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Synergistic Treatment for Hepatocellular Carcinoma (HCC) Using TACE With Antiangiogenesis

Not Applicable
Conditions
Hepatocellular Carcinoma
Interventions
Procedure: Transcatheter Arterial Chemoembolization
Registration Number
NCT00518557
Lead Sponsor
Southeast University, China
Brief Summary

The purpose of this study is to investigate safety and potential therapeutic benefits for patients with hepatocellular carcinoma by transcatheter chemoembolization with the recombinant endostatin (commercially available in China)which is also administrated via the hepatic artery. The hypothesis of this protocol is that TACE with antiangiogenic treatment may inhibit the proangiogenic effects induced by the hypoxia of TACE.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Patients with cytologically or histologically documented HCC, who are candidates for TACE
  • Child-Pugh Child A or B
  • Age >= 18
  • Measurable disease by RECIST criteria;
  • Performance status ECOG 0-2
  • Previous local therapy completed > 4 weeks
  • Written informed consent signed
  • Normal organ and marrow function defined as:

Haematopoietic:

  • WBC ≥ 3,000/µlplatelet count > 80,000/mm3
  • haemoglobin > 9g/dL
  • Hepatic: Albumin ≥ 2.8 g/dl.serum total bilirubin ≤ 3 mg/dl; AST or ALT < 5 x ULN
  • Renal: creatinine < 1.5 x ULN
Exclusion Criteria
  • Metastases
  • Prior or concomitant chemotherapy or radiation therapy
  • VEGF/VEGFR- inhibitors or other anti-angiogenesis agents
  • Severe and/or uncontrolled medical conditions:
  • Congestive heart failure, serious cardiac arrhythmia, active coronary artery
  • Severe renal impairment
  • Patients who anticipate receiving major surgery during the course of the
  • Pregnant or breastfeeding patients
  • Evidence of bleeding diathesis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1Transcatheter Arterial ChemoembolizationAll patients of this arm are treated by TACE together with Andostatin.
2Transcatheter Arterial ChemoembolizationAll patients of this arm are treated by TACE alone: only mixture of Epirubicin and Lipiodol is injected into the feeding arteries of the tumor, without injection of Andostatin.
Primary Outcome Measures
NameTimeMethod
Safety and tolerability, Mortality6 months
Secondary Outcome Measures
NameTimeMethod
Tumor volumetry, Changes of Tumor markers such as AFP, Curriculum survival2 years

Trial Locations

Locations (1)

Department of Interventional Radiology, Zhongda Hospital, Southeast University

🇨🇳

Nanjing, Jiangsu, China

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