Radiation Dose Escalation Study for Advanced Liver Cancer

NCT ID: NCT00848094

Last Updated: 2009-02-20

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

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-04-30

Study Completion Date

2008-05-31

Brief Summary

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The purpose of this clinical study is to determine the maximum tolerated dose (MTD) of 3-dimensional conformal radiation therapy (3-DCRT)/intensity modulated radiation therapy (IMRT) for locally advanced hepatocellular carcinoma (HCC).

Detailed Description

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Conditions

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Hepatocellular Carcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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arm 1

Arm I: tumor diameter more than 5 cm and less than 10 cm.

Group Type OTHER

3DCRT/IMRT

Intervention Type RADIATION

The starting radiation doses were the total tumor doses of 46 Gy in 2 Gy per fractions for arm I . Escalation was achieved by increasing the tumor dose of each cohort in increments of 4.0 Gy. Subsequent cohorts received higher doses up to a chosen maximum of 62 Gy for arm I.

arm 2

Arm II: tumor diameter no less than 10 cm.

Group Type OTHER

3DCRT/IMRT

Intervention Type RADIATION

The starting radiation doses were the total tumor doses of 40 Gy in 2 Gy per fractions for arm II. Escalation was achieved by increasing the tumor dose of each cohort in increments of 4.0 Gy. Subsequent cohorts received higher doses up to a chosen maximum of 52 Gy for arm II.

Interventions

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3DCRT/IMRT

The starting radiation doses were the total tumor doses of 46 Gy in 2 Gy per fractions for arm I . Escalation was achieved by increasing the tumor dose of each cohort in increments of 4.0 Gy. Subsequent cohorts received higher doses up to a chosen maximum of 62 Gy for arm I.

Intervention Type RADIATION

3DCRT/IMRT

The starting radiation doses were the total tumor doses of 40 Gy in 2 Gy per fractions for arm II. Escalation was achieved by increasing the tumor dose of each cohort in increments of 4.0 Gy. Subsequent cohorts received higher doses up to a chosen maximum of 52 Gy for arm II.

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Pathologically confirmed or clinically diagnosed HCC
* Surgically unsectable or medically inoperable diseases, or surgery declined by the patient
* Solitary intrahepatic lesion with diameter bigger than 5 cm, without extrahepatic and/or distant metastases
* Associated with cirrhosis of Child-Pugh A
* Karnofsky performance status (KPS) of ≥ 70
* Normal renal function and adequate bone marrow reservation
* Tolerate active breathing control (ABC)

Exclusion Criteria

* Child-Pugh B or C liver cirrhosis score
* Previous radiotherapy to the liver
* Indistinct tumor boundary in CT/MRI image
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Fudan University Cancer Hospital

Principal Investigators

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Guoliang Jiang, M.D.

Role: PRINCIPAL_INVESTIGATOR

Fudan University

Other Identifiers

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LCR-003

Identifier Type: -

Identifier Source: org_study_id

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