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Transcatheter Arterial Chemoembolization With KMG Microsphere Treating Advance-stage Hepatocellular Carinomas (TACE-KMG)

Not Applicable
Conditions
Carcinoma, Hepatocellular
Interventions
Other: Therapeutic Chemoembolization
Registration Number
NCT01393197
Lead Sponsor
Tianjin Medical University Cancer Institute and Hospital
Brief Summary

The purpose of this study is to evaluate the effects of Transcatheter Arterial Chemoembolization (TACE) with KMG microsphere in treating HCC. And to determine which one is better,KMG microsphere or lipiodol?

Detailed Description

The most important part of effect in TACE is embolization .But there is no clinical trials on which one is better,KMG microsphere or lipiodol? what effect did chemo play in the TACE treating HCC? Which one is better,routine dose or low dose? Experts in USA and Japan had their own researches and standpoints.We think it is important to push a clinical trail to answer these problem.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
2480
Inclusion Criteria
  • Hepatocellular Carinomas with diagnosis of pathology or cytology or consistent with China 2001 guideline of Clinical Diagnosis Hepatocellular Carinomas clinical stage(The Barcelona Liver Clinic staging system,BCLC B and C),or can not receive surgical intervention
  • liver function:Child-Pugh A、B
  • PST 0-1(Eastern Cooperative Oncology Group Performance Score ,ECOG)
  • Lifespan≥6 months
  • First time to receive treatment
  • Can accept the follow up
  • informed consent was gotten
  • the number of lesion ≤ 5
Exclusion Criteria
  • pregnant or lactation woman
  • emotional disturbance
  • serious heart ,lung disfunction or serious diabetes mellitus
  • serious reactiveness infections;(exp:type B or C hepatitis)
  • liver function :Child-Pugh Score C
  • thrombocyte<6×109/L
  • diffuse HCC
  • widespread metastasis
  • serious atherosclerosis
  • acquired immunodeficiency syndrome;AIDS
  • thrombosis or thrombosis event in 6 months
  • renal inadequacy who need hemodialysis or peritoneal dialysis
  • with other tumors except basal cell carcinoma and carcinoma in situ of cervix
  • serious alimentary tract hemorrhage in 4 weeks

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
TACE-KMG(without chemo)Therapeutic Chemoembolizationembolization agent:KMG microsphere( 150-450µm,0.2-2g)
TACE -oilTherapeutic Chemoembolizationembolization agent:Iodinated Oil or /and gelatin sponge Iodinated Oil (5-30ml)with Epirubicin (30-40mg/m2) or and gelatin sponge
TACE-KMG ( routine dose Chemo)Therapeutic Chemoembolizationembolization agent:KMG microsphere( 150-450µm,0.2-2g) with routine dose Epirubicin (30-40mg/m2)
TACE-KMG( low dose Chemo )Therapeutic Chemoembolizationembolization agent:KMG microsphere( 150-450µm,0.2-2g) with low dose Epirubicin (5-10mg/m2)
Primary Outcome Measures
NameTimeMethod
Time to progression3 years

Time to progression

Secondary Outcome Measures
NameTimeMethod
total survival3 years

total survival

remission rate3 years

remission rate

Trial Locations

Locations (1)

Tianjin Medical University Cancer Institute and Hospital

🇨🇳

Tianjin, Tianjin, China

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