A clinical trial in children and adolescents with primary malignant liver cancer - Hepatoblastoma and Hepatocarcinoma

2024-514635-26-00 Protocol NBK151/1/2022 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 28 Aug 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 14 sites · Protocol NBK151/1/2022

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 60
Countries 1
Sites 14

Hepatoblastoma and liver cancer (hepatocarcinoma)

1. The possibility of individualizing the treatment of malignant liver tumors in children by classifying them into different groups according to the stage of the disease; 2. The possibility of reducing the occurrence of treatment side effects without significantly affecting the cure rate; 3. Improvement of curability, …

Key facts

Sponsor
Medical University Of Gdansk
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
28 Aug 2025 → ongoing
Decision date (initial)
2024-11-05
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
Medical Research Agency (Agencja Badań Medycznych)

External identifiers

EU CT number
2024-514635-26-00
EudraCT number
2023-000036-30

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Therapy, Pharmacogenetic, Diagnosis, Efficacy

1. The possibility of individualizing the treatment of malignant liver tumors in children by classifying them into different groups according to the stage of the disease; 2. The possibility of reducing the occurrence of treatment side effects without significantly affecting the cure rate; 3. Improvement of curability, where current therapy is still not effective enough; 4. Selection of the most effective methods of surgical treatment

Secondary objectives 1

  1. 1. Identification of biological features and genetic determinants of liver cancer; 2. Modification of the classification of liver tumors in children.

Conditions and MedDRA coding

Hepatoblastoma and liver cancer (hepatocarcinoma)

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Clinically signs of Hepatoblastoma or Hepatocarcinoma (malignant tumors of the liver) + liver tumor; Age under 30; Signing informed consent to participate in the Study

Exclusion criteria 1

  1. Previously or currently receiving chemotherapy treatment; Recurrence of the disease; Condition after organ transplantation; Uncontrolled generalized infection; Inability to conduct the Study in accordance with the Protocol; Other Associated Cancer; Pregnancy or breastfeeding

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Depend on the Study Group: event-free survival, overall survival, adherence to surgical guidelines, chemotherapy-related toxicity, hearing loss, response, failure-free survival, surgical resectability.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 11

Etoposide

SCP100376572 · ATC

Active substance
Etoposide
Route of administration
INTRAVENOUS
Max daily dose
400 mg milligram(s)
Max total dose
2400 mg milligram(s)
Max treatment duration
126 Day(s)
Authorisation status
Authorised
ATC code
L01CB01 — ETOPOSIDE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Oxaliplatin

SCP128961 · ATC

Active substance
Oxaliplatin
Route of administration
INTRAVENOUS
Max daily dose
200 mg milligram(s)
Max total dose
800 mg milligram(s)
Max treatment duration
60 Day(s)
Authorisation status
Authorised
ATC code
L01XA03 — OXALIPLATIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Fluorouracil

SCP1165178 · ATC

Active substance
Fluorouracil
Substance synonyms
5-FLOUROURACIL, 5-FLUORO-1H-PYRIMIDINE-2,4-DIONE, 5-FLUOROURACIL, 5-FU
Route of administration
INTRAVENOUS
Max daily dose
1200 mg milligram(s)
Max total dose
7200 mg milligram(s)
Max treatment duration
126 Day(s)
Authorisation status
Authorised
ATC code
L01BC02 — FLUOROURACIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Vinorelbine

SCP1137788 · ATC

Active substance
Vinorelbine
Route of administration
INTRAVENOUS
Max daily dose
2 mg milligram(s)
Max total dose
36 mg milligram(s)
Max treatment duration
126 Day(s)
Authorisation status
Authorised
ATC code
L01CA02 — VINCRISTINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Irinotecan Hydrochloride

SCP139021 · ATC

Active substance
Irinotecan Hydrochloride
Route of administration
INTRAVENOUS
Max daily dose
100 mg milligram(s)
Max total dose
1500 mg milligram(s)
Max treatment duration
126 Day(s)
Authorisation status
Authorised
ATC code
L01XX19 — IRINOTECAN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Carboplatin

SCP10337134 · ATC

Active substance
Carboplatin
Route of administration
INTRAVENOUS
Max daily dose
1000 mg milligram(s)
Max total dose
10000 mg milligram(s)
Max treatment duration
140 Day(s)
Authorisation status
Authorised
ATC code
L01XA02 — CARBOPLATIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Doxorubicin Hydrochloride

SCP138158 · ATC

Active substance
Doxorubicin Hydrochloride
Route of administration
INTRAVENOUS
Max daily dose
60 mg milligram(s)
Max total dose
720 mg milligram(s)
Max treatment duration
126 Day(s)
Authorisation status
Authorised
ATC code
L01DB01 — DOXORUBICIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Pedmark

PRD11481719 · Product

Active substance
Sodium Thiosulfate
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
25.6 g gram(s)
Max total dose
204.8 g gram(s)
Max treatment duration
84 Day(s)
Authorisation status
Not Authorised
MA holder
MEDICAL UNIVERSITY OF GDANSK
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
00000

