Frequency of Circulating Tumor Cells (CTCs) and Amount of Cell-free DNA (cfDNA) in Cirrhotic Patients With Hepatocellular Carcinoma (HCC)

NCT ID: NCT03162198

Last Updated: 2019-10-23

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

Total Enrollment

53 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-05-15

Study Completion Date

2018-10-31

Brief Summary

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All consecutive patients with liver cirrhosis, with clinical and imaging features suggestive of Hepatocellular Carcinoma (HCC) attending the Department of Hepatology, Institute of Liver and Biliary Sciences (ILBS) from February 2017 to December 2018 will be evaluated for inclusion.Based on the previous years data of HCC patients admitted to ILBS.

Cirrhotic patients aged 18-70 years, with HCC proven by typical radiological features of arterial enhancement and delayed wash-out, on one or both of dynamic Computerized Tomographic or dynamic Magnetic Resonance Imaging (MRI), as per updated American Association for the Study of Liver Disease (AASLD) guidelines (details in appendix1).

Age and gender matched patients with cirrhosis, but without HCC, seen during the same study period will serve as controls.

Patient characteristics, etiology of cirrhosis, and liver function parameters will be noted. Investigator will stage the included patients as per the Barcelona Cancer of Liver Cancer (BCLC) criteria (details in appendix1). Investigator will then estimate Circulating Tumor Cells (CTC) and cfDNA in peripheral blood samples of the patients and controls.

Detailed Description

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Conditions

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Hepatocellular Carcinoma

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Cirrhosis with HCC

Cirrhosis with HCC

Intervention Type OTHER

Cirrhosis with Hepatocellular Carcinoma

Cirrhosis without HCC

Cirrhosis without HCC

Intervention Type OTHER

Cirrhosis without Hepatocellular Carcinoma

Interventions

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Cirrhosis with HCC

Cirrhosis with Hepatocellular Carcinoma

Intervention Type OTHER

Cirrhosis without HCC

Cirrhosis without Hepatocellular Carcinoma

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age between 18-70 years.
* Proven cirrhosis (Defined in appendix 1).
* HCC proven by standard radiological criteria within last 1-month (For Cases)
* No HCC on dynamic CT and/or dynamic MRI (protocol defined in appendix 1) done within last 1 month (For Control Group).

Exclusion Criteria

* Previous biopsy or FNA of the tumor.
* Previous invasive radiological procedures TACE/RFA.
* Previous or ongoing chemotherapy or biological therapy.
* Previous liver resection or transplant.
* Segmental / main PV thrombosis.
* Atypical enhancement on imaging
* Extrahepatic metastatic spread of HCC
* \>70 years of age
* Coexisting sepsis.
* Renal dysfunction, as defined by serum creatinine \>1.5mg/dL.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institute of Liver and Biliary Sciences, India

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Institute of Liver and Biliary Sciences

New Delhi, National Capital Territory of Delhi, India

Site Status

Countries

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India

Other Identifiers

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ILBS-HCC-03

Identifier Type: -

Identifier Source: org_study_id

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