Carcinoma, Hepatocellular
Conditions
Keywords
hepatocellular carcinoma; Sandostatin-LAR; RCT
Brief summary
A preliminary study has shown that the hormone-similar, growth-retarding drug octreotide can prolong survival time in patients with primary liver cancer. Due to methodological deficiencies of the preliminary study the results will be re-checked by the comparison of octreotide with an pseudo-drug (so-called placebo) primarily regarding to the survival time and secondarily concerning costs, side effects, patient cooperation and quality of life as well as specific conditions in the tumor tissue in both groups with 108 patients with primary liver cancer.
Detailed description
A pilot study showed that octreotide can prolong survival time of patients with HCC. Due to methodological deficiencies the results of this pilot study will be re-evaluated by comparison of octreotide versus placebo primarily regarding to the global survival time and secondarily concerning the costs, side effects, patient compliance and quality of life as well as the Somatostatin receptors in the tumor tissue and its prognostic relevance in both groups with 108 patients with hepatocellular carcinoma. An interim analysis was done after occurrence of the half of the events (deaths). No significant effect could be shown.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Inoperable patients * histologically confirmed HCC or patients who refuse surgery and who otherwise (e.g. due to the advanced tumor stage) are not applicable for palliative local therapy (e.g. PEI, TACE, RFTA). * Age: 18 years or older
Exclusion criteria
General: * Patient with symptomatic Cholecyst-/Choledocholithiasis * Patient with severe psychiatric disease. * Participation in another clinical trial within the last 4 weeks. * Simultaneous participation in another clinical examination. * Legally incapacitated patient, who is not able, to understand nature, meaning and consequence of the study. * Continuous drug or alcohol abuse. * Patient with known HIV infection and antiretroviral therapy. * Patient with not controllable infection disease. * Pregnancy. Study- and indication-specific
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival time | — |
Secondary
| Measure | Time frame |
|---|---|
| Side effects | — |
| Patient compliance | — |
| Costs of the treatment measured by days of in-patient treatment | — |
| Somatostatin receptors in the tumor tissue | — |
| Prognostic relevance of the Somatostatin receptors | — |
| Quality of life | — |
Countries
Germany