Cisplatin

SCP134220 · ATC

Active substance
Cisplatin
Substance synonyms
Cis-diamminedichloroplatinum, (SP-4-2)-cis -diamminedichloroplatinum, CDDP
Route of administration
INTRAVENOUS
Max daily dose
200 mg milligram(s)
Max total dose
1200 mg milligram(s)
Max treatment duration
84 Day(s)
Authorisation status
Authorised
ATC code
L01XA01 — CISPLATIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sorafenib Tosilate

SCP45063462 · ATC

Active substance
Sorafenib Tosilate
Substance synonyms
Sorafenib tosylate
Route of administration
ORAL
Max daily dose
400 mg milligram(s)
Max total dose
40000 mg milligram(s)
Max treatment duration
100 Day(s)
Authorisation status
Authorised
ATC code
L01XE05 — SORAFENIB
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Gemcitabine Hydrochloride

SCP1128788 · ATC

Active substance
Gemcitabine Hydrochloride
Substance synonyms
4-AMINO-1-[(2R,4R,5R)-3,3-DIFLUORO-4-HYDROXY-5-(HYDROXYMETHYL)OXOLAN-2-YL]PYRIMIDIN-2-ONE HYDROCHLORIDE
Route of administration
INTRAVENOUS
Max daily dose
2000 mg milligram(s)
Max total dose
8000 mg milligram(s)
Max treatment duration
60 Day(s)
Authorisation status
Authorised
ATC code
L01BC05 — GEMCITABINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Medical University Of Gdansk

Sponsor organisation
Medical University Of Gdansk
Address
Ul. Marii Sklodowskiej-Curie 3a
City
Gdansk
Postcode
80-210
Country
Poland

Scientific contact point

Organisation
Medical University Of Gdansk
Contact name
Chief Medical Officer; Principal Investigator

Public contact point

Organisation
Medical University Of Gdansk
Contact name
Director of Clinical Research Support Centre

Locations

1 EU/EEA country · 14 investigational sites

By country

CountryMS statusPlanned subjectsSites
Poland Ongoing, recruiting 60 14
Rest of world 0

Investigational sites

Poland

14 sites · Ongoing, recruiting
Szpital Kliniczny Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu
Klinika Onkologii Hematologii i Transplantologii Pediatrycznej, Szpitalna 27/33, 60-572, Poznań
Uniwersytecki Szpital Klinicznym Nr 1 Pomorskiego Uniwersytetu Medycznego
Klinika Pediatrii, Onkologii i Immunologii Dziecięcej, Unii Lubelskiej 1, 71-252, Szczecin
Uniwersytecki Szpital Dziecięcy w Krakowie
Klinika Onkologii i Hematologii Dziecięcej, Wielicka 265, 30-663, Kraków
Centralny Szpital Kliniczny Uniwersytetu Medycznego w Łodzi
Klinika Pediatrii, Onkologii i Hematologii, ul. Sporna 36/50, 91-738, Łódź
Medical University Of Gdansk
Klinika Chirurgii i Urologii Dzieci i Młodzieży Gdańskiego Uniwersytetu Medycznego, Ul. Marii Sklodowskiej-Curie 3a, 80-210, Gdansk
Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wrocławiu
Klinika Transplantacji Szpiku, Onkologii i Hematologii Dziecięcej, Borowska 213, 50-556, Wrocław
Samodzielny Publiczny Szpital Kliniczny Nr 1 Im.Prof.Stanislawa Szyszko Slaskiego Uniwersytetu Medycznego W Katowicach
Oddział Hematologii i Onkologii Dziecięcej, Ul. 3 Maja 13/15, 41-800, Zabrze
Górnośląskie Centrum Zdrowia Dziecka
Oddział Onkologii, Hematologii i Chemioterapii, Medyków 16, 40-752, Katowice
Uniwersytecki Szpital Dziecięcy w Lublinie
Klinika Hematologii, Onkologii i Transplantologii Dziecięcej, ul. Profesora Antoniego Gębali 6, 20-093, Lublin
Kliniczny Szpital Wojewódzki nr 2 im. Św. Jadwigi Królowej w Rzeszowie
Klinika Onkohematologii Dziecięcej, Lwowska 60, 35-301, Rzeszów
Instytut Pomnik Centrum Zdrowia Dziecka
Klinika Onkologii, Aleja Dzieci Polskich 20, 04-730, Warsaw
Szpital Uniwersytecki nr 1 im. dr Antoniego Jurasza w Bydgoszczy
Klinika Pediatrii, Hematologii i Onkologii, ul. Marii Skłodowskiej-Curie 9, 85-095, Bydgoszcz
Uniwersytecki Dziecięcy Szpital Kliniczny im. Ludwika Zamenhofa w Białymstoku
Klinika Pediatrii, Onkologii i Hematologii, ul. Jerzego Waszyngtona 17, 15-274, Białystok
Uniwersyteckie Centrum Kliniczne w Gdańsku
Klinika Pediatrii, Hematologii i Onkologii, ul. Smoluchowskiego 17, 80-952, Gdańsk

