A Trial to Compare Surgery With Sorafenib for Hepatic Celluler Cancer With Portal Vein Tumor Thrombosis

NCT ID: NCT03178656

Last Updated: 2017-12-21

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

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-15

Study Completion Date

2019-12-15

Brief Summary

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According to the guidelines recommended, only a few new targeted therapy drugs treatment, such as Sorafenib, is proper. It's 3 year survival rate is only 8% or so. According to our previous study, patients with hepatic carcinoma without portal vein tumor thrombus backbone and the contralateral tumor thrombus applyed tumor excision, along with tumor thrombus, the 3 year survival rate can reach 39.9%, the 5-year survival rate can reach 22.7%, curative effect is obviously better.

Detailed Description

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Conditions

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Portal Vein Tumor Thrombus

Keywords

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sorafenib, operation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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PVTT WITH SORAFENIB

AASLD recommend therapy:

sorafenib tablet, 400mg, bid.

Group Type ACTIVE_COMPARATOR

Sorafenib

Intervention Type DRUG

continuous application of the drugs

PVTT WITH OPERATION

patients suitable for surgery

Group Type EXPERIMENTAL

surgery

Intervention Type PROCEDURE

curative resection

Interventions

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Sorafenib

continuous application of the drugs

Intervention Type DRUG

surgery

curative resection

Intervention Type PROCEDURE

Other Intervention Names

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control trail

Eligibility Criteria

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Inclusion Criteria

* 1\. Clinical diagnosis of Hepatic cellular Carcinoma. 2. Patients with Portal Vein Tumor Thrombus (PVTT) of Hepatic cellular Carcinoma (HCC) detected by Serum Alpha Fetoprotein (AFP) and CT or MRI.

3\. Patients with a solitary tumor or multiple tumor which are resectable. 4. Patients without Hepatic vein or bile duct invasion and extrahepatic metastasis.

5\. Patients without surgical contraindication. 6. Patients with Child A or B liver function and indocyanine green retention rate at 15min (ICGR15) \< 10% before treatment.

7\. Laboratory examination: haemoglobin (Hb)\>100g/L, white blood cell (WBC) \> 3000/mL, PLT \> 8×10\*10/L before treatment.

8\. Patients without severe esophagealgastric varices before treatment. 9. Patients with HBV,HBV DNA≤100, 000 copy/mL. 10. All of the patients has written consent for this research.

Exclusion Criteria

* 1.Patients with multiple tumors or vascular or bile duct invasion or extrahepatic metastasis.

2.Patients with surgical contraindication. 3.Patients with Child C grade liver function before treatment. 4.Patients with other malignancy. 5.Patients treated with hepatic resection or TACE before this treatment. 6.Patients with severe esophagealgastric varices or refractory ascites or coagulation dysfunction before treatment.
Minimum Eligible Age

20 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Huazhong University of Science and Technology

OTHER

Sponsor Role lead

Responsible Party

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Xiaoping Chen

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hepatic surgery center, Tong ji Hospital

Wuhan, Hubei, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Qiong Gong, Doctor

Role: CONTACT

Phone: +8618086496360

Email: [email protected]

Xiaoping Chen, Doctor

Role: CONTACT

Phone: +862783665253

Email: [email protected]

Facility Contacts

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Xiaoping Chen, Doctor

Role: primary

Qiong Gong, Doctor

Role: backup

Other Identifiers

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chenxp007

Identifier Type: -

Identifier Source: org_study_id