Efficacy of Antiviral Therapy After Radical Resection for Hepatitis B Virus-Related Hepatocellular Carcinoma

NCT ID: NCT00768157

Last Updated: 2009-02-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-04-30

Study Completion Date

2010-08-31

Brief Summary

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Most hepatocellular carcinomas are associated with hepatitis B virus, it is hypothesized that anti-viral treatment may be helpful in treating HBV-related hepatocellular carcinoma.

Detailed Description

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As we know, recurrence and metastasis could happen in hepatocellular carcinoma even after radical resection.One reason is that virus hepatitis B could be one factor contributing to the carcinogenesis of hepatocellular carcinoma.To investigated whether anti-viral therapy could improve the efficacy of radical resection of hepatitis B virus (HBV)-related hepatocellular carcinoma(HCC),we planed to conduct this clinical trial.

Conditions

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Hepatocellular Carcinoma Hepatitis B Virus Recurrence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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antiviral group

Drug: antiviral treatment(lamivudine or entecavir) after the Procedure/Surgery (radical resection of HBV-related HCC)

Group Type EXPERIMENTAL

antiviral treatment (lamivudine or entecavir)

Intervention Type DRUG

antiviral treatment (lamivudine 100mg per day or entecavir 0.5mg per day)

radical resection of HBV-related HCC

Intervention Type PROCEDURE

Procedure/Surgery - radical resection of HBV-related HCC

control group

Procedure/Surgery (radical resection of HBV-related HCC) without Drug of antiviral treatment - close observation without antiviral treatment

Group Type ACTIVE_COMPARATOR

radical resection of HBV-related HCC

Intervention Type PROCEDURE

Procedure/Surgery - radical resection of HBV-related HCC

Interventions

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antiviral treatment (lamivudine or entecavir)

antiviral treatment (lamivudine 100mg per day or entecavir 0.5mg per day)

Intervention Type DRUG

radical resection of HBV-related HCC

Procedure/Surgery - radical resection of HBV-related HCC

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. patients who did not receive antiviral therapy prior to the resection of hepatocellular carcinoma
2. patients who underwent radical resection of HCC, and 1 month after surgery,dynamic computed tomography showed on lesion in the liver and no signs of extrahepatic metastasis.
3. hepatitis B surface antigen should be positive before surgery HBV-DNA level between 100000 copies/ml and 10000000copies/ml anti-HCV negative

Exclusion Criteria

1. previous history of antiviral therapy
2. a baseline serum alanine aminotransferase level 2.5 times the ULN or higher
3. positive for anti-HCV or anti-HIV
4. Child-Pugh classification B or C after surgery
5. preexisting evidence of hepatic decompensation, including encephalopathy,ascites,a bilirubin level more than 2 times the ULN, or a prolonged prothrombin time of more than 3 seconds
6. signs showing recurrence or metastasis oen month after surgery
7. underlying cardiac or renal diseases
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Cancer Center of Sun Yat-sen University

Principal Investigators

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Jin-Qing LI, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Sun Yat-sen University

Min-Shan CHEN, Ph.D

Role: STUDY_DIRECTOR

Sun Yat-sen University

Xiao-Jun LIN, Ph.D

Role: STUDY_DIRECTOR

Sun Yat-sen University

Xiang-Ming LAO, Ph.D

Role: STUDY_CHAIR

Sun Yat-sen University

Locations

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Xiang-Ming Lao

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xiang-Ming LAO, Ph.D

Role: CONTACT

8620-87343115

Xiao-Jun LIN, Ph.D

Role: CONTACT

8620-87343017

Facility Contacts

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Xiang-Ming LAO, Ph.D

Role: primary

8620-87343017

References

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Jang JW, Choi JY, Bae SH, Yoon SK, Woo HY, Chang UI, Kim CW, Nam SW, Cho SH, Yang JM, Lee CD. The impact of hepatitis B viral load on recurrence after complete necrosis in patients with hepatocellular carcinoma who receive transarterial chemolipiodolization: implications for viral suppression to reduce the risk of cancer recurrence. Cancer. 2007 Oct 15;110(8):1760-7. doi: 10.1002/cncr.22984.

Reference Type BACKGROUND
PMID: 17724708 (View on PubMed)

Jang JW, Choi JY, Bae SH, Kim CW, Yoon SK, Cho SH, Yang JM, Ahn BM, Lee CD, Lee YS, Chung KW, Sun HS. Transarterial chemo-lipiodolization can reactivate hepatitis B virus replication in patients with hepatocellular carcinoma. J Hepatol. 2004 Sep;41(3):427-35. doi: 10.1016/j.jhep.2004.05.014.

Reference Type BACKGROUND
PMID: 15336446 (View on PubMed)

Poon RT. Significance of viral status on prognosis after resection of hepatitis B virus related hepatocellular carcinoma. J Hepatol. 2007 Nov;47(5):630-1. doi: 10.1016/j.jhep.2007.08.007. Epub 2007 Sep 5. No abstract available.

Reference Type BACKGROUND
PMID: 17881079 (View on PubMed)

Sun HC, Zhang W, Qin LX, Zhang BH, Ye QH, Wang L, Ren N, Zhuang PY, Zhu XD, Fan J, Tang ZY. Positive serum hepatitis B e antigen is associated with higher risk of early recurrence and poorer survival in patients after curative resection of hepatitis B-related hepatocellular carcinoma. J Hepatol. 2007 Nov;47(5):684-90. doi: 10.1016/j.jhep.2007.06.019. Epub 2007 Aug 13.

Reference Type BACKGROUND
PMID: 17854945 (View on PubMed)

Kubo S, Hirohashi K, Yamazaki O, Matsuyama M, Tanaka H, Horii K, Shuto T, Yamamoto T, Kawai S, Wakasa K, Nishiguchi S, Kinoshita H. Effect of the presence of hepatitis B e antigen on prognosis after liver resection for hepatocellular carcinoma in patients with chronic hepatitis B. World J Surg. 2002 May;26(5):555-60. doi: 10.1007/s00268-001-0267-1. Epub 2002 Feb 19.

Reference Type BACKGROUND
PMID: 12098045 (View on PubMed)

Kubo S, Nishiguchi S, Hamba H, Hirohashi K, Tanaka H, Shuto T, Kinoshita H, Kuroki T. Reactivation of viral replication after liver resection in patients infected with hepatitis B virus. Ann Surg. 2001 Jan;233(1):139-45. doi: 10.1097/00000658-200101000-00020.

Reference Type BACKGROUND
PMID: 11141236 (View on PubMed)

Jang JW, Choi JY, Bae SH, Yoon SK, Chang UI, Kim CW, Cho SH, Han JY, Lee YS. A randomized controlled study of preemptive lamivudine in patients receiving transarterial chemo-lipiodolization. Hepatology. 2006 Feb;43(2):233-40. doi: 10.1002/hep.21024.

Reference Type BACKGROUND
PMID: 16440357 (View on PubMed)

Other Identifiers

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SYSUCC-HCC004

Identifier Type: -

Identifier Source: org_study_id

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