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Poland 2025-08-28 2025-10-17

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 43 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protoko Polphitt clean version wersja 1_1 data 11_09_2023 2.0
Protocol (for publication) Protoko PolSTS clean wersja 1_1 data 11_09_2023 2.0
Recruitment arrangements (for publication) Placeholder_advanced_13-08-2024_General 1.0
Subject information and informed consent form (for publication) 23_07_17_Ogolna informacja o badaniu dla pacjenta 8_12 lat clean 2.0
Subject information and informed consent form (for publication) 23_07_17_POLPHITT_pacjent 13__A2 clean 2.0
Subject information and informed consent form (for publication) 23_07_17_POLPHITT_pacjent 13_B clean 2.0
Subject information and informed consent form (for publication) 23_07_17_POLPHITT_pacjent 13_D clean 2.0
Subject information and informed consent form (for publication) 23_07_17_POLPHITT_pacjent 13_E2 clean 2.0
Subject information and informed consent form (for publication) 23_07_17_POLPHITT_pacjent 13_F clean 2.0
Subject information and informed consent form (for publication) 23_07_17_POLPHITT_pacjent__C clean 2.0
Subject information and informed consent form (for publication) 23_07_17_POLPHITT_rodzic_A2 clean 2.0
Subject information and informed consent form (for publication) 23_07_17_POLPHITT_rodzic_B clean 2.0
Subject information and informed consent form (for publication) 23_07_17_POLPHITT_rodzic_D clean 2.0
Subject information and informed consent form (for publication) 23_07_17_POLPHITT_rodzic_F clean 2.0
Subject information and informed consent form (for publication) 23_07_20_Formularz przetwarzania danych osobowych POLPHITT _uczestnik clean 2.0
Subject information and informed consent form (for publication) 23_07_20_Formularz przetwarzania danych osobowych POLPHITT_rodzic clean 2.0
Subject information and informed consent form (for publication) 23_07_20_Formularz przetwarzania danych osobowych POLSTS rodzic clean 2.0
Subject information and informed consent form (for publication) 23_07_20_Formularz przetwarzania danych osobowych POLSTS uczestnik clean 2.0
Subject information and informed consent form (for publication) 23_07_20_Ogolna informacja o badaniu_pacjent_clean 2.0
Subject information and informed consent form (for publication) 23_07_20_POLPHITT_leczenie_patient_13_clean 2.0
Subject information and informed consent form (for publication) 23_07_20_POLPHITT_leczenie_rodzic clean 2.0
Subject information and informed consent form (for publication) 23_07_20_POLPHITT_rodzic_wstep clean 1
Subject information and informed consent form (for publication) 23_07_20_POLPHITT_Wstep do badania pacjent_clean 2.0
Subject information and informed consent form (for publication) 23_07_20_Wzor formularza swiadomej zgody pacjent POLSTS 13_17 clean 2.0
Subject information and informed consent form (for publication) 23_07_20_Wzor formularza swiadomej zgody rodzic_POLSTS clean 1
Subject information and informed consent form (for publication) 23_07_20_Wzor informacja_dla_Rodzica POLSTS_002_clean 2.0
Subject information and informed consent form (for publication) 23_07_20_Wzor informacji dla pacjenta POLSTS clean 2.0
Subject information and informed consent form (for publication) POLPHITT_rodzic_C clean 2.0
Subject information and informed consent form (for publication) POLPHITT_rodzic_E2_clean 2.0
Summary of Product Characteristics (SmPC) (for publication) 5-fu 2.0
Summary of Product Characteristics (SmPC) (for publication) cisplatyna 2.0
Summary of Product Characteristics (SmPC) (for publication) doksorubicyna 2.0
Summary of Product Characteristics (SmPC) (for publication) etopozyd 1
Summary of Product Characteristics (SmPC) (for publication) Etopozyd Charakterystyka-32941-2024-01-12-17431_B-2024-04-09 updated 2
Summary of Product Characteristics (SmPC) (for publication) gemcytabina 2.0
Summary of Product Characteristics (SmPC) (for publication) Irinotecan Charakterystyka-34153-2023-10-31-15719_B-2023-11-09 updated 2
Summary of Product Characteristics (SmPC) (for publication) irynotekan 1
Summary of Product Characteristics (SmPC) (for publication) karboplatyna 2.0
Summary of Product Characteristics (SmPC) (for publication) oksaliplatyna 2.0
Summary of Product Characteristics (SmPC) (for publication) sorafenib 2.0
Summary of Product Characteristics (SmPC) (for publication) winkrystyna 2.0
Synopsis of the protocol (for publication) Streszczenie protokou Polphitt clean version 1.1
Synopsis of the protocol (for publication) Streszczenie protokou PolSTS clean version 1.1

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-16 Poland Acceptable
2024-11-03
2024-11-05
2 SUBSTANTIAL MODIFICATION SM-1 2025-02-28 Poland Acceptable
2025-04-25
2025-06-05