Single Session Combined Locoregional Therapies for Hepatocellular Carcinoma
Comparison of Single Session Transarterial Chemoembolization Combined With Microwave Ablation or Radiofrequency Ablation in Treatment of Hepatocellular Carcinoma: A Randomized Controlled Study
1 other identifier
interventional
50
1 country
1
Brief Summary
Hepatocellular carcinoma is the third most common cause of cancer-related mortality. In recent years, transarterial chemoembolization, radio frequency ablation and microwave ablation have been accepted as treatment modalities for patients with surgically unresectable hepatocellular carcinoma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Jan 2015
Longer than P75 for phase_3
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
January 1, 2015
CompletedFirst Submitted
Initial submission to the registry
January 1, 2016
CompletedFirst Posted
Study publicly available on registry
January 5, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2023
CompletedJanuary 9, 2018
January 1, 2018
8.9 years
January 1, 2016
January 5, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Number of patients with successful ablation
The total number of patients with successful ablation
3 months
Study Arms (3)
Transarterial chemoembolization (TACE)
ACTIVE COMPARATORtreated by transarterial chemoembolization
Radiofrequency ablation with TACE
EXPERIMENTALRadiofrequency ablation combined with TACE
Microwave ablation combined with TACE
EXPERIMENTALMicrowave ablation combined with TACE.
Interventions
TACE exploits the preferential hepatic arterial supply of liver tumors for targeted delivery of chemotherapeutic agents followed by embolization or reduction in arterial flow using various types of particles
Radiofrequency ablation (RFA) is an alternative therapy for HCC and liver metastases that can destroy a tumor by inducing thermal injury to the tissue through electromagnetic energy deposition
Microwave ablation (MWA) is an appealing alternative therapy for HCC in which a microwave antenna is placed directly into the tumor, emitting an electromagnetic wave which agitates water molecules in the surrounding tissue, producing friction and heat, thereby inducing cell death via coagulation necrosis
Eligibility Criteria
You may qualify if:
- Child classification A or B.
- serum albumin ≥ 3 gm/L.
- serum bilirubin \< 2.5 mg/dL.
- platelet count ≥70,000 mm3.
- INR ≤ 1.6.
- serum creatinine \< 2 mg/dl.
- tumor size more than 4 cm and confined to one lobe of the liver.
You may not qualify if:
- Patients with portal vein thrombosis.
- A technically inaccessible hepatic artery.
- Metastatic HCC.
- More than three lesions.
- lesions in close proximity to the portal vein (PV),inferior vena cava (IVC) or gall bladder were excluded from the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sherief Abd-Elsalamlead
- Tanta Universitycollaborator
Study Sites (1)
Tanta university hospital
Tanta, Egypt
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Elshazly Sheta, Professor
Hepatology and gastroenterology dept.-Tanta
- PRINCIPAL INVESTIGATOR
Ferial El-kalla, Professor
Division of Gastroenterology and Hepatology- Tanta
- STUDY DIRECTOR
Mohamed Elgharib, Professor
Interventional radiology - Ainshams university- Egypt
- STUDY CHAIR
Abdelrahman kobtan, Consultant
liver diseases dept.-Tanta university hospital
- STUDY CHAIR
Mohamed Elhendawy, Consultant
liver diseases dept.-Tanta university hospital
- STUDY CHAIR
Sherief Abd-Elsalam, Consultant
Hepatology and gastroenterology dept.-Tanta
- STUDY CHAIR
Ibrahim Amer, Consultant
Liver diseases and gastroenterology dept.-Tanta university hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Consultant liver and GIT diseases- Tanta university hospital
Study Record Dates
First Submitted
January 1, 2016
First Posted
January 5, 2016
Study Start
January 1, 2015
Primary Completion
December 1, 2023
Study Completion
December 1, 2023
Last Updated
January 9, 2018
Record last verified: 2018-01