Evaluation of the Efficacy and Safety of Relenvatinib in the Tatment of Recurrence of Hepatocellular Carcinoma After Liver Transplantation: a One-arm, Open-label Study
试验速览
- 阶段
- 3 期
- 入组人数
- 40
- 主要终点
- 3 years recurrence-free survival rate
研究概览
简要总结
The aim of this study is to evaluate the efficacy and safety of lenvatinib in the treatment of recurrence of hepatocellular carcinoma after liver transplantation.
详细描述
The research is an open, one-arm, single-center study. 40 patients with recurrence of hepatocellular carcinoma after liver transplantation are included according to the criteria of admission. The enrolled patients are treated with lenvatinib (dose: body weight < 60 kg: 8 mg/day, body weight ≥ 60 kg 12 mg/day). The baseline data of patients are collected before allocation. Serum and imaging examination are checked regularly every month to monitor the recurrence of hepatocellular carcinoma and the side effects of lenvatinib. The efficacy and safety of lenvatinib in the treatment of recurrence of hepatocellular carcinoma are observed, and the clinicopathological factors affecting the efficacy of lenvatinib are analyzed. When side effects of lenvatinib occur, the dosage can be reduced according to the patients' condition until discontinuation. When tumor advances, a multidisciplinary team will draw up specific treatment plans according to the patients' condition.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients are with recurrence of hepatocellular carcinoma after liver transplantation who are unfit for or reject the treatment of hepatectomy, retransplantation, local therapy (radiofrequency ablation, interventional therapy, radiotherapy) and chemotherapy.
- •ECOG physical condition was 0-2 points.
- •Child-Pugh A grade of liver function.
- •Targeted therapy is acceptable within 1-2 months after liver transplantation.
- •Immunosuppressive regimen consists of calcineurin inhibitor, mycophenolate mofetil and sirolimus.
- •No history of surgical resection of liver tumors and targeted drug therapy before liver transplantation.
- •Good liver, kidney and bone marrow function: or PT within 6 seconds over normal upper limit.
- •For fertile female patients, the serum/urine pregnancy test should be negative within 7 days before treatment.
- •All male and female participants must take reliable contraceptive measures during the trial and within four weeks after the end of the trial.
- •12.The participants have the capability of oral medication. 13.The participants must sign the consent form.
排除标准
- •Patients are with other malignant tumors simultaneously.
- •Patients are anaphylaxis to the inactive ingredients of lenvatinib or drugs.
- •Pregnant or lactating women (Female participants need pregnancy test within 7 days before treatment).
- •Preoperative history of severe cardiovascular disease: congestive heart failure > NYHA grade 2; active coronary heart disease (myocardial infarction occurred within 6 months before entry into the study); severe arrhythmia requiring antiarrhythmic treatment (allowable use of beta-blockers or digoxin); uncontrolled hypertension.
- •History of HIV infection.
- •Severe clinical active infections
- •Epilepsy patients requires medication (e.g. steroids or antiepileptic drugs).
- •Patients with kidney diseases requires renal dialysis.
- •Drug abuse, medical symptoms, mental illness or social status that may interfere with participants'participation in research or evaluation of research results.
- •Patients who could not swallow oral drugs, such as those with severe upper gastrointestinal obstruction and need gastric tube feeding.
研究组 & 干预措施
relenvatinib
The enrolled patients are treated with lenvatinib (dose: body weight < 60 kg: 8 mg/day, body weight ≥ 60 kg 12 mg/day).
干预措施: relenvatinib (Drug)
结局指标
主要结局
3 years recurrence-free survival rate
时间窗: 3 years
Tumor recurrence within 3 years
次要结局
- 1 year recurrence-free survival rate(1 year)
- 5 years recurrence-free survival rate(5 years)
- 1 year overall survival rate(1 year)
- 3 years overall survival rate(3 years)
- 5 years overall survival rate(5 years)