Combination Therapy of Microwave Ablation and Cellular Immunotherapy for Hepatocellular Carcinoma
1 other identifier
interventional
40
1 country
1
Brief Summary
The study is to observe safety, survival effect and peripheral T-lymphocyte subsets of combination therapy with percutaneous microwave ablation (MWA) and adoptive immunotherapy in hepatocellular carcinoma(HCC).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2 hepatocellular-carcinoma
Started Dec 2009
Longer than P75 for phase_2 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
December 1, 2009
CompletedFirst Submitted
Initial submission to the registry
July 25, 2016
CompletedFirst Posted
Study publicly available on registry
August 2, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 30, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2021
CompletedMarch 4, 2021
March 1, 2021
10.7 years
July 25, 2016
March 2, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Cumulative survival rates were calculated by the Kaplan-Meier method, and comparison between MWA and combination treatment will be done by the log-rank test.
up to 8 years
Secondary Outcomes (1)
disease free survival rates were calculated by the Kaplan-Meier method, and comparison between MWA and combination treatment will be done by the log-rank test
up to 8 years
Other Outcomes (1)
Local tumor progress rates were calculated by the Kaplan-Meier method, and comparison between MWA and combination treatment will be done by the log-rank test
up to 8 years
Study Arms (2)
MWA only
ACTIVE COMPARATORThe HCC patients will be treated only by MWA.No adoptive immunotherapy will be used.
MWA combined with immunotherapy
EXPERIMENTALThe HCC patients will be treated firstly by MWA, and then treated by courses of adoptive immunotherapy.
Interventions
HCC (D ≤5 cm, fewer than three tumors) patients were treated with radical MWA and 4-6 courses of immunotherapy with CIK every year.The immunotherapy were started at 2 weeks, 4 weeks, 6 weeks, 10 weeks, 14 weeks, 18 weeks and then every 12 weeks after MWA. Peripheral blood mononuclear cells were differentiated into phenotypically confirmed DCs and effector cells. DC-CIK and CTL were injected into the abdominal cavity. CIK was infused intravenously.
ALL the HCC patients will be treated only by microwave ablation and then enter the follow-up
Eligibility Criteria
You may qualify if:
- single HCC of 5 cm or smaller;
- three or fewer multiple HCC with a maximum dimension of 3 cm or less;
- absence of portal vein thrombosis or extrahepatic metastases;
- Child-Pugh classification A or B;
- tumor accessible via a percutaneous approach. white blood cell count \>2 x 109/L, platelet count \>40 x 109/L,serum creatinine \<110 μmol/L, aspartate aminotransferase \<3 times the upper limit, serum bilirubin \<2.5 times the upper limit, prothrombin time \<19 seconds.
You may not qualify if:
- pregnant or breast-feeding; psychiatric problems, addiction, or any other disorder that prevented informed consent;
- active uncontrolled infection; concurrent systemic corticosteroid treatment;
- systemic autoimmune disease;
- clinically significant ischemic heart disease or cardiac failure;
- and chemotherapy or radiotherapy within the preceding 6 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Chinese PLA General Hospital
Beijing, Beijing Municipality, 100853, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Ping Liang, Dr.
Chinese PLA General Hospial
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
July 25, 2016
First Posted
August 2, 2016
Study Start
December 1, 2009
Primary Completion
July 30, 2020
Study Completion
March 1, 2021
Last Updated
March 4, 2021
Record last verified: 2021-03