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Efficacy of low-dose dexamethasone in treatment of embolism syndrome after TACE for primary liver cancer

A prospective randomized controlled trial of low-dose dexamethasone in the treatment of transcatheter arterial chemoembolization syndrome after TACE for primary liver cancer

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2100047428
Enrollment
Unknown
Registered
2021-06-18
Start date
2021-07-01
Completion date
Unknown
Last updated
2022-02-21

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

Conditions

primary liver cancer

Interventions

Experimental group:5 mg dexamethasone, 5 mg tropisetron,
Control group:5 mg tropisetron

Sponsors

Changhai Hospital, Navy Military Medical University, Shanghai
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. According to the imaging techniques and / or biopsy guidelines of the code for diagnosis and treatment of primary liver cancer (2019 Edition), unresectable HCC was diagnosed; 2. They are not able to accept palliative surgery or radiotherapy, have at least one measurable lesion, and are willing to accept TACE treatment; 3. There was no history of using hormone preparation in the first 3 months; 4. Barcelona stage: bclc-b or C; 5. Child Pugh a5-b7; 6. Aged 18 to 75 years; 7. In the first week, ECoG score was 0-1; 8. Good organ and bone marrow function (1) Hemoglobin >= 9.0g/dl; (2) White blood cell count >= 3.0 x 10^9/ µ L; (3) Platelet count >= 75 x 10^9/ µ L; (4) Total bilirubin = 2.8g/dl; (7) International normalized ratio (INR) = 30ml / min. 9. Life expectancy exceeds 12 weeks; 10. They voluntarily accepted the treatment of the study protocol and signed the informed consent.

Exclusion criteria

Exclusion criteria: 1. Combined with heart, brain, kidney, lung and other organ diseases; 2. The formation of main portal vein tumor thrombus, bile duct tumor thrombus and collateral vessels was less; 3. Severe varices of gastric fundus and esophagocardia, severe portal hypertension, with the risk of rupture and bleeding; 4. Systemic infection, sepsis and liver abscess; 5. Patients with severe liver cirrhosis caused by abnormal liver function, or with obvious ascites, jaundice; 6. Tumors accounted for 70% or more of the whole liver; 7. Allergic constitution, or allergic to the drugs involved in this study. 8. The patients who did not use drugs according to the regulations after informed consent could not judge the curative effect, or the information was incomplete, which affected the curative effect judgment.

Design outcomes

Primary

MeasureTime frame
Incidence of embolism syndrome;

Countries

China

Contacts

Public ContactMeng Yongbin

Changhai Hospital, Navy Military Medical University, Shanghai

coupleblue@163.com+86 13512120463

Outcome results

None listed

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