advanced hepatocellular carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histologically or clinically confirmed hepatocellular carcinoma. 2. refractory to Lip-TACE 3. contraindication of surgery or ablation therapy 4. over 20 years old 5. BCLC stage A or B 6. Existing measurable hepatic lesion mRECIST is applicable. 7. ECOG Performance Status 0 or 1 8. Adequate organ functions: bone marrow, Heart, renal function (14 days before entry) WBC(or Neutro) =>2,500/mm3 (=>1,000/mm3) HGB =>8.5g/dl Plt >=5.0x104/mm3 T-Bil <=2.5mg/dl ALB =>2.8g/dl AST <= 5 times ULN ALT <= 5 times ULN Serum Cre <=1.5mg/dl normal ECG 9. Child-Pugh A or B 10. previous Lip-TACE less than 5 times 11. Expected survival time over 8 weeks 12. Written informed consent
Exclusion criteria
Exclusion criteria: 1) after HCC rupture 2) Reconstruction of the biliary tract history 3) severe ascites or pleural effusion 4) severe arterioportal shunt or arteriovenous shunt 5) Severe complication (Cardiac failure, Myocardial infarction, Pulmonary fibrosis, Interstitial pneumonia, Uncontrollable diabetic, Renal failure) 6) development of collateral feeding artery 7) Pregnant, nursing or possible pregnant woman 8) Heparic artery occlusion under CT angiography or angiography (Registration after qualification with CT angiography. Judging occlusion under angiography, including reservoir DAS, in case unqualified judgement with CT angiography) 9) Qualified ineligible patients being this clinical trial by responsible doctor
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| response rate (1 months) | — |
Secondary
| Measure | Time frame |
|---|---|
| adverse events, progression-free survival, overall survival | — |
Countries
Japan
Contacts
Nara Medical University Hospital Radiology and IVR Center