Comparison Between Radiofrequency Ablation and Hypofractionated Proton Beam Radiation for Recurrent/Residual HCC
- Conditions
- Recurrent Small Hepatocellular CarcinomaResidual Small Hepatocellular Carcinoma
- Registration Number
- NCT01963429
- Lead Sponsor
- National Cancer Center, Korea
- Brief Summary
This phase 3 study is to evaluate the effectiveness of the comparison between radiofrequency ablation and hypofractionated proton beam radiation.
- Detailed Description
The sample size for this study was based on a non-inferiority design. Primary objective: estimate local progression-free survival (LPFS) rate in two treatments Primary endpoint: 2-year LPFS rate Expected 2-year LPFS rate in the RFA: 85% Accural time and follow up time: 24 months and 24 months, respectively. Precision for 2-year LPFS rate estimation: Allowing a difference of 15% as the non-inferiority margin, with a power of 80% and a type I error level of 5%, evaluable 68 patients are required.
Considering 5% of follow-up loss, we need 72 patients in each arm, so a total of 144 patients will be enrolled.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 144
- HCC diagnosed as (i) the presence of risk factors including hepatitis B or C virus and liver cirrhosis, a serum a-fetoprotein (AFP) level greater than 200 IU/ml and a radiologically compatible feature with HCC in one or more CT/MRI/angiograms, or (ii) the presence of risk factors including hepatitis B or C virus and liver cirrhosis, a serum a-fetoprotein (AFP) level less than 200 IU/ml, and a radiologically compatible feature with HCC in two or more CT/MRI/angiograms or (iii) histological confirmation
- HCC patients who had recurrent or residual tumor after other treatments
- without evidence of extrahepatic metastasis
- the largest diameter of tumor should be less than 3cm, and the number of tumor ≤2
- no previous treatment to target tumors by other forms of RT
- liver function of Child-Pugh class A or B7 (Child-Pugh score of ≤7)
- Age of ≥18 years
- performance status of 0 to 2 on the Eastern Cooperative Oncology Group (ECOG) score
- WBC count ≥ 2,000/mm3; hemoglobin level ≥ 7.5 g/dL; platelet count ≥ 50,000/mm3; and adequate hepatic function (total bilirubin ≤ 3.0 mg/dL; AST and ALT < 5.0× upper limit of normal; no ascites)
- no serious comorbidities other than liver cirrhosis
- written informed consent
- evidence of extrahepatic metastasis
- age < 18 years
- liver function of Child-Pugh class B8-9 and C (Child-Pugh score of >7) or uncontrolled cases of active chronic hepatitis B
- previous history of other forms of RT adjacent to target tumors
- poor performance status of 3 to 4 on the Eastern Cooperative Oncology Group (ECOG) score
- pregnant or breast feeding status
- previous history uncontrolled other malignancies within 2 years
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method local progression-free survival(LPES) up to 2 year To evaluate the local progression-free survival for 2 years
- Secondary Outcome Measures
Name Time Method disease-free survival (DFS) up to 2 years until study closed Disease-free survival was defined as the interval from the date of randomization to date of detection study closed
Related Research Topics
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Trial Locations
- Locations (1)
National Cancer Center, Korea
🇰🇷Goyang-si, Gyeonggi-do, Korea, Republic of
National Cancer Center, Korea🇰🇷Goyang-si, Gyeonggi-do, Korea, Republic of