Adjuvant Chemotherapy Based on the Adenosine Triphosphate Tumor Chemosensitivity
Overview
- Phase
- Phase 2
- Intervention
- mFOLFOX6
- Conditions
- Hepatocellular Carcinoma
- Sponsor
- Zhejiang University
- Locations
- 1
- Primary Endpoint
- Desease free Survival
- Status
- Withdrawn
- Last Updated
- 6 years ago
Overview
Brief Summary
This study is a randomized, open-label, controlled study that will explore the efficacy of individualized adjuvant chemotherapy based on the adenosine triphosphate tumor chemosensitivity assay for patients with hepatocellular carcinoma after liver transplantation.
Investigators
Weijia Fang, MD
Director
Zhejiang University
Eligibility Criteria
Inclusion Criteria
- •Patients who had experienced liver transplantation with histologically confirmed advanced hepatocellular carcinoma with more one risk factor (tumour burden \>8 cm, AFP\>400 ng/mL,poorly differentiated,vessels invasion )
- •No extrahepatic metastasis confirmed with computed tomography (CT) or magnetic resonance imaging (MRI)
- •Additional inclusion criteria were age 18 years or older
- •Karnofsky performance status (KPS) of at least 70%
- •Adequate renal function, defined as creatinine clearance greater than 30 mL/min)
- •Adequate hepatic function, defined as ALT and AST less than 5× upper limit of normal
- •Adequate bone marrow function, defined as platelets greater than 100×10E9/L and WBC greater than 3.5×10E9/L.
Exclusion Criteria
- •The presence of any severe concomitant disease that could interrupt the planned treatment; intractable pain
- •Hypersensitivity to study drugs
- •Serious cardiovascular disease (eg, unstable coronary artery disease or myocardial infarction within 4 weeks of study start)
- •National Cancer Institute CommonToxicity Criteria (NCI-CTC) grade 3 or 4 sensory or motor neuropathy
- •Prior or concurrent malignancy (other than pancreatic cancer)
- •Female, pregnancy or breastfeeding.
Arms & Interventions
mFOLFOX6
Oxaliplatin (85 mg/m2 )+Fluorouracil (2800 mg/m2 ) q2w
Intervention: mFOLFOX6
Individualized Chemotherapy
Two drug combination adjuvant chemotherapy based on the Adenosine Triphosphate Tumor Chemosensitivity(Oxaliplatin, Gemcitabine, Irinotecan, Paclitaxel,docetaxel, Fluorouracil,Doxorubicin,Cisplatin)
Intervention: Individualized Chemotherapy
Outcomes
Primary Outcomes
Desease free Survival
Time Frame: 3 years
Secondary Outcomes
- Overall Survival(3 years)