Neo-TACE-HAIC for PVTT-HCC

NCT ID: NCT04181931

Last Updated: 2020-10-26

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

NA

Total Enrollment

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-16

Study Completion Date

2024-12-30

Brief Summary

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Hepatocellular carcinoma (HCC) patients is a common disease in the East Asia. During the disease course, 20%-50% patients suffered portal vein tumor thrombus (PVTT), which is characterized with poor outcome and low response for treatments. Although BCLC (Barcelona clinical liver cancer) system recommend to palliative targeted treatment, the East Asian countries recommend to resection or transartery chemoembolization (TACE).

Recently, FOLFOX (Oxaliplatin and 5-fluorouracil) based hepatic artery infusion chemotherapy (HAIC) exhibited high response rate for advanced HCC.

Pilot study showed TACE combined HAIC (TACE-HAIC) had better tumor response, with low progression disease rate.

Whether TACE-HAIC would improve survival for patients with PVTT is need to further to study. A randomized clinical trial compared neo-TACE-HAIC with surgery versus surgery alone is aimed to answer this question.

Detailed Description

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Conditions

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Hepatocellular Carcinoma Portal Vein Thrombosis

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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neo-TACE-HAIC with surgery

neoadjuvant TACE-HAIC with surgery for HCC patients with PVTT

Group Type EXPERIMENTAL

neo-TACE-HAIC+Surgery

Intervention Type PROCEDURE

transartery chemoembolization with lipiodol and EADM, FOLFOX (Oxa 85mg/m2 2h+CF 400mg/m2 2h+5FU 400mg/m2 10min+5FU 1200mg/m2 23h)-based artery infusion chemotherapy, followed by hepatic resection

surgery alone

surgery alone for HCC patients with PVTT

Group Type ACTIVE_COMPARATOR

Surgery alone

Intervention Type PROCEDURE

hepatic resection remove the liver tumor and portal vein tumor thrombus

Interventions

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neo-TACE-HAIC+Surgery

transartery chemoembolization with lipiodol and EADM, FOLFOX (Oxa 85mg/m2 2h+CF 400mg/m2 2h+5FU 400mg/m2 10min+5FU 1200mg/m2 23h)-based artery infusion chemotherapy, followed by hepatic resection

Intervention Type PROCEDURE

Surgery alone

hepatic resection remove the liver tumor and portal vein tumor thrombus

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age 18-75 years;
* Patients with resectable primary hepatocellular carcinoma and portal vein tumor thrombus, which was not located in main portal vein;
* Child-Pugh A or B (7 score) liver function;
* With more than 3 months expected survival;
* The volume of residual liver more than 30%

Exclusion Criteria

* Patients with primary hepatocellular carcinoma and major portal vein tumor thrombus
* With extrahepatic metastasis or unresectable HCC
* Pregnant woman or sucking period;
* With other malignant cancer;
* Received chemotherapy, target therapy or immunosuppressive drugs therapy before this study.
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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Yunfei Yuan

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yunfei Yuan, MD.

Role: PRINCIPAL_INVESTIGATOR

Sun Yat-sen University

Locations

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Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China

Site Status RECRUITING

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jiliang Qiu, MD.

Role: CONTACT

862087343114

Facility Contacts

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Yunfei Yuan

Role: primary

+862087343118

Jiliang Qiu, MD.

Role: primary

862087343114

Other Identifiers

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B2019-170

Identifier Type: -

Identifier Source: org_study_id