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The effect of changing in serum HIF-1a and VEGF concentration on the prognosis of hepatocellular carcinoma after the treatment of Anti-angiogenesis therapy combined with TACE and IMRT

The effect of changing in serum HIF-1a and VEGF concentration on the prognosis of hepatocellular carcinoma after the treatment of Anti-angiogenesis therapy combined with TACE and IMRT

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR1800016286
Enrollment
Unknown
Registered
2018-05-24
Start date
2018-06-01
Completion date
Unknown
Last updated
2018-05-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

LIver Cancer

Interventions

Experimental Group:TACE+IMRT+Apatinib
Control Group:TACE+IMRT

Sponsors

Yan An Hospital of Kunming City
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1. Obtain informed consent forms from the patients; 2. Eligible patients are pathologically diagnosed with hepatocellular carcinoma; 3. Child-Pugh score A/B; 4. Aged 18 to 75 years; No surgical condition or unwilling to accept surgical operation; 5. KPS score= 70, and the expected survival time is greater than 3 months; 6. Previous routine examination of peripheral blood should meet the following conditions (neutrophils count >2000/mm3, platelet count > 80,000 /mm3); 7. No surgical medical diseases; The blood clotting time is regular; 8. ECOG PS score: 0-2 points; 9. Patients with detectable and measurable lesions; 10. Integrity of follow-up data.

Exclusion criteria

Exclusion criteria: 1. Portal vein and any vascular invasion; 2. Tumor load>50%; 3. Patients with hypertension and the blood pressure cannot be reduced down to normal range by antihypertensive drugs (Systolic pressure > 140 mmHg, diastolic pressure > 90 mmHg);4. Patients with level II or above myocardial ischemia or myocardial infarction, poor control arrhythmia (Including QTC interval in male=450ms, QTC interval in female=470ms) 5. Combined HIV-infected patients; 6. Patients with kidney failure or renal function disorder, blood or peritoneal dialysis is required; 7. Multiple factors that could influence oral drug administration (eg. Inability to swallow, Chronic diarrhea and intestinal obstruction, Under several particular circumstances, drug administration and absorption could be significantly influenced); 8. In past 6 months, patient has a history of gastrointestinal bleeding or clear tendency of gastrointestinal bleeding, eg. Patients with esophageal varices with bleeding risk, local active ulcer lesions and defecate occult blood= (++) are prohibited into group, gastroscopy is necessarily demanded for patients with defecate occult blood= (+); 9. Serious active clinical infection (>2 level, NCI-CTCAE version 4.0), HBV and HCV infectious are excluded 10. Urinary protein detected by urine routine test= ++ or 24-hour urinary protein quantity is proved >1.0g; 11. Pregnant or lactating women, patients with fertility are unwilling or unable to take effective contraceptive measures; 12. Patients accepted major surgeries within the first 4 weeks before this clinical trial (eg.ntrathoracic, intraperitoneal or pelvic cavity), or patients have not yet completely recovered from this kind of surgeries).

Design outcomes

Primary

MeasureTime frame
progression free survival;

Secondary

MeasureTime frame
overall survival;

Countries

China

Contacts

Public ContactKe-Hua Yuan

Yan An Hospital of Kunming City

9402142@qq.com+86 15877901848

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026