The Efficacy and Safety of HAIC With FOLFOX vs Sorafenib for Patients Who Showed TACE-resistant: a Retrospective Study

NCT ID: NCT05121571

Last Updated: 2021-11-26

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

COMPLETED

Clinical Phase

NA

Total Enrollment

114 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-21

Study Completion Date

2021-05-01

Brief Summary

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Transarterial chemoembolization (TACE) is considered the gold standard for treating intermediate-stage hepatocellular carcinoma (HCC). However, any treatment guidelines do not specify the criteria for repeating TACE. This study was to compare HAIC with FOLFOX with sorafenib who showed TACE-resistant.

Detailed Description

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Conditions

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Hepatocellular Carcinoma

Keywords

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Hepatocellular Carcinoma TACE failure Sorafenib Hepatic arterial infusion chemotherapy Oxaliplatin, fluorouracil, and leucovorin

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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HAIC of FOLFOX

Retreatment With hepatic arterial infusion chemotherapy of oxaliplatin , fluorouracil, and leucovorin

Group Type EXPERIMENTAL

HAIC

Intervention Type PROCEDURE

administration of Oxaliplatin , fluorouracil, and leucovorin via the tumor feeding arteries

Sorafenib

Group Type ACTIVE_COMPARATOR

Sorafenib

Intervention Type DRUG

sorafenib 400mg bid

Interventions

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HAIC

administration of Oxaliplatin , fluorouracil, and leucovorin via the tumor feeding arteries

Intervention Type PROCEDURE

Sorafenib

sorafenib 400mg bid

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with HCC according to the European Association for the Study of the Liver (EASL) diagnostic criteria
* TACE failure/refractoriness by Liver Cancer Study Group of Japan (LCSGJ) criteria
* Without extrahepatic metastasis
* The following laboratory parameters:

Platelet count ≥ 60,000/μL Hemoglobin ≥ 8.5 g/dL Total bilirubin ≤ 1.5 mg/dL Serum albumin ≥ 35 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

Exclusion Criteria

* Known history of HIV
* History of organ allograft
* Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry.
* Serious non-healing wound, ulcer, or bone fracture
* Evidence of bleeding diathesis.
* Any other hemorrhage/bleeding event \> CTCAE Grade 3 within 4 weeks of first dose of study drug
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

Locations

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Cancer Center Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status

Countries

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China

References

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Huang Y, Zhang L, He M, Lai Z, Bu X, Wen D, Li Q, Xu L, Wei W, Zhang Y, Zhou Z, Chen M, Guo R, Shi M, Kan A. Hepatic Arterial Infusion of Oxaliplatin, Fluorouracil, and Leucovorin Versus Sorafenib for Hepatocellular Carcinoma Refractory to Transarterial Chemoembolization: Retrospective Subgroup Analysis of 2 Prospective Trials. Technol Cancer Res Treat. 2022 Jan-Dec;21:15330338221117389. doi: 10.1177/15330338221117389.

Reference Type DERIVED
PMID: 36529949 (View on PubMed)

Other Identifiers

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SH-4

Identifier Type: -

Identifier Source: org_study_id