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
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