Hepatocellular carcinoma with portal vein tumor thrombosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Histologicaly or clinically confirmed as HCC HCC with PVTT in main trunk or first brunch (Vp3, 4) Child-Pugh score is less than 8. Liver damage classification is A or B ECOG performance status is 0 - 2. Patients do not receive any local or systemic therapy for HCC within 4 weeks prior to the initiation of study treatment Patients do not receive partial splenic embolization within 4 weeks prior to the initiation of study treatment No disturbance of main organ functions ( including bone marrow, heart, lung, liver and kidney) Leukocyte count: >=3,000/mm3 Platelet count: >=75,000/mm3 Hemoglobin concentration: >=8.0 g/dl Serum AST and ALT: less than five times the upper limit of the normal at our hospital. Total bilirubin concentration: <=3.0 mg/dl Protrombin time: >=50 % Serum creatinine concentration: <=1.2 mg/dl Creatinine crearance:>= 45 ml/min
Exclusion criteria
Exclusion criteria: Patients who have received platinum based anti cancer drug prior to the initiation of study treatment extrahepatic metastasis HCC with severe hepatic vein and biliary tumor thrombosis Untreated esophageal and gastric varices with red color signs stage II-IV encephalopathy Allergic to a contrast media and platinum Severe complications such as interstitial pneumonia, DM, heart failure, lung failure and liver failure Active infection Other cancers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximum tolerated dose (MTD) and dose-limiting toxicity (DLT) in Phase 1 PVTT response rate in Phase 2 | — |
Secondary
| Measure | Time frame |
|---|---|
| Adverse Event/Serious Adverse Event Hepatic tumor response rate (overall tumor response rate) Progression-free survival (PFS) Overall survival (OS) Change from baseline in hepatic functional reserve | — |
Countries
Japan
Contacts
Kobe University Hospital Department of Radiology