hepatocellular carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histologically or clinically diagnosed hepatocellular carcinoma (HCC). 2) No previous history of TACE by epirubicin or miriplatin 3) No previous history of treatment with anticancer agents (neither by systemic nor arterial infusion) 4) No tyreatment effect expected by locoregional treatment. 5) Advanced HCC (BCLC stage-B or C). 6) Child-Pugh A or B. 7) Age of 20 years or more. 8) ECOG Performance Status of 0 or 1 or 2. 9) Existence of mesurable lesion by modified RECIST. 10) No major organ failure and all the laboratory data, below are conserved. 11) At least 3 months survival expected. 12) Written informed consent obtained from the patient.
Exclusion criteria
Exclusion criteria: 1) Drug allergy by miriplatin or epirubicin. 2) Extrahepatic metastasis. 3) Portal venous invasion in the major trunk or first order branch. 4) Remarkable arterio-portal or arterio-venous shunting. 5) Hepatic artery occlusion. 6) Biliary reconstruction. 7) Comorbid diseases *Cardiac failure *Renal failure *Active infection *Active gastrointestinal bleeding *Active associated cancers *Hepatic encephalopathy *Refractory ascites or pleural effusion 8) Fever (more than 38 degrees Celsius) 9) Allergy to contrast media 10) Pregnant or lactating 11) Other reasons not indicated to this study judged by doctors.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| response rate | — |
Secondary
| Measure | Time frame |
|---|---|
| frequency of adverse events, changes of tumor markers, overall survival, one year survival rate, progression free survival | — |
Countries
Japan
Contacts
Takasaki General Medical Center, National Hospital Organization Clinical Research Department