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ThermoDox

Phase 3

Hepatocellular Carcinoma | Small molecule | Oncology |Imunon, Inc.|Last Updated: Aug 20, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindSHAM_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment1,285
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02112656Study of ThermoDox With Standardized Radiofrequency Ablation (RFA) for Treatment of Hepatocellular Carcinoma (HCC)PHASE3 COMPLETED 554Jun 1, 2014Apr 27, 2020Aug 20, 202461 United States, Canada +12
NCT00617981Phase 3 Study of ThermoDox With Radiofrequency Ablation (RFA) in Treatment of Hepatocellular Carcinoma (HCC)PHASE3 COMPLETED 701May 1, 2008Aug 1, 2016May 3, 202479 United States, Canada +9
NCT00441376A Study of ThermoDox™ in Combination With Radiofrequency Ablation (RFA) in Primary and Metastatic Tumors of the LiverPHASE1 COMPLETED 30Feb 1, 2007Dec 1, 2009Feb 7, 20191 United States
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Study Endpoints
Primary Endpoints
Overall Survival (OS)
All subjects to be contacted every 3 months after radiological progression for vital status reporting. Subjects were followed for OS up to 68 months from randomization.

Overall survival is defined as the time (in months) from the date of randomization to the death from any cause or the end of the study.

Progression Free Survival Will be Measured From the Date of Randomization to the First Date on Which One of the Following Occurs. o Local Recurrence o Any New Distant Intrahepatic HCC Tumor o Any New Extrahepatic HCC Tumor o Death From Any Cause
3 years
To determine the maximum tolerated dose (MTD) of systemically delivered, heat-activated liposome encapsulated doxorubicin (ThermoDox) in combination with radiofrequency ablation (RFA) of liver neoplasms.
1 month
To test alternative infusion reaction prophylaxis regimens
48 hours
To assess the safety of ThermoDox plus RFA afer administration of potential multiple cycles
3 years
To determine the Pharmacokinetics (PK) of ThermoDox
48 hours
Secondary Endpoints
Progression-free Survival (PFS)
CT or MRI scan (Chest, Abdomen, Pelvis) done at Baseline and Day 28. Additional imaging done at months 5, 9, 13, 17, 21, 25, then every 6 months until disease progression is seen. Study subjects were followed up to 63 months after randomization.
Overall Survival as Measured by Time From Randomization to Death or the End of the Study.
3 years
Number of Participants With Definite Worsening as Per Patient-Reported Outcomes
3 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ThermoDox 50 mg/m2EXPERIMENTALThermoDox plus standardized RFA using standardized treatment dwell time for solitary HCC lesions ≥ 3.0 cm to ≤ 7.0 cm
Dummy infusionPLACEBO_COMPARATORstandardized RFA alone using standardized treatment dwell time for solitary HCC lesions ≥ 3.0 cm to ≤ 7.0 cm
ThermoDox + RFAEXPERIMENTALThermoDox 50 mg/m2 start infusion over 30 minutes about 15 minutes before radiofrequency ablation begins.
Sham + RFASHAM_COMPARATORSham infusion over 30 minutes about 15 minutes before radiofrequency ablation begins.
Interventions
NameTypeDescription
ThermoDoxDRUGThermally Sensitive Liposomal Doxorubicin 50 mg/m2 Single 30 minute intravenous infusion
Dummy infusionDRUGSodium Chloride 0.9% or 5% Dextrose (D5W), Single 30 minute intravenous infusion
5% Dextrose SolutionDRUGSingle 30 minute intravenous infusion
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites61

Inclusion Criteria: 1. Male or female ≥ 18 years of age. 2. Diagnosed with a single HCC lesion ≥ 3.0 cm but ≤ 7.0 cm in maximum diameter based on diagnosis at screening. * Subjects meeting the American Association for the Study of Liver Disease (AASLD) criteria may be randomized without a biops...

Countries:United StatesCanadaChinaGermanyHong KongItalyMalaysiaPhilippinesSingaporeSouth KoreaSpainTaiwanThailandVietnamJapan
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