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临床试验/NCT03775395
NCT03775395Unknown3 期

Hepatic Artery Infusion Chemotherapy Plus Lenvatinib vs Hepatic Artery Infusion Chemotherapy Plus Sorafenib for Advanced Hepatocellular Carcinoma

Sun Yat-sen University1 个研究点 分布在 1 个国家目标入组 250 人开始时间: 2018年12月12日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
发起方
入组人数
250
试验地点
1
主要终点
Overall survival

研究概览

简要总结

The purpose of this study is to evaluate the efficacy and safety of sorafenib combined with hepatic arterial infusion chemotherapy (HAIC) compared with lenvatinib combined with HAIC in patients with advanced hepatocellular carcinoma (HCC)

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

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

入选标准

  • The diagnosis of HCC was based on the diagnostic criteria for HCC used by the European Association for the Study of the Liver (EASL)
  • Patients must have at least one tumor lesion that can be accurately measured according to EASL criteria.
  • Barcelona clinic liver cancer-stage C
  • Eastern Cooperative Oncology Group performance status of 0 to 2
  • with no previous treatment
  • No Cirrhosis or cirrhotic status of Child-Pugh class A only
  • Not amendable to surgical resection ,local ablative therapy and any other cured treatment.
  • The following laboratory parameters:
  • Platelet count ≥ 75,000/μL
  • Hemoglobin ≥ 8.5 g/dL
  • Total bilirubin ≤ 30mmol/L
  • Serum albumin ≥ 30 g/L
  • ASL and AST ≤ 5 x upper limit of normal
  • Serum creatinine ≤ 1.5 x upper limit of normal
  • INR ≤ 1.5 or PT/APTT within normal limits
  • Absolute neutrophil count (ANC) >1,500/mm3
  • Ability to understand the protocol and to agree to and sign a written informed consent document

排除标准

  • Evidence of hepatic decompensation including ascites, gastrointestinal bleeding or hepatic encephalopathy
  • Known history of HIV
  • History of organ allograft
  • Known or suspected allergy to the investigational agents or any agent given in association with this trial.
  • Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy
  • Evidence of bleeding diathesis.
  • Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry.
  • Known central nervous system tumors including metastatic brain disease

研究组 & 干预措施

HAIC plus Lenvatinib

Experimental

干预措施: Lenvatinib (Drug)

HAIC plus Lenvatinib

Experimental

干预措施: Hepatic arterial infusion chemotherapy (Procedure)

HAIC plus Sorafenib

Active Comparator

干预措施: Sorafenib (Drug)

HAIC plus Sorafenib

Active Comparator

干预措施: Hepatic arterial infusion chemotherapy (Procedure)

结局指标

主要结局

Overall survival

时间窗: Time Frame: 12 months

Overall survival

次要结局

  • Time to progression(Time Frame: 12 months)
  • Adverse Events([Time Frame: 30 days])
  • Progression Free Survival (PFS)(Time Frame: 12 months)

研究者

发起方
Sun Yat-sen University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Shi Ming

Clinical Professor

Sun Yat-sen University

研究点 (1)

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