Synergistic Treatment for Hepatocellular Carcinoma (HCC) Using TACE With Antiangiogenesis
TACE HCC
Combination Treatment of TACE With Recombinant Human Endostatin Administrated Via Hepatic Artery in Hepatocellular Carcinoma
1 other identifier
interventional
60
1 country
1
Brief Summary
The purpose of this study is to investigate safety and potential therapeutic benefits for patients with hepatocellular carcinoma by transcatheter chemoembolization with the recombinant endostatin (commercially available in China)which is also administrated via the hepatic artery. The hypothesis of this protocol is that TACE with antiangiogenic treatment may inhibit the proangiogenic effects induced by the hypoxia of TACE.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable hepatocellular-carcinoma
Started Apr 2007
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2007
CompletedFirst Submitted
Initial submission to the registry
August 16, 2007
CompletedFirst Posted
Study publicly available on registry
August 20, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2009
CompletedJanuary 22, 2009
January 1, 2009
August 16, 2007
January 21, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Safety and tolerability, Mortality
6 months
Secondary Outcomes (1)
Tumor volumetry, Changes of Tumor markers such as AFP, Curriculum survival
2 years
Study Arms (2)
1
EXPERIMENTALAll patients of this arm are treated by TACE together with Andostatin.
2
ACTIVE COMPARATORAll patients of this arm are treated by TACE alone: only mixture of Epirubicin and Lipiodol is injected into the feeding arteries of the tumor, without injection of Andostatin.
Interventions
The interventional procedure is performed as following steps: 1)transcatheter hepatic arterial angiography(including any feeding arteries to the tumor) is performed under a DSA unit; 2) super selectively catheterizaton of feeding arteries to the tumor is reached; 3)30 mg of Andostatin (Simcere Co. China) mixtured with 5 ml Lipiodol is injected into the tumor via the feeding arteries; 4) followed by 10 mg of Epifubicin mixtured with 5 ml of Lipiodol; 5) All feeding arteries to the tumor are occluded which is confirmed by re-angiography.
Eligibility Criteria
You may qualify if:
- Patients with cytologically or histologically documented HCC, who are candidates for TACE
- Child-Pugh Child A or B
- Age \>= 18
- Measurable disease by RECIST criteria;
- Performance status ECOG 0-2
- Previous local therapy completed \> 4 weeks
- Written informed consent signed
- Normal organ and marrow function defined as:
- Haematopoietic:
- WBC ≥ 3,000/µlplatelet count \> 80,000/mm3
- haemoglobin \> 9g/dL
- Hepatic: Albumin ≥ 2.8 g/dl.serum total bilirubin ≤ 3 mg/dl; AST or ALT \< 5 x ULN
- Renal: creatinine \< 1.5 x ULN
You may not qualify if:
- Metastases
- Prior or concomitant chemotherapy or radiation therapy
- VEGF/VEGFR- inhibitors or other anti-angiogenesis agents
- Severe and/or uncontrolled medical conditions:
- Congestive heart failure, serious cardiac arrhythmia, active coronary artery
- Severe renal impairment
- Patients who anticipate receiving major surgery during the course of the
- Pregnant or breastfeeding patients
- Evidence of bleeding diathesis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Interventional Radiology, Zhongda Hospital, Southeast University
Nanjing, Jiangsu, 210009, China
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gao-Jun Teng, MD, Ph.D
Zhongda Hospital, Southeast University, Nanjing, China
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
August 16, 2007
First Posted
August 20, 2007
Study Start
April 1, 2007
Study Completion
December 1, 2009
Last Updated
January 22, 2009
Record last verified: 2009-01