A Prospective, Randomized, Multicenter, Open-label, Exploratory Study of Utilizing of Peginterferon Alfa-2a on the Relapse Rate of the Subjects With Hepatocellular Carcinoma Who Have Been Treated by Resection
Overview
- Phase
- Phase 4
- Intervention
- Peginterferon Alfa-2a
- Conditions
- Chronic Hepatitis b
- Sponsor
- Huashan Hospital
- Enrollment
- 432
- Locations
- 1
- Primary Endpoint
- Recurrence-free Survival Rate (RFS)
- Last Updated
- 8 years ago
Overview
Brief Summary
The current study is a prospective, randomized, open, multi-center investigation. The aim of current study is to investigate whether the Recurrence-free Survival Rate (RFS)of the hepatitis B related -hepatocellular carcinoma subjects who have been treated by resection can be improved by peginterferon alfa-2a
Detailed Description
The subjects who have been treated by resection due to hepatocellular carcinoma (HCC) will be randomized into 2 groups: the subjects in group A will be treated by Nucleotide analogues (NAs)( ETV, 0.5mg,qd;tenofovir disoproxil fumarate(TDF),300mg,qd;ADV,10mg,qd)for 96 weeks; the subjects in group B will be treated by peginterferon alfa-2a (135μg/week)combination with NAs (ETV\\TDF\\ADV)for 96 weeks.
Investigators
Jiming Zhang
Deputy director of department
Huashan Hospital
Eligibility Criteria
Inclusion Criteria
- •Male and female patients with age ≥18 and ≤70 years;
- •Expected survival time \>3 months;
- •There should be evidences that chronic hepatitis B or hepatitis have been positive, hepatitis B virus (HBV) DNA detectable or undetectable, Alanine aminotransferase(ALT)\<upper limit of normal (ULN) or ≥ULN;
- •The patients have been treated by resection due to HCC;
- •The characteristic of tumor should be:Barcelona Clinic Liver Cancer(BCLC): 0,A,B
- •Child-Pugh scores:A
- •Agree to participate in the study and sign the patient informed consent form.
Exclusion Criteria
- •Patients that have been treated by live transplantation、chemoembolization、radiotherapy、chemotherapy、molecular targeted therapy and biotherapy before the resection;
- •Patients that are treated by hepatotoxicity drugs 、immunosuppressant or adjuvant chemotherapy after the resection;
- •Patients who be treated by transcatheter arterial chemoembolization(TACE) after resection;
- •BCLC(Barcelona Clinic Liver Cancer):C、D before the resection;
- •History or other evidence of malignant tumor: except by basal cell carcinoma or squamous cell carcinoma which are cured 、carcinoma in situs of cervix
- •Allergic history to interferon;
- •Co-infection with active hepatitis A, hepatitis C, hepatitis D and/or human immunodeficiency virus (HIV);
- •History or other evidence of a medical condition associated with chronic liver disease other than viral hepatitis (e.g., hemochromatosis, autoimmune hepatitis, metabolic liver disease, alcoholic liver disease, toxin exposures, thalassemia);
- •absolute neutrophil count(ANC)\<1.5x 10\^9/L or platelet count(PLT)\<70x 10\^9/L
- •Creatinine over upper limit of normal;
Arms & Interventions
Group B
The subjects will be treated by peginterferon alfa-2a (135μg/week)combination with NAs(ETV\\TDF\\ADV) for 96 weeks.
Intervention: Peginterferon Alfa-2a
Group A
The subjects will be treated by NAs (ETV, 0.5mg,qd;TDF,300mg,qd;ADV,10mg,qd)for 96 weeks
Intervention: ETV;TDF;ADV
Group B
The subjects will be treated by peginterferon alfa-2a (135μg/week)combination with NAs(ETV\\TDF\\ADV) for 96 weeks.
Intervention: ETV;TDF;ADV
Outcomes
Primary Outcomes
Recurrence-free Survival Rate (RFS)
Time Frame: 2 years
Number of subjects without Recurrence in the total subjects
Secondary Outcomes
- Recurrence-free Survival Rate (RFS)(1 year)
- Overall Survival Rate (OS)(1 year)