Applicability of 3D-HDRA in Patients With Primary Liver Cancer: A Randomized Controlled Trial

NCT ID: NCT05701436

Last Updated: 2023-03-02

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

144 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-01

Study Completion Date

2026-03-01

Brief Summary

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This Randomized Controlled Trial was to clarity the clinical feasibility of 3D-HDRA results in guiding the drug use of interventional chemotherapy after primary liver cancer surgery.

Detailed Description

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Data of Patients who received 3D-HDRA after primary liver cancer radical reaction and received Transarterial Chemoembolization #will be collected #excluding incomplete data.

The primary endpoint was the one-year disease-free survival(DFS) rate #Secondary endpoint was the adverse event.

Conditions

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Liver, Cancer of, Primary Resectable

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The test group received postoperative conventional treatment combined with precise transarterial chemoembolization based on 3D-HDRA results, and the control group received postoperative conventional treatment combined with Empirical transarterial chemoembolization.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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the test group

The test group received postoperative conventional treatment combined with precise transarterial chemoembolization based on 3D-HDRA results. Precise transarterial chemoembolization at 1-month intervals for 4 months after surgery.

Group Type EXPERIMENTAL

Oxaliplatin

Intervention Type DRUG

130 mg per square body surface area for a total of four transcatheter hepatic artery infusions per month.

Doxorubicin

Intervention Type DRUG

20 mg per square body surface area for a total of four transcatheter hepatic artery infusions per month.

Lobaplatin

Intervention Type DRUG

50 mg per square body surface area for a total of four transcatheter hepatic artery infusions per month.

Cisplatin

Intervention Type DRUG

50 mg per square body surface area was used for monthly transhepatic arterial infusions.

Oxaliplatin, Leucovorin, fluorouracil

Intervention Type DRUG

Oxaliplatin(130 mg per square body surface area), Leucovorin(400 mg per square body surface area), and fluorouracil(2800 mg per square body surface area) were used for monthly transhepatic arterial infusions.

Lobaplatin, Raltitrexed

Intervention Type DRUG

Lobaplatin(50 mg per square body surface area) and Raltitrexed(3 mg per square body surface area) were used for monthly transhepatic arterial infusions.

the control group

The control group received postoperative conventional treatment combined with Empirical transarterial chemoembolization. Empirical transarterial chemoembolization at 1-month intervals for 4 months after surgery.

Group Type ACTIVE_COMPARATOR

Oxaliplatin

Intervention Type DRUG

130 mg per square body surface area for a total of four transcatheter hepatic artery infusions per month.

Doxorubicin

Intervention Type DRUG

20 mg per square body surface area for a total of four transcatheter hepatic artery infusions per month.

Lobaplatin

Intervention Type DRUG

50 mg per square body surface area for a total of four transcatheter hepatic artery infusions per month.

Cisplatin

Intervention Type DRUG

50 mg per square body surface area was used for monthly transhepatic arterial infusions.

Oxaliplatin, Leucovorin, fluorouracil

Intervention Type DRUG

Oxaliplatin(130 mg per square body surface area), Leucovorin(400 mg per square body surface area), and fluorouracil(2800 mg per square body surface area) were used for monthly transhepatic arterial infusions.

Lobaplatin, Raltitrexed

Intervention Type DRUG

Lobaplatin(50 mg per square body surface area) and Raltitrexed(3 mg per square body surface area) were used for monthly transhepatic arterial infusions.

Interventions

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Oxaliplatin

130 mg per square body surface area for a total of four transcatheter hepatic artery infusions per month.

Intervention Type DRUG

Doxorubicin

20 mg per square body surface area for a total of four transcatheter hepatic artery infusions per month.

Intervention Type DRUG

Lobaplatin

50 mg per square body surface area for a total of four transcatheter hepatic artery infusions per month.

Intervention Type DRUG

Cisplatin

50 mg per square body surface area was used for monthly transhepatic arterial infusions.

Intervention Type DRUG

Oxaliplatin, Leucovorin, fluorouracil

Oxaliplatin(130 mg per square body surface area), Leucovorin(400 mg per square body surface area), and fluorouracil(2800 mg per square body surface area) were used for monthly transhepatic arterial infusions.

Intervention Type DRUG

Lobaplatin, Raltitrexed

Lobaplatin(50 mg per square body surface area) and Raltitrexed(3 mg per square body surface area) were used for monthly transhepatic arterial infusions.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients voluntarily cooperated with the study and signed an informed consent form.
2. Any gender, age 18 or older, 75 or younger.
3. Patients who need to confirm the maximum tumor load (the maximum diameter of a single tumor lesion) before performing radical surgery; patients with a confirmed diagnosis of primary liver cancer after postoperative pathological histological examination.
4. Patients with R0 resection confirmed by imaging and pathology (no residual lesions and complete tumor resection after radical surgery).
5. Child-Pugh score of 5-7 (A or B), patients with a score of 7 must be free of ascites.
6. ECOG physical fitness status score of 0-1.
7. Women of childbearing age with a negative pregnancy test and willing to use effective contraception for the duration of the study.

Exclusion Criteria

1. Patients with recurrent liver cancer.
2. Patients with existing extrahepatic distant metastases (including local lymph node metastases or distant organ metastases: e.g., lung, brain, bone, etc.) at the time of diagnosis.
3. Treatment with other experimental drugs or other interventions after radical resection.
4. Patients with other malignant tumors that have not been cured within 5 years.
5. Patients with non-radical resections (R1 and R2 resections).
6. Patients with residual or recurrent lesions detected on imaging within 1-2 months after surgery.
7. Patients in whom death occurred within 30 days after surgery.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zhujiang Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mingxin Pan, Prof

Role: STUDY_DIRECTOR

Study Principal Investigator Southern Medical University, China

Locations

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Zhujiang Hospital of Southern Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Mingxin Pan, Prof

Role: CONTACT

18928918216 ext. 18928918216

Facility Contacts

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Mingxin Pan, Prof

Role: primary

18928918216

Other Identifiers

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2022-KY-277-01

Identifier Type: -

Identifier Source: org_study_id

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