patients with HCC in the setting of cirrhosis MedDRA version: 21.0 Level: LLT Classification code 10024662 Term: Liver cell carcinoma non-resectable System Organ Class: 100000004864
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • HCC patients with Child-Pugh class A – B7 cirrhosis • Multidisciplinary determination of suitability for tumor ablation or chemoembolization • Intent to achieve complete tumor eradication • Signature of Informed Consent • Use of oral contraceptives for fertile age female patients 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 12 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 36
Exclusion criteria
Exclusion criteria: • Advanced disease (Child score B8 or higher) • Pre-procedure determination of low likelihood for tumor eradication • Relevant comorbidities, particularly gastric bleeding and neoplastic disease other than HCC • Ongoing anti-inflammatory therapy • Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Determine the effect of anti-inflammatory drugs on cytokine production following treatment of cirrhotic patients being treated for HCC.;Secondary Objective: n.a.;Primary end point(s): Serum levels of inflammatory cytokines – IL-6 and HGF at baseline and day 7 (pre-op and day 7 blood draws).;Timepoint(s) of evaluation of this end point: 7 days | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): ¿ High-sensitive C-reactive protein serum level at baseline, day 1 and 7 - VEGF serum level at day 1 and 7 - PIVKA and Endocan serum levels at baseline and day 7 ¿ Visual analog pain scale at baseline, day 1, 3, and 7 ¿ Correlation of outcomes with bio-markers from pre-procedure biopsy (when available) such as COX2, IL6, HIF1a, VEGFr, CD34, Endocan and quantitative evaluation of inflammatory cells (T/NK and macrophages).;Timepoint(s) of evaluation of this end point: 7 days | — |
Countries
Italy
Contacts
IRCCS Istituto Clinico Humanitas