Anlotinib Combined With TACE in Hepatocellular Carcinoma Patients at High Risk of Post Surgery Recurrence
ALTER-H-004
An Open, Single Arm,Multicenter Clinical Trial of Anlotinib Combined With Transcatheter Arterial Chemoembolization for Adjuvant Therapy in Patients With High Risk of Recurrence After Resection of Advanced Hepatocellular Carcinoma
1 other identifier
interventional
30
1 country
4
Brief Summary
A single-arm, open-label clinical trial to assess the effects and safety of anlotinib hydrochloride combined with transcatheter arterial chemoembolization (TACE) in hepatocellular carcinoma(HCC) patients at high risk of post surgery recurrence.
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 Apr 2020
Typical duration for phase_2 hepatocellular-carcinoma
4 active sites
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
First Submitted
Initial submission to the registry
December 25, 2019
CompletedFirst Posted
Study publicly available on registry
December 30, 2019
CompletedStudy Start
First participant enrolled
April 23, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2023
CompletedJanuary 17, 2023
November 1, 2022
2.8 years
December 25, 2019
January 12, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Disease free survival
The period from resection surgery to recurrence of HCC
From randomization to recurrence of HCC or death (up to 1year)
Secondary Outcomes (3)
1-year DFS Rate
From randomization to recurrence of HCC or death (up to 1year)
Time to recurrence
From randomization to recurrence of HCC(up to 1year)
Incidence of Treatment-Emergent Adverse Events Safety and Tolerability
Up to 30 day safety follow-up visit
Study Arms (1)
Group A
EXPERIMENTALAdministration anlotinib and it should be continued until relapse of HCC or intolerable toxicity or patients withdrawal of consent.
Interventions
Eligibility Criteria
You may qualify if:
- Patients participate in the study voluntarily and sign informed consent with good compliance.
- After hepatectomy, satisfy any of the following recurrence factors was assessed:≥5 cm and \< 10 cm of tumor diameter; tumor number≥3; tumor microvascular invasion grade M1; portal vein carcinoma thrombus resection(Ⅰ、Ⅱ).
- Histological or cytological confirmation of hepatocellular carcinoma, or at least two imaging tests with hepatocellular carcinoma characteristics, or one imaging test with hepatocellular carcinoma characteristics and AFP \> 400μg/L.
- TACE treatment (cTACE only) was completed within 1-2 months after hepatectomy.
- ≥ 18 and ≤ 75 years of age.
- ECOG performance status of 0-1.
- liver function child-Pugh class A or B (≤7 points).
- Except for hepatectomy, no previous tumor-related treatment was received, and the remaining liver was assessed to have good liver function.
You may not qualify if:
- Patients who have had or are currently complicated with other malignant tumors,or recurrent hepatocellular carcinoma (\>10 mm)in baseline data or in TACE.
- Patients with absolute contraindications to TACE.
- Patients with HCV infection.
- Urine protein ≥ ++,and 24-hour urinary protein excretion\>1.0 g confirmed.
- Pregnant or lactating women.
- Patients with mental illness.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
The First Hospital of Lanzhou University
Lanzhou, Gansu, 730000, China
Hanzhong Central Hospital
Hanzhong, Shaanxi, 723000, China
Tangdu Hospital of The Fourth Military Medical University
Xi'an, Shaanxi, 710000, China
The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an, Shaanxi, 710000, China
Related Publications (1)
Wang Z, Zhang L, Zheng X, Zhang D, Yang X, Xu K, Tao J, Song X, Ma J, Wu Z. Adjuvant anlotinib plus TACE in hepatocellular carcinoma with postoperative high-risk recurrence: a single-arm, multi-center, phase II study. Clin Transl Oncol. 2026 Jan 3. doi: 10.1007/s12094-025-04160-0. Online ahead of print.
PMID: 41484570DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Zheng Wu, PhD
First Affiliated Hospital Xi'an Jiaotong University
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 25, 2019
First Posted
December 30, 2019
Study Start
April 23, 2020
Primary Completion
February 1, 2023
Study Completion
September 1, 2023
Last Updated
January 17, 2023
Record last verified: 2022-11