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