Tumor Treating Fields Concomitant with Sorafenib in Advanced Hepatocellular Cancer: Results of the HEPANOVA Phase II Study
Abstract
:Simple Summary
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Design and Ethics Oversight
2.2. Patients
2.3. Treatments
2.4. Assessments and Outcomes
2.5. Statistical Analysis
3. Results
3.1. Patients
3.2. Treatments
3.3. Efficacy
3.4. Safety
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | TTFields + Sorafenib (n = 27) |
---|---|
Age, years, median (range) | 65 (28–85) |
Sex, n (%) | |
Female | 1 (3.7) |
Male | 26 (96.3) |
ECOG performance status, n (%) | |
0 | 12 (44.4) |
1 | 9 (33.3) |
2 | 6 (22.2) |
CTP score | |
5 | 9 (33.3) |
6 | 4 (14.8) |
7 | 10 (37.0) |
8 | 4 (14.8) |
Number of prior treatments, median (range) | 1 (0–6) |
BCLC stage, n (%) | |
0 | 1 (3.7) |
B | 5 (18.5) |
C | 21 (77.8) |
Etiology, n (%) | |
HBV | 2 (7.4) |
HCV | 6 (22.2) |
Alcoholic liver disease | 9 (33.3) |
Non-alcoholic fatty liver | 3 (11.1) |
Alcohol and dysmetabolism | 1 (3.7) |
Alcoholic liver disease and non-alcoholic fatty liver | 1 (3.7) |
NASH | 1 (3.7) |
Cirrhosis | 1 (3.7) |
Other | 1 (3.7) |
Missing | 2 (7.4) |
Extrahepatic spread, n (%) | 14 (51.9) |
Time from diagnosis to enrollment, median (range) weeks | 25.6 (1.9–345.9) |
Alpha-fetoprotein, median (range) ng/mL * | 80.6 (1.0–4.7 × 106) |
Outcome | TTFields + Sorafenib (n = 21) | TTFields ≥12 Weeks Usage + Sorafenib (n = 11) | Historical Control † |
---|---|---|---|
Overall response rate, % | 9.5 | 18 | 4.5 (p = 0.24) * |
Level of response rate, % | |||
Complete | 0 | 0 | - |
Partial | 9.5 | 18 | - |
Stable disease | 66.5 | 73 | - |
Disease control rate, % | 76 | 91 | - |
In-field control rate at 1 year, % | 9.5 | 9.1 | – |
Outcome | TTFields + Sorafenib (n = 27) | TTFields ≥12 Weeks + Sorafenib (n = 11) |
---|---|---|
OS rate at 1 year, % (95% CI) | 30 (11–52) | 64 (30–85) |
PFS rate at 12 months, % (95% CI) | 23 (7–45) | 28 (5–58) |
Distant metastases-free survival rate at 1 year, % (95% CI) | 26 (8–49) | 30.5 (5–62) |
Median time to progression, months (95% CI) | 8.9 (3.1–not reached) | 8.9 (5.8–not reached) |
Preferred Term, n (%) | TTFields + Sorafenib (n = 27) |
---|---|
Patients with any ≥1 AE | 26 (96) |
Diarrhea | 15 (56) |
Asthenia | 11 (41) |
Decreased appetite | 8 (30) |
Ascites | 6 (22) |
Dermatitis | 5 (19) |
Dyspnea | 5 (19) |
Edema peripheral | 5 (19) |
Alanine aminotransferase increased | 4 (15) |
Palmar-plantar erythrodysesthesia syndrome | 4 (15) |
Skin erosion | 4 (15) |
Anemia | 3 (11) |
Aspartate aminotransferase increased | 3 (11) |
Constipation | 3 (11) |
Dry mouth | 3 (11) |
Hypertension | 3 (11) |
Nausea | 3 (11) |
Transaminases increased | 3 (11) |
MedDRA Version 21.0 Preferred Term, n (%) | TTFields + Sorafenib (n = 27) |
---|---|
Severe (Grade 3–4) | |
Patients with ≥1 any AE | 16 (59) |
Decreased appetite | 3 (11) |
Ascites | 2 (7) |
Diarrhea | 2 (7) |
Asthenia | 2 (7) |
Edema peripheral | 2 (7) |
Pathological fracture | 2 (7) |
Dyspnea | 2 (7) |
Palmar-plantar erythrodysesthesia syndrome | 2 (7) |
Hypertension | 2 (7) |
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Gkika, E.; Grosu, A.-L.; Macarulla Mercade, T.; Cubillo Gracián, A.; Brunner, T.B.; Schultheiß, M.; Pazgan-Simon, M.; Seufferlein, T.; Touchefeu, Y. Tumor Treating Fields Concomitant with Sorafenib in Advanced Hepatocellular Cancer: Results of the HEPANOVA Phase II Study. Cancers 2022, 14, 1568. https://doi.org/10.3390/cancers14061568
Gkika E, Grosu A-L, Macarulla Mercade T, Cubillo Gracián A, Brunner TB, Schultheiß M, Pazgan-Simon M, Seufferlein T, Touchefeu Y. Tumor Treating Fields Concomitant with Sorafenib in Advanced Hepatocellular Cancer: Results of the HEPANOVA Phase II Study. Cancers. 2022; 14(6):1568. https://doi.org/10.3390/cancers14061568
Chicago/Turabian StyleGkika, Eleni, Anca-Ligia Grosu, Teresa Macarulla Mercade, Antonio Cubillo Gracián, Thomas B. Brunner, Michael Schultheiß, Monika Pazgan-Simon, Thomas Seufferlein, and Yann Touchefeu. 2022. "Tumor Treating Fields Concomitant with Sorafenib in Advanced Hepatocellular Cancer: Results of the HEPANOVA Phase II Study" Cancers 14, no. 6: 1568. https://doi.org/10.3390/cancers14061568