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临床试验/jRCTs031210114
jRCTs031210114已完成不适用

Balloon-Occluded Trans-Arterial Chemo-Embolization Technique with Repeated Alternate Infusion of Cisplatin Solution and Sparse Gelatin Slurry (RAIB-TACE) for Hepatocellular Carcinoma refractory or intolerant to Atezolizumab plus Bevacizumab combination therapy

未提供0 个研究点目标入组 19 人开始时间: 待定最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
19
主要终点
OR (CR+PR)

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Single Arm Study
干预模型
Single Assignment
主要目的
Treatment Purpose
盲法
Open(masking Not Used)

入排标准

年龄范围
20age old over 至 No limit(—)
性别
All

入选标准

  • Patients with hepatocellular carcinoma diagnosed by enhanced CT or MRI
  • Hepatocellular Carcinoma refractory or intolerant to combination of atezolizumab and bevacizumab
  • Age: 20 years or older
  • ECOG Performance Status 0-1
  • Consent has been obtained from the patient.
  • The patient is expected to survive for at least 3 months after treatment.

排除标准

  • Child pugh score over 8
  • Renal failure (eGFR <40)
  • Portal vein or Hepatic vein tumor thrombus
  • More than 15cm tumor (the maximum tumor size)
  • Sarcomatous changes (over the course of 2-3 months, the tumor size increases 1.5-2 times or more in size and there is no increase in arterial blood flow. Alternatively, there is a ring of staining with irregular margins and no capsule structure and internal necrosis.
  • Lymph node involvement or distal metastasis
  • Previous surgical biliary reconstruction.
  • Dilation of bile ducts larger than the diameter of the accompanying portal vein at the level of the area or higher.
  • A severe arterial-portal or arterial-venous shunt is present.
  • Severe mental impairment.
  • Severe allergy to iodine contrast medium or cisplatin.
  • Pregnant or lactating patients.
  • Other patients who are deemed unsuitable as subjects by the investigator (or subspecialist).
  • Immune-related Adverse Events that require steroid administratin (more than 30mg/day of prednisolone)

结局指标

主要结局

OR (CR+PR)

Patient-based tumor reduction effect based on RECIST, a centrally judged hepatocellular carcinoma treatment efficacy criterion. OR (CR+PR) for all patients will be calculated.

次要结局

  • Patient-based tumor reduction effect
  • Survival rate(6 months)
  • Percentage of patients with Child-Pugh score A(postoperatively)
  • Composite endpoint of Child-Pugh score A(postoperatively)
  • RAIB-TACE-induced changes in liver reserve(pre-treatment vs. 1 and 2 months after treatment)

研究者

发起方
未提供

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