Hepatitis B virus related hepatocellular carcinoma Cancer Malignant neoplasm of liver and intrahepatic bile ducts
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Image or pathologically diagnosed HCC 2. Newly diagnosed HCC 3. Unresectable HCC 4. Positive serum HBS-Ag and HBe-Ag 5. Child-Pugh scale A and B 6. Older than 20 years, either sex 7. Patients without jaundice
Exclusion criteria
Exclusion criteria: 1. Previous history of antiviral therapy 2. Baseline serum alanine aminotransferase (ALT) level 2.5 times the upper limit of normal or higher 3. Serum HBV DNA level greater than 107 copies/mL 4. Main portal vein thrombosis 5. Underlying cardiac or renal diseases 6. Positive tests for antibody to hepatitis C virus or human immunodeficiency virus 7. Child?Pugh classification C 8. Pre-existing evidence of hepatic decompensation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. HBV reactivation, defined as a greater than 10-fold increase in serum HBV-DNA compared with the baseline level 2. Hepatitis due to HBV reactivation, defined as a threefold or greater increase in serum ALT to a level that exceeded 100 IU/L (reference range less than 33 IU/L) in patients with HBV reactivation in the absence of clinical features of tumour progression, hepatotoxic drugs, treatment-related hepatic damage, or other systemic infections 3. Disease progress, according to the Response Evaluation Criteria in Solid Tumors (RECIST) standard 4. Patient death The outcomes above will be measured every month after the end of therapy until 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Severe complications: unendurable fever, hepatic decompensation, measured every month after the end of therapy until 6 months. | — |
Countries
China