Status:

COMPLETED

The Role of Low Molecular Weight Heparins in Hepatocellular Carcinoma

Lead Sponsor:

Eastern Hepatobiliary Surgery Hospital

Conditions:

Hepatocellular Carcinoma

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

PHASE3

Brief Summary

Hepatocellular carcinoma (HCC) is a major tumor type worldwide, especially in China as the sequence of hepatitis B and liver cirrhosis. Activation of the coagulation system occurs commonly in patients...

Detailed Description

100 patients will be randomly assigned to receive either TACE alone or TACE plus LMWH. A block of every 4 participants and a stratified randomization according to portal vein cancer emboli will be use...

Eligibility Criteria

Inclusion

  • Adults patients with a diagnosis of HCC which is not amenable to surgical resection, liver transplantation or local ablative therapy
  • Without metastasis out of liver
  • Patients must have at least one tumor lesion that meets both of the following criteria:
  • The lesion can be accurately measured in at least one dimension according to RECIST criteria
  • The lesion has not been previously treated with surgery, radiation therapy, radiofrequency ablation, percutaneous ethanol or acetic acid injection, or cryoablation.
  • ECOG performance status (PS) \<2
  • No prior targeted antiangiogenic therapy. Metronomic chemotherapies are allowed. At least 4 weeks since prior systemic chemotherapy
  • Child-Pugh class A or B
  • No significant renal impairment (creatinine clearance \< 30 mL/minute) or patients on dialysis
  • Ability to understand the protocol and to agree to and sign a written informed consent document -

Exclusion

  • HBSAg(-),AFP(-).
  • prothrombin time prolonged more than 4s.
  • blood platelets count less than 50000/L.
  • Renal failure requiring dialysis.
  • Child-Pugh class C hepatic impairment.
  • clinically significant gastrointestinal bleeding within 30 days prior to study entry.
  • History of organ allograft.
  • Substance abuse (current), psychological, or social conditions that may interfere with the patient's participation in the study or evaluation of the study results.
  • Known or suspected allergy to the investigational agents or any agent given in association with this trial.
  • Pregnant or breast-feeding patients.

Key Trial Info

Start Date :

December 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2011

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT00827554

Start Date

December 1 2008

End Date

October 1 2011

Last Update

April 1 2016

Active Locations (1)

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Eastern Hepatobiliary Surgery Hospital

Shanghai, Shanghai Municipality, China, 200438