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Paediatric hepatic international tumour trial

Phase 3
Conditions
Hepatoblastoma or hepatocellular carcinoma
Cancer
Malignant neoplasm of liver and intrahepatic bile ducts
Registration Number
ISRCTN17869351
Lead Sponsor
niversity of Birmingham
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
450
Inclusion Criteria

1. Clinical diagnosis of HB and histologically defined diagnosis of HB or HCC
2. Aged 0-30 years
3. Written informed consent for trial entry

Exclusion Criteria

1. Any previous chemotherapy or currently receiving anti-cancer agents
2. Recurrent disease
3. Previously received a solid organ transplant
4. Uncontrolled infection
5. Unable to follow the protocol for any reason
6. Second malignancy
7. Pregnant or breastfeeding women

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Event-free survival (EFS) is measured as the time from randomisation (or registration into the trial for non-randomised patients) to first failure event or last follow-up date<br>2. Response in HCC is measured using RECIST version 1.1 criteria, after 3 cycles of PLADO, or 4 cycles of PLADO+S/GEMOX+S in Group F<br>3. Best Response is measured using RECIST version 1.1 criteria and AFP decline at end of treatment for Groups A, B, C, D and E
Secondary Outcome Measures
NameTimeMethod
1. Overall survival (OS) is measured as the time from randomisation (or registration for non-randomised patients) to death from any cause<br>2. Toxicity is measured using Common Terminology Criteria for Adverse Events (CTCAE), at the end of each cycle of treatment<br>3. Hearing loss is measured using SIOP Boston Scale for oto-toxicity at end of treatment and follow up<br>4. Surgical resectability is measured using surgical outcome during treatment after surgery<br>5. Adherence to surgical guidelines is measured using the current SIOPEL surgical guidelines and the local clinician’s surgical decision to resect after surgical assessment
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