Liver transplantation in patients with hepatocellular carcinoma MedDRA version: 9.1 Level: LLT Classification code 10019695 Term: Hepatic neoplasm
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients undergoing liver transplantation because of HCC tumor that at the pathological examination of the native liver removed at transplantation results beyond the Milan criteria presence of tumor microvascular invasion revealed by the pathological examination of the native liver removed at transplantation preoperative serum alphafetoprotein levels above 50 ng/mL Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1) graft dysfunction that contraindicates changes from the usual immunosuppressive schedule based on calcineurin inhibitors 2) women in fertile age that do not accept contraception 3) known hypersensitivity to sirolimus or to m-TOR inhibitors; 4) critical patients that are judged by the experimenter as not suitable to be include in the study; 5) use of experimental drugs in the two months before the enrolment in the study. 6) patients who can not comply with the procedures associated with the protocol or can not express in writing the informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Reduce the rate of tumor recurrence in patients who undergo liver transplantation (LT) because of hepatocellular carcinoma (HCC) by employing an immunosuppressant drug with antiproliferative properties: SIROLIMUS (RAPAMYCIN).;Secondary Objective: ConfIrm the efficacy of sirolimus employed in a calcinuerin inhibitors-free regimen in preventing rejection after liver transplantation.;Primary end point(s): HCC recurrence | — |
Countries
Italy