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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-resectable
Conversion
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
NameTimeMethod
Overall survival timeFrom date of randomization until the date of death from any cause, assessed up to 24 months.
Secondary Outcome Measures
NameTimeMethod
Progression-free survival timeFrom 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 ratesFrom the date of radiotherapy completion until the 4 months after therapy,up to 6 months.
Adverse reactionFrom the date of radiotherapy completion until the 4 months after therapy,up to 6 months
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