RCT on Adjuvant TACE After Hepatectomy for HCC
A-TECH
Randomised Controlled Trial on Adjuvant Transarterial Chemoembolisation After Curative Hepatectomy for Hepatocellular Carcinoma
1 other identifier
interventional
58
1 country
1
Brief Summary
We hypothesise that the use of transarterial chemoembolisation (TACE) after liver resection in patients with hepatocellular carcinoma can eradicate residual cancer cells in the liver and thus improve survival. The aim of this study is to compare the survival of patients undergoing liver resection plus post-operative TACE versus liver resection alone.
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 Nov 2011
Longer than P75 for not_applicable hepatocellular-carcinoma
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2011
CompletedFirst Submitted
Initial submission to the registry
January 14, 2012
CompletedFirst Posted
Study publicly available on registry
January 19, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2019
CompletedMarch 18, 2022
March 1, 2022
7.5 years
January 14, 2012
March 5, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
1-year recurrence rate
The 1-year recurrence rate after hepatectomy in both arms of study were compared
1-year after hepatectomy
Secondary Outcomes (4)
Disease-free survival
5 years after operation
Overall Survival
5-year after surgery
Complications of transarterial chemoembolisation
3-month after transarterial chemoembolisation
Health-related quality of life assessment
1-year after surgery
Study Arms (2)
Hepatectomy plus TACE
EXPERIMENTALTransarterial chemoembolisation will be performed 4 to 6 weeks after hepatectomy
Hepatectomy alone
NO INTERVENTIONInterventions
Cisplatin-lipiodol mixture was infused through catheter placed at hepatic artery followed by gelfoam embolisation. This is performed 4 to 6 weeks after surgery
Eligibility Criteria
You may qualify if:
- HCC patients received curative hepatectomy with negative resection margin
- Age from 18 to 70
- Child-Pugh class A
- ASA class I to III
- ECOG performance status Grade 0 or 1
You may not qualify if:
- Patients receiving concomitant local ablation or previous TACE
- Main portal vein tumour thrombus extraction during hepatectomy
- Tumour arising from caudate lobe
- Presence of extra-hepatic disease
- Very early HCC with solitary tumour and size \< 2cm
- Impaired liver function with either clinically detected ascites, hepatic encephalopathy, serum albumin \< 25g/L or bilirubin \> 50micromol/L
- Renal impairment with creatinine \> 200micromol/L
- Severe concurrent medical illness persisting \> 6 weeks after hepatectomy
- History of other cancer
- Hepatic artery anomaly making TACE not possible
- Allergy to cisplatin or lipiodol
- Pregnant woman
- Informed consent not available
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Prince of Wales Hospital
Hong Kong, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Yue Sun Cheung, MBChB
Chinese University of Hong Kong
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr Cheung Yue Sun
Study Record Dates
First Submitted
January 14, 2012
First Posted
January 19, 2012
Study Start
November 1, 2011
Primary Completion
May 1, 2019
Study Completion
December 1, 2019
Last Updated
March 18, 2022
Record last verified: 2022-03