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Prospective Cohort Study on the Efficacy and Safety of Sequential TIPS-TACE/HAIC Combined or Not Combined with Donafenib and Tislelizumab in the Treatment of BCLC Stage C Hepatocellular Carcinoma Patients with Concomitant Portal Hypertension

Prospective Cohort Study on the Efficacy and Safety of Sequential TIPS-TACE/HAIC Combined or Not Combined with Donafenib and Tislelizumab in the Treatment of BCLC Stage C Hepatocellular Carcinoma Patients with Concomitant Portal Hypertension

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2600116845
Enrollment
Unknown
Registered
2026-01-15
Start date
2026-01-31
Completion date
Unknown
Last updated
2026-01-27

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

Conditions

Hepatocellular carcinoma

Interventions

Sponsors

Beijing Youan Hospital, Capital Medical University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1.Voluntary enrollment with written informed consent is required; 2.Participants should be aged between 18 and 80 years (inclusive), without regard to gender; 3.Patients should have hepatocellular carcinoma (HCC) that is either clinically diagnosed or histologically/cytologically confirmed in accordance with the "Diagnosis and Treatment Guidelines for Primary Liver Cancer (2024 Edition)"; 4.There should be at least one evaluable lesion (as defined by the RECIST 1.1 criteria; 5.Clinically diagnosed portal hypertension with at least one complication of portal hypertension is necessary, including refractory or recurrent esophageal/gastric variceal bleeding, ascites, or hepatic pleural effusion; 6.The Eastern Cooperative Oncology Group (ECOG) performance status (PS) score should range from 0 to 1; 7.Child - Pugh score should be =25 g/L, total bilirubin 30 mL/min. Regarding coagulation function, the international normalized ratio (INR) or prothrombin time (PT) should be <=1.5×ULN, and the activated partial thromboplastin time (APTT) <=1.5×ULN; 9.Female patients of childbearing age and male patients with female partners of childbearing age must employ effective contraception throughout the treatment period and for 6 months after the last dose; 10.Subjects should demonstrate good compliance and cooperate with follow - up procedures.

Exclusion criteria

Exclusion criteria: 1.Previous histopathological or cytological diagnoses indicating the presence of components such as fibrous lamellar hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, or cholangiocarcinoma; 2.A history of congenital or acquired immunodeficiency disorders; 3.Prior history of severe psychiatric conditions; the concurrent existence of cancer emboli in the inferior vena cava or right atrium; 4.Thromboembolic events occurring within the past six months (e.g., stroke and/or transient ischemic attack, deep vein thrombosis, pulmonary embolism); 5.Clinically significant cardiovascular diseases, encompassing but not restricted to acute myocardial infarction (AMI), severe or unstable angina, coronary artery bypass grafting (CABG), congestive heart failure (New York Heart Association [NYHA] class > 2), or poorly controlled arrhythmias or the presence of an implantable pacemaker for arrhythmias within the past six months; 6.Other notable clinical or laboratory abnormalities that investigators consider to have an impact on safety evaluation, such as uncontrolled diabetes, chronic kidney disease, peripheral neuropathy of grade II or higher (Common Terminology Criteria for Adverse Events [CTCAE] V5.0), thyroid dysfunction; 7.Active or poorly controlled severe infections; 8.Conditions influencing the absorption, distribution, metabolism, or clearance of study drugs (e.g., severe vomiting, chronic diarrhea, intestinal obstruction, or malabsorption).

Design outcomes

Primary

MeasureTime frame
Overall survival;

Secondary

MeasureTime frame
Recurrence rate of pleural/ascitic fluid;Overall Rebleeding Rate;Disease control rate;TIPS shunt patency rate;Objective Response Rate;Progression-free survival;

Countries

China

Contacts

Public ContactJianjun Li

Beijing Youan Hospital, Capital Medical University

ljjir@163.com+86 10 83997108

Outcome results

None listed

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