NCT01669668撤回2 期
Radiofrequency Ablation Under Ideal Conditions in Hepatocellular Carcinoma
适应症
试验速览
- 阶段
- 2 期
- 状态
- 撤回
- 主要终点
- Local recurrence, defined as the recurrence at the size of original tumor
研究概览
简要总结
This phase II trial studies how effectively radiofrequency ablation prevents recurrence of hepatocellular carcinoma (HCC) in patients with easily removable tumors. Radiofrequency ablation uses a high-frequency, electric current to kill tumor cells.
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 69 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Histologically proven HCC or unambiguous radiologic findings consistent with HCC (> 1 cm tumor with arterial hypervascularity and venous or delayed phase washout) in patients with underlying liver disease.
- •Disease must be considered unresectable (as defined by protocol).
- •Age between 18 and 69 (inclusive).
- •Karnofsky performance status of ≥ 80%
- •Normal organ and marrow function as defined below:
- •leukocytes ≥3,000/mcL
- •absolute neutrophil count ≥1,500/mcL
- •platelets >100,000/mcL
- •total bilirubin <2.0 mg/dL
- •AST(SGOT)/ALT(SGPT) ≤2.5 X institutional upper limit of normal
- •creatinine within normal institutional limits OR
- •creatinine clearance ≥60 mL/min/1.73 m2 for patients with creatinine levels above institutional normal
- •Presence of ≤ 3 tumors, all of which are ≤ 3 cm in size. This will be determined preoperatively and confirmed by intraoperative ultrasound.
- •Liver function of Child-Pugh class A or B
- •Tumor(s) must be more than 2 cm away from of major biliary duct or major blood vessel defined as the main portal vein and its right and left primary branches and the first 1 cm of the secondary branches of the common hepatic duct and its right and left primary branches or the first 1 cm of its secondary branches.
- •Able to understand and willing to sign a written informed consent document.
排除标准
- •Hepatic tumor(s) with satellite lesions. A satellite lesion is defined as a tumor which is within 2 cm of the tumor being assessed for treatment and which has a diameter of less than 33% of the diameter of the tumor being assessed for treatment.
- •Evidence of metastatic/extrahepatic disease based on abdominal and chest CT performed within 4 weeks of the procedure.
- •Extrahepatic disease upon laparoscopy performed at the time of RFA. If extrahepatic disease is discovered at this laparoscopy, RFA will not be performed, and the patient will be considered ineligible for this study and will be replaced.
- •Pregnancy. All women of childbearing potential must have a negative pregnancy test prior to enrollment in the study.
- •Significant portal hypertension based on evidence of esophageal varices or ascites. Minimal portal hypertension or ascites will not be an exclusion criterion.
- •Previous history of HCC or any other non-cutaneous malignancy.
- •Patients who are found to be ineligible due to intraoperative findings will be recorded as to the cause of ineligibility. They will not be counted as accrued patients.
- •Inclusion of Women and Minorities Both men and women and members of all races and ethnic groups are eligible for this trial.
结局指标
主要结局
Local recurrence, defined as the recurrence at the size of original tumor
时间窗: Up to 2 years
Local recurrence will be summarized using descriptive statistics.
次要结局
- Morbidity and mortality associated with RFA under ideal conditions(30 days)
- Disease-free survival rate(At 2 years)
- Overall survival rate(At 2 years)
- Ability of patients who develop recurrence to undergo salvage transplantation(Up to 2 years)
研究者
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