Comprehensive Treatment for Different Types of Tumor Thrombi in the Portal Vein for Hepatocellular Carcinoma Patients

NCT ID: NCT00849264

Last Updated: 2016-04-01

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

PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2010-12-31

Brief Summary

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This study is working to evaluate the surgical comprehensive treatment for different types of tumor thrombi in the portal vein for hepatocellular carcinoma patients, to establish a standardized, unified, effective therapeutic program.

Detailed Description

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Primary liver cancer (PLC) has a great tendency to invade portal vein intravascularly, results in the formation of portal vein tumor thrombus (PVTT), which is a crucial factor that can worsen the prognosis of patients with PLC.

In clinical, various treatments have been applied to improve this short-term prognosis, but there was no identical indication for treatment of PLC patients with different PVTT.

The objective of this study is to evaluate the surgical comprehensive treatment for different types of tumor thrombi in the portal vein for hepatocellular carcinoma patients, to establish a standardized, unified, effective therapeutic program.

Conditions

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Hepatocellular Carcinoma Portal Vein Tumor Thrombus

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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A

PLC patients with PVTT underwent hepatectomy and portal thrombectomy followed by portal vein chemotherapy with endostar

Group Type EXPERIMENTAL

chemotherapy with endostar

Intervention Type DRUG

15mg/d×14d

B

PLC patients with PVTT underwent hepatectomy and portal thrombectomy followed by portal vein chemotherapy with CBP and 5-FU

Group Type ACTIVE_COMPARATOR

treatment with CBP and 5-FU

Intervention Type DRUG

CBP 300mg/d×2d,5-FU 1000mg/d×5d

C

PLC patients with PVTT underwent hepatectomy and portal thrombectomy followed by portal vein chemotherapy with endostar, CBP and 5-FU

Group Type EXPERIMENTAL

treatment with endostar, CBP and 5-FU

Intervention Type DRUG

CBP 300mg/d×2d,5-FU 1000mg/d×5d ,Endostar 15mg/d×14d

Interventions

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chemotherapy with endostar

15mg/d×14d

Intervention Type DRUG

treatment with CBP and 5-FU

CBP 300mg/d×2d,5-FU 1000mg/d×5d

Intervention Type DRUG

treatment with endostar, CBP and 5-FU

CBP 300mg/d×2d,5-FU 1000mg/d×5d ,Endostar 15mg/d×14d

Intervention Type DRUG

Other Intervention Names

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chemotherapy with endostar group treatment with CBP and 5-FU group endostar, CBP and 5-FU group

Eligibility Criteria

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Inclusion Criteria

* Male or female patients \> 30 years and \<=60 years of age.
* with a clinical diagnosis of primary liver cancer with PVTT, without any adjuvant therapy.
* resectable tumors in the liver.
* PVTT type for II or III (based on the PVTT type system established by our groups), confirmed through pre-operative imaging and pathologic examination.
* liver function grade A or B of the Child-Pugh classification.
* No dysfunction in major organs; Blood routine, kidney function, cardiac function and lung function are basically normal. Hb ≥95g/L,WBC ≥3.000 cells/mm³,platelets ≥80.000 cells/mm³.
* Patients who can understand this trial and have signed information consent.

Exclusion Criteria

* have had an allergic reaction following iodine or chemotherapeutic drugs.
* with extrahepatic metastasis.
* Patients with apparent cardiac, pulmonary, cerebral and renal dysfunction,which may affect the treatment of liver cancer.
* liver function:Child C.
Minimum Eligible Age

30 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eastern Hepatobiliary Surgery Hospital

OTHER

Sponsor Role lead

Responsible Party

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ShenFeng

vice president of the Eastern Hepatobiliary Surgery Hospotal

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Feng Shen, M.D.

Role: STUDY_CHAIR

Eastern Hepatobiliary Surgery Hospital, Second Military Medical University

Locations

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Eastern hepatobilliary surgery hospital

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Other Identifiers

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EHBH-RCT-2008-004

Identifier Type: -

Identifier Source: org_study_id

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