[Translation] A prospective, randomized, positive parallel controlled, double-blind, double-dummy, multicenter phase III clinical trial of icariin soft capsules versus cinobucoid tablets as the first-line treatment for patients with complex disease, poor prognosis, composite biomarker positive, and unresectable hepatocellular carcinoma at baseline
主要目的:
比较淫羊藿素组与华蟾素组受试人群的总生存期(OS)。
次要目的:
比较两组受试人群的9/12/18个月OS率、疾病进展时间(TTP)、无进展生存期(PFS)、客观缓解率(ORR)和疾病控制率(DCR);
比较两组受试人群的至生活质量恶化时间(TTD),包括健康相关生活质量/总体健康状况(HRQoL/GHS)、躯体功能、角色功能和症状;
比较两组受试人群的安全性与耐受性;
进行群体药代动力学(PopPK)探索研究,评估淫羊藿素给药后的药代动力学(PK)特征及其影响因素,并探索暴露与疗效的关系。
探索性目的:
在蛋白水平和基因组(DNA、RNA)水平上探索外周血生物标志物与临床疗效的相关性,支持受试者的伴随诊断以及精准治疗;
PopPK研究中探索受试者基因组学信息,包括代谢酶尿苷二磷酸葡萄糖基转移酶(UGTs)的基因型,多药耐药相关蛋白2(MRP2)、多药耐药1(MDR1)、乳腺癌耐药蛋白(BCRP)、有机阴离子转运体3(OAT3)等转运体的基因型与PK特征的相关性;以及药物暴露水平与疗效的相关性。
[Translation] Primary objective:
Compare the overall survival (OS) of the subjects in the icariin group and the cinobucini group.
Secondary objectives:
Compare the 9/12/18-month OS rate, time to disease progression (TTP), progression-free survival (PFS), objective response rate (ORR) and disease control rate (DCR) between the two groups of subjects;
Compare the time to quality of life deterioration (TTD) between the two groups of subjects, including health-related quality of life/general health status (HRQoL/GHS), physical function, role function and symptoms;
Compare the safety and tolerability of the two groups of subjects;
Conduct a population pharmacokinetic (PopPK) exploratory study to evaluate the pharmacokinetic (PK) characteristics of icariin after administration and its influencing factors, and explore the relationship between exposure and efficacy.
Exploratory purpose:
Explore the correlation between peripheral blood biomarkers and clinical efficacy at the protein level and genomic (DNA, RNA) level to support companion diagnosis and precision treatment of subjects;
Explore the genomic information of subjects in PopPK studies, including the genotype of metabolic enzyme uridine diphosphate glucosyltransferase (UGTs), the correlation between the genotype of transporters such as multidrug resistance-associated protein 2 (MRP2), multidrug resistance 1 (MDR1), breast cancer resistance protein (BCRP), organic anion transporter 3 (OAT3) and PK characteristics; and the correlation between drug exposure level and efficacy.