and the Influence of Timing to Initiate Sorafenib 
Trial Acronym  OPTMIS 
Secondary IDs if Any  
Secondary ID  Identifier 
16560  Other 
NCT01933945  ClinicalTrials.gov 
NX1301/Ver 2.1/4 July 2013  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rahul Rathod 
Designation  Head- Medical Affairs 
Affiliation  Bayer Zydus Pharma Pvt Ltd 
Address  Kolshet road, Thane

Thane
MAHARASHTRA
400607
India 
Phone  912225311431  
Fax    
Email  rahul.rathod@bayerzyduspharma.com  
 
Details of Contact Person
Scientific Query
 
Name  Rahul Rathod 
Designation  Head- Medical Affairs 
Affiliation  Bayer Zydus Pharma Pvt Ltd 
Address  Kolshet road, Thane

Thane
MAHARASHTRA
400607
India 
Phone  912225311431  
Fax    
Email  rahul.rathod@bayerzyduspharma.com  
 
Details of Contact Person
Public Query
 
Name  Rahul Rathod 
Designation  Head- Medical Affairs 
Affiliation  Bayer Zydus Pharma Pvt Ltd 
Address  Kolshet road, Thane

Thane
MAHARASHTRA
400607
India 
Phone  912225311431  
Fax    
Email  rahul.rathod@bayerzyduspharma.com  
 
Source of Monetary or Material Support  
Bayer Pharmaceuticals Pvt Ltd  
 
Primary Sponsor  
Name  Bayer pharmaceuticals Pvt Ltd  
Address  Kolshet Road, Thane (West)-400607  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Viet Nam
Slovakia
Spain
Sweden
Switzerland
Taiwan
Thailand
Turkey
Austria
Brazil
China
Denmark
Egypt
France
Greece
Hong Kong
Hungary
India
Indonesia
Israel
Japan
Kazakhstan
Mexico
New Zealand
Pakistan
Poland
Republic of Korea
Russian Federation
Singapore
Canada  
Sites of Study
Modification(s)  
No of Sites = 4  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Joy Varghese  Global Hospitals and Health City  Senior Consultant, Dept of Hepatology and Liver Transplantation, Global Hopsitals and Health city,, 439, Cheran Nagar, Perumbakkam  Chennai, Tamil Nadu 600100
Chennai
TAMIL NADU 
9566062200

joyvargese@gmail.com 
Dr Shekhar Patil  HCG Bangalore Institute of Oncology  Consultant Medical Oncologist, HCG Bangalore Institute of Oncology, HCG Towers | Tower - IV | Room No.8 | P Kalinga Rao Road | Sampangiram Nagar | Bangalore - 560027
Bangalore
KARNATAKA 
9341245961

spassociates6@gmail.com 
DrNeeraj Saraf  Medanta - The Medicity  Medanta Medicity,Sec- 38, Gurgaon, Haryana 
Gurgaon
HARYANA 
9899077795

neerajsaraf@hotmail.com 
Ajay Duseja  PGIMER  "Associate Professor, PGI Depatment of HEPATOLOGY PGIMER Chandigarh-160012
Chandigarh
CHANDIGARH 
01722759336

ajayduseja@yahoo.co.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 4  
Name of Committee  Approval Status 
Global Hospital and Health City  Approved 
HCG Central Ethics committee  Approved 
Medanta Institutional Ethics Committee  Approved 
The Institutional Ethics Committee of PGIMER  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Carcinoma, Hepatocellular,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Not Applicable  Not Applicable 
Intervention  Procedure: TACE (transarterial chemoembolization) Drug: Sorafenib (Nexavar, BAY43-9006)  Its a prospective, open-label, multi-center, non-interventional study.Dose, frequency duration are based on the investigators’ treatment decisions. Route of administration - Oral (Sorafenib). Total duration of therapy - as per physician discretion. As per protocol, patient will be followed up till 18 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details 
Patients with histologically/cytologically documented or radiographically diagnosed HCC. Radiographic diagnosis needs typical findings of HCC by radiographic method i.e. on multi-dimensional dynamic CT, CT hepatic arteriography (CTHA)/CT arterial portography (CTAP) or MRI.
Patients with BCLC (Barcelona clinic liver cancer staging) stage B or higher.
Patients in whom a decision to treat with TACE has been made at time of study enrollment. Patients that have received one TACE in the past also can be enrolled, if the TACE was done at the same site and all required data about such previous TACEs are available. TACE includes both conventional TACE with lipidiol (or similar agents) and chemotherapeutic agent(s) and TACE with DC Beads excluding TAE without chemotherapeutic agent.
Patients with unresectable HCC (incurable with curative treatments including resection or ablation or not eligible for resection or local ablation)
Patients must have signed an informed consent form
Patients must have a life expectancy of at least 8 weeks
 
 
ExclusionCriteria 
Details 
Patients who have received TACE in the past but the data about TACE required in this protocol are not available
Patients who received any systemic anti-cancer therapy prior to the first TACE
Patients who are treated according to a trial protocol for intervention including a locoregional therapy or systemic therapy
Hospice patients
All contra-indications according to the local marketing authorization should be considered.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Overall survival   Time Frame: Up to 3 years  
 
Secondary Outcome  
Outcome  TimePoints 
Overall survival from initial TACE   Time Frame: Up to 3 years  
Progression-free survival from initial TACE   Time Frame: Up to 3 years 
Time to progression from initial TACE   Time Frame: Up to 3 years 
Tumor response according to mRECIST criteria   Time Frame: Up to 3 years 
Duration of treatment   Time Frame: Up to 3 years 
Number of patients with TEAEs (treatment emergent adverse events)   Time Frame: Up to 3 years

 
 
Target Sample Size   Total Sample Size="1670"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "60"
Final Enrollment numbers achieved (India)="55" 
Phase of Trial   Post Marketing Surveillance 
Date of First Enrollment (India)
Modification(s)  
28/05/2015 
Date of Study Completion (India) 22/07/2017 
Date of First Enrollment (Global)  07/10/2013 
Date of Study Completion (Global) 22/07/2017 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details   The results of this study are intended to be published in a peer-reviewed journal and as abstracts/presentations at medical congresses under the oversight of the sponsor. Current guidelines and recommendation on good publication practice will be followed (e.g. GPP2 Guidelines35, STROBE36). No individual investigator may publish on the results of this study, or their own patients, without prior approval from the sponsor. 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This study will collect data of patients who are treated
with TACE followed by sorafenib for hepatocellular
carcinoma (HCC) or without sorafenib after TACE. In
contrast to a prior observational study on sorafenib
(GIDEON study, Marrero et al., ASCO 2011), where
pre-treatment with TACE was documented
retrospectively, this study will collect more detailed
information concerning TACE treatments in a
prospective manner. This will enable us to evaluate the
time to meet criteria for TACE non-eligibility. Outcome
of patients will be analyzed in relation to the timing of
initiation of sorafenib. It is planned to compare outcome
of patients with early start of Sorafenib treatment to
those without early start of sorafenib treatment after
TACE. In addition, practice patterns of the physicians involved in the care of patients with HCC under real-life
conditions will be evaluated.
 
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