Hepatocellular carcinoma with large portal vein tumor thrombus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18-75 years; 2. Diagnosis of hepatocellular carcinoma in accordance with AASLD liver cancer diagnostic guidelines; 3. No prior intra-arterial/systemic chemotherapy or other systemic therapy for HCC; 4. At least one measurable lesion according to MRECIST criteria; 5. Barcelona clinical liver cancer (BCLC) stage C; 6. Complicated with large portal vein tumor thrombus, including main portal vein tumor thrombus (VP4) and branch portal vein tumor thrombus (VP3); 7. Child-Pugh score: A or B7; 8. Physical state (PS) ECOG score 0-1; 9. Adequate organ function, defined as: (1) WBC count >= 3.0 x 10^9/L; (2) Absolute neutrophil count >= 1.5 x 10^9/L; (3) Hemoglobin (Hb) >= 8.5g/dL; (4) Platelet count >= 75 x 10^9/L; (5) Albumin >= 2.8g/dL; (6) Bilirubin <= 3.0mg/dL; (7) AST and ALT are less than 5 times the upper limit of normal; (8) Serum creatinine <= 1.5 times the upper limit of normal; 10. Subjects volunteered to participate in this study and signed the informed consent, and had good compliance and cooperated with the follow-up.
Exclusion criteria
Exclusion criteria: 1. Combined with other malignant tumors; 2. Gastrointestinal bleeding within 28 days before participating in the study; 3. The presence of gastric or esophageal varices requiring interventional therapy within 28 days of the study; 4. Allergy to lunvaltinib, fluorouracil, oxaliplatin, calcium folinate/levo folinate or iodine contrast agent is known or suspected; 5. Human immunodeficiency virus (HIV) positive or active infection requiring treatment (except hepatitis virus); 6. To undergo major surgery within three weeks prior to this study; 7. Having received liver transplantation; 8. Patients in pregnancy or lactation; 9. Researcher consider that the patient is not suitable to participate in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Objective response rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Progression-free survival;Overall survival;Disease control rate;Duration of relief; | — |
Countries
China
Contacts
Beijing Youan Hospital Capital Medical University