Clinical trial • Phase IV • Oncology

CANNABIDIOL for Advanced hepatocellular carcinoma

Phase IV trial of CANNABIDIOL for Advanced hepatocellular carcinoma. 20 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Advanced hepatocellular carcinoma
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
03-10-2024
First CTIS Authorization Date
29-10-2024

Trial design

Phase IV trial across 1 site in Netherlands.

Target Sample Size
20
Trial Duration For Participant
270

Eligibility

Recruits 20 No vulnerable population selected. Participants must provide signed informed consent. Subjects with mental conditions rendering them incapable of understanding the nature, scope and consequences of the trial are excluded..

Pregnancy Exclusion
Female patients who are pregnant or lactating
Vulnerable Population
No vulnerable population selected. Participants must provide signed informed consent. Subjects with mental conditions rendering them incapable of understanding the nature, scope and consequences of the trial are excluded.

Inclusion criteria

  • {"criterion_text":"- Age =>18 yrs\n- Language: Dutch or English\n- Histologically proven hepatocellular carcinoma\n- Non-cirrhosis or Child Pugh A cirrhosis\n- Hepatic encephalopathy grade 0 or 1\n- Multidisciplinary treatment (MDT)-advised best supportive care for untreatable advanced HCC or patients unable to undergo or declining treatment for advanced HCC\n- Minimal life expectancy of 3 months\n- Willing and able to attend follow-up examinations\n- Willing to stop active traffic participation or controlling machinery during the study period if applicable\n- Signed informed consent"}

Exclusion criteria

  • {"criterion_text":"- Child Pugh B or C cirrhosis\n- Hepatic encephalopathy grade 2 or more\n- Previous systemic treatment for HCC\n- Mental conditions rendering the subject incapable to understand the nature, scope and consequences of the trial\n- Use of medicinal cannabis for other purposes\n- Contra-indications for medicinal cannabis oil: o Patients who have experienced a myocardial infarction or clinically significant cardiac dysfunction within the last 12 months or have had a cardiac disorder that, in the opinion of the investigator would have put the participant at risk of a clinically significant arrhythmia or myocardial infarction. o Patients with known psychotic disorders o Female patients who are pregnant or lactating o Patients (men or women) intending to start a family o Hypersensitivity to cannabinoids or any of the excipients of the cannabis oil"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- To study objective response rate (ORR) of cannabis oil (THC10% / CBD5%) in untreatable advanced HCC patients by assessing RECIST31 and mRECIST32 criteria on imaging at 9 months after starting cannabis oil.","definition_or_measurement_approach":"Objective response rate (ORR) assessed by RECIST and mRECIST criteria on imaging at 9 months after starting treatment."}

Recruitment

Planned Sample Size
20
Recruitment Window Months
72
Consent Approach
Participants must provide signed informed consent. Study documents and inclusion require language: Dutch or English. No assent process or special consent arrangements for minors are provided (study enrolls adults ≥18).

Geography

Total Number Of Sites
1
Total Number Of Participants
20

Netherlands

Earliest CTIS Part Ii Submission Date
22-10-2024
Latest Decision Or Authorization Date
29-10-2024
Processing Time Days
7
Number Of Sites
1
Number Of Participants
20

Sites

Site Name
Universitair Medisch Centrum Groningen
Department Name
Surgery
Principal Investigator Name
Maarten Nijkamp
Principal Investigator Email
m.w.nijkamp@umcg.nl
Contact Person Name
Maarten Nijkamp
Contact Person Email
m.w.nijkamp@umcg.nl
Number Of Participants
20

Sponsor

Primary sponsor

Full Name
Universitair Medisch Centrum Groningen
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
CANNABIDIOL
Active Substance
CANNABIDIOL
Modality
Small molecule
Routes Of Administration
Sublingual / oromucosal spray
Route
Sublingual/oromucosal
Dose Levels
Max daily dose 37.5 mg; max total dose 202.5 g
Maximum Dose
37.5 mg daily
Investigational Product Name
DRONABINOL
Active Substance
DRONABINOL
Modality
Small molecule
Routes Of Administration
Sublingual / oromucosal spray
Route
Sublingual/oromucosal
Dose Levels
Max daily dose 75 mg; max total dose 405 g
Maximum Dose
75 mg daily
Combination Treatment
Yes

Related trials

Other published trials that may interest you.