Status:
TERMINATED
A Phase III Study in Post-operative HBV-related Hepatocellular Carcinoma
Lead Sponsor:
National Health Research Institutes, Taiwan
Collaborating Sponsors:
National Taiwan University Hospital
Chang Gung Memorial Hospital
Conditions:
Hepatocellular Carcinoma
Eligibility:
All Genders
18-70 years
Brief Summary
Research Objective and Study End Points To evaluate the anti-HBV as well as HCC recurrence reducing effects of standard (18 months) lamivudine treatment at time of HBV reactivation with hepatitis flar...
Detailed Description
Treatment plan and Randomization scheme: HBsAg+, HCC\< 5 cm with curative resection Stratified with HBV DNA \< 105 OR ≥ 105 copies/mL Genotype B or C RANDOMIZATION Prophylactic group Therapeutic cont...
Eligibility Criteria
Inclusion
- Histologically proven hepatocellular carcinoma.
- HCC underwent curative resection within 6 weeks before registration.
- Grossly, the resection margin should be \> 1 cm.
- Tumors, either single, \< 5 cm in size or no more than 3 for size \< 3 cm.
- Patients must have a performance status of ECOG score \< 2.
- Patients must have adequate liver reservation and adequate hemogram.
- Pugh-Child's Score \< 7.
- The serum total bilirubin level are \< 2 mg/dl.
- The prothrombin times are \< 3 sec above normal control.
- The platelet are \> 7.5 x 104 / mm3.
- The WBC are \> 3,000 / mm3.
- Patient must have serum creatinine \< 1.5 mg/dl
- Cardiac function with NYHA classification \< Grade II
- HBsAg (+) .
- Signed informed consent.
Exclusion
- Patients who have non-curative resection are not eligible.
- Resected HCCs with histologically positive margins are not eligible.
- HCCs with radiological evidence of portal vein thrombus are not eligible.
- Patients with other systemic diseases which required concurrent usage of glucoticosteroid or immunosuppressant agent(s) are not eligible.
- Patients with advanced second primary malignancy are not eligible.
- Patients with pregnancy or breast-feeding are not eligible.
- Patients with severe cardiopulmonary diseases are not eligible.
- Patients with clinically significant psychiatric disorder are not eligible.
- Patients who had antineoplastic chemotherapeutic or immuno-therapeutic drugs or corticosteroids within 6 weeks of commencing the protocol are not eligible.
- Patients who had prior lamividine and/or adefovir dipivoxil therapy are not eligible.
- Anti-HCV positive patients are not eligible.
Key Trial Info
Start Date :
May 1 2007
Trial Type :
OBSERVATIONAL
Allocation :
ACTUAL
End Date :
April 1 2018
Estimated Enrollment :
117 Patients enrolled
Trial Details
Trial ID
NCT00455091
Start Date
May 1 2007
End Date
April 1 2018
Last Update
April 28 2017
Active Locations (8)
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1
Chang-Gung Memorial Hospital
Kaohsiung City, Taiwan
2
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, Taiwan
3
Veterans General Hospital-Kaohsiung
Kaohsiung City, Taiwan
4
Chang-Gung Memorial Hospital (Lin-Kou)
Taichung, Taiwan