SBRT+TACE+Sorafenib Vs Sorafenib in the Treatment of uHCC With PVTT

NCT ID: NCT04387695

Last Updated: 2023-02-16

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

PHASE3

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-30

Study Completion Date

2023-08-01

Brief Summary

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To evaluate and compare the efficacy and safety of SBRT sequential TACE combined with sorafenib versus sorafenib alone in the treatment of unreactable HCC with PVTT.

Detailed Description

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HCC Patients classified as BCLC stage C present with PVTT, and the recommended first-line treatment is systemic therapy with sorafenib according to updated Barcelona Clinical Liver cancer (BCLC) treatment algorithms.However, recent data from observational studies suggest that the combination of TACE and SBRT would be as effective as sorafenib.

Conditions

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Unresectable 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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SBRT + TACE + Sorafenib

SBRT sequential TACE combined with Sorafenib

Group Type EXPERIMENTAL

SBRT+TACE+Sorafenib

Intervention Type RADIATION

SBRT first for the PVTT +TACE for HCC within a week next +Sorafenib with 2 weeks later

Sorafenib

Sorafenib 800 mg/day orally

Group Type ACTIVE_COMPARATOR

Sorafenib

Intervention Type DRUG

Sorafenib 800 mg/day orally

Interventions

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SBRT+TACE+Sorafenib

SBRT first for the PVTT +TACE for HCC within a week next +Sorafenib with 2 weeks later

Intervention Type RADIATION

Sorafenib

Sorafenib 800 mg/day orally

Intervention Type DRUG

Other Intervention Names

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Stereotactic Body Radiation Therapy Nexavar

Eligibility Criteria

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Inclusion Criteria

* Age \>18 years
* Child-Pugh score ≤ 7
* Performance status: ECOG score ≤ 2
* HCC diagnosed by biopsy or by the noninvasive criteria of the Chinese Liver Cancer Guideline 2017
* the primary HCC being unresectable (BCLC C stage/ CNLC Ⅲa-b) according to NCCN guideline
* No previous therapy for HCC
* at least one measurable target lesion according to RECIST 1.1
* Adequate hematopoietic function: Hemoglobin ≥ 8.5 g/dL; Absolute neutrophil count ≥ 750/mm3; Platelet count ≥ 50,000/mm3
* Serum total bilirubin ≤ 2 x ULN
* Aspartate aminotransferase (AST) and alanine aminotransferase ≤ 10 x ULN
* Creatinine ≤ 1.5 x ULN
* No plan for pregnancy or breast feeding. Active contraception.
* Willing to give informed consent

Exclusion Criteria

* Prior history to or exposure of transarterial chemoembolization, external beam radiation to liver, or sorafenib
* Complete obstruction of hepatic outflow
* Uncontrolled ascites of hepatic encephalopathy
* Prior liver transplantation
* Positive for human immunodeficiency virus (HIV)
* Active gastric or duodenal ulcer
* Other uncontrolled comorbidities or malignancy
* Inability to give informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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First Affiliated Hospital of Zhejiang University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jun-hui Sun, MD,PH.D

Role: STUDY_DIRECTOR

First Affiliated Hospital of Zhejiang University

Locations

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The First Affiliated Hospital, College of Medicine, Zhejiang University

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jun-hui Sun, MD,PH.D

Role: CONTACT

+86-0571-87236815

Tan-yang Zhou, MD,PH.D

Role: CONTACT

+86-0571-87236812

Facility Contacts

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Jun-hui Sun, MD,PH.D

Role: primary

+86-0571-87236815

Tan-yang Zhou, MD,PH.D

Role: backup

+86-0571-87236812

Other Identifiers

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HEPIC2001

Identifier Type: -

Identifier Source: org_study_id

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