Study Stopped
poor case accrual
Combined Chemoembolization and Systemic Hyperthermia for Unresectable Hepatocellular Carcinoma
A Pilot Study on the Feasibility of Combined Chemoembolization and Adjuvant Systemic Hyperthermia for Palliative Treatment of Unresectable Hepatocellular Carcinoma(HCC)
1 other identifier
interventional
8
1 country
2
Brief Summary
The objective is to evaluate the safety and therapeutic effect of combined hyperthermia and TACE for unresectable HCC
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable hepatocellular-carcinoma
Started Mar 2013
Typical duration for not_applicable hepatocellular-carcinoma
2 active sites
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
March 1, 2013
CompletedFirst Submitted
Initial submission to the registry
March 21, 2013
CompletedFirst Posted
Study publicly available on registry
March 25, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2016
CompletedAugust 30, 2019
December 1, 2016
3.7 years
March 21, 2013
August 28, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
dose limiting toxicity
30 days from the study treatment
Secondary Outcomes (3)
adverse event of treatment
within 6 months of treatment
imaging evidence of objective tumor response
3 and 6 months after treatment
treatment response by alphafetoprotein
6 months after treatment
Study Arms (1)
TACE with Hyperthermia treatment
OTHERInterventions: TACE to all liver lesions and two sessions of systemic hyperthermia performed at 24 hours and 48 hours respectively after TACE.
Interventions
Transcatheter arterial chemoembolization (TACE) is performed under local anesthesia with right femoral puncture. The feeding lobar hepatic artery is selectively catheterized for drug delivery. Systemic hyperthermia is induced with an external energy source using microwave electromagnetic energy, with the patient lying supine on the treatment bed of the hyperthermia equipment, exposing the abdomen to the microwave transmitter.
Eligibility Criteria
You may qualify if:
- Patient factor
- Age between 18 and 75
- Child-Pugh A cirrhosis
- Eastern Cooperative Oncology Group(ECOG) performance status Grade 2 or below
- No serious concurrent medical illness
- Prior treatment for HCC including surgery, local ablation, or transarterial treatments allowed
- Imaging evidence of poor intralesional treatment response or disease progression despite transarterial treatment
- Platelet count ≥ 50 10\^9/L
- Tumor factor
- HCC diagnosed by typical enhancement patterns on cross sectional imaging or histology
- Unresectable and locally advanced disease without extra-hepatic disease
- Hypervascular lesions on CT
- Greatest dimension of the largest tumor ≤15cm
You may not qualify if:
- Patient factor
- History of significant concurrent medical illness such as ischemic heart disease or heart failure
- Metallic body implants, not including dental fillings
- Serum creatinine level \> 130 umol/L
- Presence of biliary obstruction not amenable to drainage
- Child-Pugh B or C cirrhosis
- Unable to give consent
- Evidence of impaired liver function
- History of hepatic encephalopathy
- Intractable ascites not controllable by medical therapy
- History of variceal bleeding within last 3 months
- Serum total bilirubin level \>25 umol/L for the first 5 patients, serum total bilirubin level \>35 umol/L for the second 5 patients
- Serum albumin level \< 30g/L
- International normalized ratio(INR) \>1.3
- Tumor factor
- +25 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Department of Clinical Oncology, Prince of Wales Hospital, The Chinese University of Hong Kong
Hong Kong, Hong Kong
Department of Imaging and Interventional Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong
Hong Kong, Hong Kong
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Simon CH Yu, MD, FRCR
Chinese University of Hong Kong
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
March 21, 2013
First Posted
March 25, 2013
Study Start
March 1, 2013
Primary Completion
November 1, 2016
Study Completion
November 1, 2016
Last Updated
August 30, 2019
Record last verified: 2016-12
Data Sharing
- IPD Sharing
- Will not share