Status:

COMPLETED

Palliative Treatments for Patients With Advanced Hepatocellular Carcinoma (HCC)

Lead Sponsor:

Sun Yat-sen University

Conditions:

Hepatectomy

Hepatocellular Carcinoma

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The standard treatment choice for advanced hepatocellular carcinoma (HCC) is sorafenib, and its efficacy is limited. More active treatments were performed in patients with advanced HCC in China, which...

Detailed Description

This is a prospective non-randomized controlled study. Patients with advanced hepatocellular carcinoma (BCLC C stage) who underwent palliative resection or TACE followed with Sorafenib or treated by s...

Eligibility Criteria

Inclusion

  • Male or female patients \> 18 years of age.
  • Diagnosed to have advanced HCC (BCLC C stage).
  • Patients who have a life expectancy of at least 12 weeks.
  • Patients whose primary tumor can be resected.
  • Definition of resectable in this study:
  • Tumor number \<=2.
  • If number of tumors \>= 3, then all tumors were located in the same lobe.
  • Without tumor invasion of the main trunk of the portal vein, or hepatic duct, or caval vein.
  • Hepatocellular carcinoma with histological diagnose or clinical diagnose according to AASLD.
  • No major post-operative complication.
  • Patients who have an ECOG PS of 0, or 1.
  • Cirrhotic status of Child-Pugh class A only.
  • The following laboratory parameters:
  • Platelet count \> 60 x 109/L Hemoglobin \> 8.5 g/dL Albumin \> 3.5 g/dL Total bilirubin \< 25μmol/L Alanine transaminase (ALT) and AST \< 2.5 x upper limit of normal Serum creatinine \<1.5 x the upper limit of normal Prothrombin time (PT)\<3 seconds above control.
  • • Patients who give written informed consent.

Exclusion

  • Previous or concurrent cancer that is distinct in primary site or histology from HCC.
  • History of cardiac disease.
  • Active clinically serious infections (\> grade 2 National Cancer Institute \[NCI\]-Common Terminology Criteria for Adverse Events \[CTCAE\] version 3.0)
  • Known history of human immunodeficiency virus (HIV) infection
  • Known Central Nervous System tumors including metastatic brain disease.
  • Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry.
  • History of organ allograft.
  • Known or suspected allergy to the investigational agent or any agent given in association with this trial.
  • Pregnant or breast-feeding patients.
  • Any condition that is unstable or which could jeopardize the safety of the patient and his/her compliance in the study.
  • Excluded therapies and medications, previous and concomitant: Systemic chemotherapy and target drug other than sorafenib. Antiviral treatment is allowed.
  • Radiotherapy except for which done for bone metastases palliatively.

Key Trial Info

Start Date :

January 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2018

Estimated Enrollment :

180 Patients enrolled

Trial Details

Trial ID

NCT01409499

Start Date

January 1 2011

End Date

January 1 2018

Last Update

September 11 2018

Active Locations (1)

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1

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China, 510060