HAIC Plus Sorafenib Versus TACE Plus Sorafenibfor Advanced HCC

NCT ID: NCT02856126

Last Updated: 2024-07-23

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

PHASE3

Total Enrollment

214 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-08-31

Study Completion Date

2024-07-31

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of hepatic arterial infusion chemotherapy (HAIC) compared with transarterial chemoembolization (TACE) in patients with BCLC stage hepatocellular carcinoma (HCC).

Detailed Description

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Transarterial chemoembolization (TACE) is the most widely used palliative treatment for hepatocellular carcinoma (HCC) patients. Our previous prospective study also revealed that TACE confers a survival benefit to patients with HCC and portal venous tumor thrombus (PVTT). Recently, the results of our preliminary pilot study suggested that, compared with TACE, hepatic arterial infusion chemotherapy (HAIC) may improve the survivals for patitens with BCLC stage C HCC. Thus, the investigators carried out this prospective randomized control study to find out it.

Conditions

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Hepatocellular Carcinoma

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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HAIC plus sorafenib

Procedure/Surgery: Hepatic arterial infusion chemotherapy Drug: HAIC Regimen Drug: Oral Sorafenib

Group Type EXPERIMENTAL

Hepatic arterial infusion chemotherapy

Intervention Type PROCEDURE

HAIC Regimen

Intervention Type DRUG

Hepatic intra-arterial infusion via the tumor feeding arteries of Oxaliplatin , fluorouracil, and leucovorin

Oral Sorafenib

Intervention Type DRUG

Oral Sorafenib, 400mg, Bid

TACE plus sorafenib

Procedure/Surgery: Transarterial chemoembolization Drug: TACE regimen Drug: Oral Sorafenib

Group Type ACTIVE_COMPARATOR

Transarterial chemoembolization

Intervention Type PROCEDURE

TACE regimen

Intervention Type DRUG

infusion with lipiodol mixed with chemotherapy drugs (EADM , lobaplatin, and MMC ), and embolization with polyvinyl alcohol particles (PVA)

Oral Sorafenib

Intervention Type DRUG

Oral Sorafenib, 400mg, Bid

Interventions

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Hepatic arterial infusion chemotherapy

Intervention Type PROCEDURE

Transarterial chemoembolization

Intervention Type PROCEDURE

TACE regimen

infusion with lipiodol mixed with chemotherapy drugs (EADM , lobaplatin, and MMC ), and embolization with polyvinyl alcohol particles (PVA)

Intervention Type DRUG

HAIC Regimen

Hepatic intra-arterial infusion via the tumor feeding arteries of Oxaliplatin , fluorouracil, and leucovorin

Intervention Type DRUG

Oral Sorafenib

Oral Sorafenib, 400mg, Bid

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* The diagnosis of BCLC C stage HCC was based on the diagnostic criteria for HCC used by the European Association for the Study of the Liver (EASL)
* Patients must have at least one tumor lesion that can be accurately measured according to EASL criteria.
* with no previous treatment
* No Cirrhosis or cirrhotic status of Child-Pugh class A only
* Not amendable to surgical resection ,local ablative therapy and any other cured treatment.
* The following laboratory parameters:

* Platelet count ≥ 75,000/µL
* Hemoglobin ≥ 8.5 g/dL
* Total bilirubin ≤ 30mmol/L
* Serum albumin ≥ 30 g/L
* ASL and AST ≤ 5 x upper limit of normal
* Serum creatinine ≤ 1.5 x upper limit of normal
* INR ≤ 1.5 or PT/APTT within normal limits
* Absolute neutrophil count (ANC) \>1,500/mm3
* Ability to understand the protocol and to agree to and sign a written informed consent document

Exclusion Criteria

* Main portal vein occlusion
* Evidence of hepatic decompensation including ascites, gastrointestinal bleeding or hepatic encephalopathy
* Known history of HIV
* History of organ allograft
* Known or suspected allergy to the investigational agents or any agent given in association with this trial.
* Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy
* Evidence of bleeding diathesis.
* Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry.
* Any other hemorrhage/bleeding event \> CTCAE Grade 3 within 4 weeks of first dose of study drug
* Serious non-healing wound, ulcer, or bone fracture
* Known central nervous system tumors including metastatic brain disease
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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Shi Ming

Proffessor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ming Shi, MD

Role: PRINCIPAL_INVESTIGATOR

The Department of Hepatobiliary Oncology of Sun Yat-sen University Cancer Center

Locations

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Dongguan People's Hospital

Dongguan, Guangdong, China

Site Status

Cancer Center Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status

The First Affiliated Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status

Guangzhou Twelfth People 's Hospital

Guangzhou, Guangdong, China

Site Status

Kaiping Central Hospital

Kaiping, Guangdong, China

Site Status

The First Affiliated Hospital of University Of South China

Hengyang, Hunan, China

Site Status

The First Affiliated Hospital Of Xi'an Jiaotong University

Xi’an, Shanxi, China

Site Status

Countries

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China

Other Identifiers

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HCC-S022

Identifier Type: -

Identifier Source: org_study_id

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