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SIOPEL 5 (HCC-1) trial on the hepatocellular carcinoma family of tumours in children/adolescents and young adults - SIOPEL 5

Phase 1
Conditions
Hepatocellular carcinoma
Registration Number
EUCTR2005-000427-42-GB
Lead Sponsor
K Children’s Cancer Study Group
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
47
Inclusion Criteria

Newly diagnosed non-cirrhotic hepatocellular carcinomasq
<30 years of age at the time of diagnosisq
No previous treatment for HCC
Appropriate diagnostic / staging imaging performed.
Confirmed diagnosis - hepatocellular carcinoma family” of tumours: includes fibrolamellar and transitional variants. (NB: percutaneous needle biopsy is mandatory, unless primary tumour resection is attempted)
Negative pregnancy test
Written informed consent and national/local ethical committee approval
Are the trial subjects under 18? yes
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

Patients unable to follow the protocol for any reason
Patients referred for recurrent disease
Positive pregnancy test
Patients with life expectancy below 3 months
Abnormal renal function at diagnosis as GFR <75-50% of the lower limit of normal for age which over 2 years of age is <60ml/min/1.73m2
Cardiac EF <29% at baseline echo

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To achieve complete remission of tumour by the application of preoperative chemotherapy, surgery and chemoembolisation;Secondary Objective: To determine response rates to preoperative chemotherapy with the addition of anti-angiogenic (thalidomide) therapyTo determine long term remission status with the use of metronomic oral cyclophosphamide and thalidomide post resectionTo determine the toxicity of the addition of thalidomide to conventional chemotherapy;Primary end point(s): Complete remission status
Secondary Outcome Measures
NameTimeMethod
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