Non-inferiority Study of Unresectable Hepatocelluar Carcinoma Receiving Stereotactic Radiotherapy Combined With Hepatic Arterial Chemoembolization Compared With Conversion Hepatectomy
Not yet recruiting
- Conditions
- Hepatocellular Carcinoma Non-resectableConversion
- Registration Number
- NCT05057104
- Lead Sponsor
- Beijing 302 Hospital
- Brief Summary
To compare the prognosis and adverse reactions of unresectable hepatocellular carcinoma receiving stereotactic radiotherapy combined with hepatic arterial chemoembolization and conversion hepatectomy
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 320
Inclusion Criteria
- Unresectable HCC patients were diagnosed by a surgeon and/or radiologist and oncologist according to the international guidelines for the management of HCC or by pathology
- Patients who received SBRT plus TACE have tumor regression, and surgical experts assess that R0 resection could be achieved
- CP-A or B classification;
- Eastern Cooperative Oncology Group (ECOG) score 0-1;
- Platelet count≥50 × 109/L, white blood count≥1.5 × 109/L;
- ICG R15≤10%;
- Normal effective liver volume >30%;
- patients infected with hepatitis B virus who are treated with adefovir or entecavir; patients infected with hepatitis C virus whose HCV DNA are negative.
Exclusion Criteria
-the patients receive other treatments (such as targeted treatment, immune checkpoint inhibitors,etc) after CK-SBRT plus TACE.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Overall survival time From date of randomization until the date of death from any cause, assessed up to 24 months.
- Secondary Outcome Measures
Name Time Method Progression-free survival time From date of randomization until the date of disease progression or date of death from any cause, whichever came first, assessed up to 24 months. Radiation-induced liver injury rates From the date of radiotherapy completion until the 4 months after therapy,up to 6 months. Adverse reaction From the date of radiotherapy completion until the 4 months after therapy,up to 6 months
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie the synergy between stereotactic radiotherapy and hepatic arterial chemoembolization in hepatocellular carcinoma?
How does stereotactic radiotherapy combined with hepatic arterial chemoembolization compare to conversion hepatectomy in terms of overall survival for unresectable hepatocellular carcinoma?
Which biomarkers are associated with favorable outcomes in unresectable hepatocellular carcinoma patients undergoing conversion hepatectomy or combined stereotactic radiotherapy and chemoembolization?
What are the most common adverse events reported in NCT05057104 and how do they compare to standard-of-care treatments for hepatocellular carcinoma?
Are there alternative combination therapies to stereotactic radiotherapy and hepatic arterial chemoembolization being investigated for unresectable hepatocellular carcinoma by Beijing 302 Hospital or other institutions?