Advanced hepatocellular carcinoma with portal vein tumor thrombosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Advanced hepatocellular carcinoma with confirmation of histological examination or typical computed tomographic, angiographic findings and elevated serum alpha-fetoprotein levels 2) No indication for surgical resection 3) Tumor thrombosis in the main and/or first portal vein 4) Aged 20 years or over 5) An Eastern Cooperative Oncology Group performance status of 0-2 6) Measurable disease 7) Sufficient organ function: WBC>=3,000 /mm3, Hb>=9.0 g/dL, PLT>=50,000 /mm3, Child-Pugh grade A or B, T-Bil<=2.0 mg/dL, AST<=150 U/L, ALT<=150 U/L, Creatinine<=1.1 mg/dL 8) Interval of 4 weeks or over between last treatment and present therapy, and no influence of previous treatments 9) Written informed consent
Exclusion criteria
Exclusion criteria: 1) Prior chemotherapy with cisplatin for hepatocellular carcinoma 2) Prior radiotherapy, transcatheter arterial chemoembolization, and hepatic arterial chemotherapy for portal vein tumor thrombosis of hepatocellular carcinoma 3) Refractory pleural effusion or ascites 4) Distant metastases 5) Allergic reaction to iodine contrast material 6) Severe renal disease 7) Severe heart disease 8) Active infection excluding hepatitis B or C viral infection 9) Active concomitant malignancy 10) Severe mental disorder 11) Severe allergic reaction to drug 12) Pregnant and lactating females; females of childbearing age unless using effective contraception
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| response rate | — |
Secondary
| Measure | Time frame |
|---|---|
| adverse events, survival, and progression free survival | — |
Countries
Japan
Contacts
CDDP HAI Coordinating Office Hepatobiliary and Pancreatic Oncology Division, National Cancer Center Hospital