hepatocellular carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with first-line treated HCC at three hospitals; 2. Aged 18-80 years; 3. Definite diagnosis of hepatocellular carcinoma (HCC) based on the 2022 Guidelines for the Diagnosis and Treatment of Primary Liver Cancer or pathological confirmation; 4. Confirmation of portal vein tumor thrombus (type I-IV) by contrast-enhanced abdominal MRI or CT; 5. Child-Pugh B liver function classification (7-9 points); 6. Basic normal function of all organs; 7. Not eligible for curative surgery or liver transplantation; 8. Presence of assessable target lesions (enhancing lesions > 1 cm on contrast-enhanced CT or MRI); 9. Willingness to provide informed consent.
Exclusion criteria
Exclusion criteria: 1. Prior use of molecular targeted drugs, systemic chemotherapy, or immunotherapy drugs, including but not limited to the following drugs: sorafenib, lenvatinib, apatinib, regorafenib, PD-1 inhibitors, or platinum-containing or fluoropyrimidine-based systemic chemotherapy; 2. Receipt of local treatment such as radiotherapy or radiofrequency ablation within the past month, with only the lesions treated locally showing no progression; 3. Symptomatic brain metastases; 4. Active bleeding tendency; 5. Uncontrolled hypertension; 6. Concurrent untreated malignancies, excluding in situ cancers at other sites; 7. Active infections; 8. Heart failure or unstable angina, myocardial infarction within the past year; 9. Concurrent active autoimmune diseases such as Sjögren's syndrome, lupus, etc.; 10. Severe psychiatric disorders preventing informed consent or compliance with the treatment plan; 11. Use of anticoagulants like warfarin.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| time to progression; | — |
Secondary
| Measure | Time frame |
|---|---|
| overall survival;Objective Response Rate;safety; | — |
Countries
China
Contacts
Beijing Ditan Hospital, Capital Medical University