Hepatocellular carcinoma Hepatocellular carcinoma, drug therapy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Advanced hepatocellular carcinoma (HCC) confirmed by Radiological or histological assessment 2. Not amenable to a liver directed therapy 3. Intolerant or refractory to first-line systemic treatment containing immune check point inhibitor 4. No prior therapy of EGFR-TKI or Ramucirumab 5. ECOG performance status (PS) of 0-1 6. Age >= 20 years old 7. Adequate hematologic and renal function 8. Child-Pugh class A 9. More than two weeks from the last treatment 10. Expected prognosis of more than 12 weeks 11. Provided written informed consent
Exclusion criteria
Exclusion criteria: 1. Moderate or severe pleural effusion 2. Uncontrollable hypertension 3. Urinary protein excretion of 2g/day or over 4. With hepatic encephalopathy 5. Synchronous or metachronous malignancies 6. Active infection requiring systemic treatment 7. Inability of oral food intake 8. Brain or meningeal metastasis 9. Pregnant and lactating females, and males and females unwilling to use contraception 10. Severe psychosis 11. Continuous use of systemic steroid or immune suppressant 12. Interstitial pneumonia, fibroid lung, or severe emphysema 13. Severe concomitant disease, such as cardiovascular, renal and gastrointestinal disorders, and uncontrolled diabetes mellitus) 14. Unstable angina pectoris, or history of myocardial infarction within 6 months 15. Hemorrhagic or thrombotic disease 16. Blood transfusion or use of G-CSF within 2 weeks 17. Other conditions not suitable for this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall Survival | — |
Secondary
| Measure | Time frame |
|---|---|
| progression free survival, response rate, dsease controll rate, adverse event rate, siviere adverse event rate, Child-Pugh progression rate, Modified ALBI grade progression rate | — |
Contacts
Kanagawa Cancer Center