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临床试验/ISRCTN93375053
ISRCTN93375053已完成3 期

TACE-2: a randomised placebo-controlled, double blinded, phase III trial evaluating sorafenib in combination with transarterial chemoembolisation (TACE) in patients with unresectable hepatocellular carcinoma (HCC)

niversity College London (UCL) (UK)0 个研究点目标入组 313 人开始时间: 2010年6月18日最近更新:
适应症

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
313

研究概览

简要总结

2017 Results article in https://www.ncbi.nlm.nih.gov/pubmed/28648803 results

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Histological or cytological diagnosis or meet the American Association for the Study of Liver Diseases (AASLD) criteria for diagnosis of HCC and at least one uni-dimensional lesion measurable according to the Response Evaluation Criteria in Solid Tumours (RECIST) criteria by computed tomography (CT) scan or magnetic resonance imaging (MRI)
  • 2. Not a candidate for surgical resection
  • 3. Aged greater than or equal to 18 years and estimated life expectancy greater than 3 months
  • 4. Eastern Cooperative Oncology Group (ECOG) performance status greater than or equal to 1
  • 5. Adequate haematological function Hb greater than or equal to 9 g/L, absolute neutrophil count greater than or equal to 1.5 x 10^9/L, platelet count greater than or equal to 60 x 10^9/L
  • 6. Bilirubin greater than or equal to 50 µmol/L, asparate aminotransferase (AST) and alanine aminotransferase (ALT) less than or equal to 5 x upper limit of normal (ULN), alkaline phosphatase (ALP) less than 4 x ULN
  • 7. Adequate renal function; creatinine less than or equal to 1.5 x ULN
  • 8. International normalised ratio (INR) greater than or equal to 1.5
  • 9. Amylase and lipase less than 2 x ULN
  • 10. Child-Pugh A (score less than or equal to 6)
  • 11. Left ventricular ejection fraction greater than or equal to 45%
  • 12. Women of child-bearing potential should have a negative pregnancy test prior to study entry. Both men and women must be using an adequate contraception method, which must be continued for 3 months after completion of treatment.
  • 13. Written informed consent
  • 14. Male and female, lower age limit of 18 years

排除标准

  • 1. Extrahepatic metastasis
  • 2. Prior embolisation, systemic or radiation therapy for HCC
  • 3. Any contraindications for hepatic embolisation procedures procedures including portosystemic shunt, hepatofugal blood flow, known severe atheromatosis
  • 4. Investigational therapy or major surgery within 4 weeks of trial entry
  • 5. Any ablative therapy (radiofrequency ablation [RFA] or percutaneous ethanol injection [PEI]) for HCC (this should not exclude patients if target lesion(s) have not been treated and occurred greater than 6 weeks prior study entry)
  • 6. History of bleeding within the past 4 weeks
  • 7. Child-Pugh cirrhosis C or B (score greater than or equal to 7)
  • 8. Hepatic encephalopathy
  • 9. Ascites refractory to diuretic therapy
  • 10. Documented occlusion of the hepatic artery or main portal vein
  • 11. Hypersensitivity to intravenous contrast agents
  • 12. Active clinically serious infection greater than grade 2 National Cancer Institute Common Toxicity Criteria (NCI-CTC) version 4.0
  • 13. Pregnant or lactating women
  • 14. Known history of human immunodeficiency virus (HIV) infection
  • 15. History of second malignancy except those treated with curative intent more than three years preciously without relapse and non-melanotic skin cancer or cervical carcinoma in situ
  • 16. Evidence of severe or uncontrolled systemic diseases, cardiac arrhythmias (requiring anti-arrhythmic therapy or pace maker), uncontrolled hypertension, congestive cardiac failure greater than New York Heart Association (NYHA) class 2, myocardial infarction (MI) within 6 months or laboratory finding that in the view of the Investigator makes it undesirable for the patient to participate in the trial
  • 17. Psychiatric or other disorder likely to impact on informed consent
  • 18. Patient is unable and/or unwilling to comply with treatment and study instructions
  • 19. Patient unable to swallow oral medications

研究者

发起方
niversity College London (UCL) (UK)

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