TACE as an Adjuvant Therapy After Hepatectomy for HCC
Randomised Controlled Trial on Adjuvant Transarterial Chemoembolisation After Curative Hepatectomy for Hepatocellular Carcinoma
1 other identifier
interventional
280
1 country
1
Brief Summary
Investigators 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 of patients with high risk factors for residual tumor. The aim of this study is to compare the survival of patients with high risk factors for residual tumor 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 P50-P75 for phase_3 hepatocellular-carcinoma
Started Aug 2011
Typical duration for phase_3 hepatocellular-carcinoma
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
August 1, 2011
CompletedFirst Submitted
Initial submission to the registry
October 16, 2013
CompletedFirst Posted
Study publicly available on registry
October 21, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2017
CompletedJanuary 9, 2017
January 1, 2017
5 years
October 16, 2013
January 6, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Disease-free survival
3 years after operation
Secondary Outcomes (2)
Overall Survival
3-year after surgery
Complications of transarterial chemoembolisation
3-month after transarterial chemoembolisation
Other Outcomes (1)
Health-related quality of life assessment
1-year after surgery
Study Arms (2)
Control
NO INTERVENTIONno interventions were assigned
TACE('Ethiodized Oil + Doxorubicin)
ACTIVE COMPARATORTACE using Ethiodized Oil + Doxorubicin mixture was infused through catheter placed at hepatic artery followed by gelfoam embolisation. This is performed 4-6 weeks after surgery.
Interventions
TACE using doxorubicin-lipiodol mixture
Eligibility Criteria
You may qualify if:
- HCC patients received curative hepatectomy with negative resection margin
- Tumors with a diameter more than 5 cm, multiple nodules, or microvascular invasion were defined as high risk factors for residual tumor and used for patient stratification.
- 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
- 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 doxorubicin or lipiodol
- Pregnant woman
- Informed consent not available
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Jia Fanlead
Study Sites (1)
Zhongshan Hospital
Shanghai, Shanghai Municipality, 200032, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jia Fan, MD
Liver cancer institute, Fudan university
- STUDY DIRECTOR
Jian Zhou, MD
Liver Cancer Institute, Zhong Shan Hospital, Fudan University
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- President of zhongshan hospital, Fudan University
Study Record Dates
First Submitted
October 16, 2013
First Posted
October 21, 2013
Study Start
August 1, 2011
Primary Completion
August 1, 2016
Study Completion
August 1, 2017
Last Updated
January 9, 2017
Record last verified: 2017-01