Hepatitis B Virus, Hepatocellular Carcinoma, Recurrence
Conditions
Keywords
hepatocellular carcinoma, hepatitis B virus, surgery, anti-virus, recurrence
Brief summary
Most hepatocellular carcinomas are associated with hepatitis B virus, it is hypothesized that anti-viral treatment may be helpful in treating HBV-related hepatocellular carcinoma.
Detailed description
As we know, recurrence and metastasis could happen in hepatocellular carcinoma even after radical resection.One reason is that virus hepatitis B could be one factor contributing to the carcinogenesis of hepatocellular carcinoma.To investigated whether anti-viral therapy could improve the efficacy of radical resection of hepatitis B virus (HBV)-related hepatocellular carcinoma(HCC),we planed to conduct this clinical trial.
Interventions
antiviral treatment (lamivudine 100mg per day or entecavir 0.5mg per day)
Procedure/Surgery - radical resection of HBV-related HCC
Sponsors
Study design
Eligibility
Inclusion criteria
1. patients who did not receive antiviral therapy prior to the resection of hepatocellular carcinoma 2. patients who underwent radical resection of HCC, and 1 month after surgery,dynamic computed tomography showed on lesion in the liver and no signs of extrahepatic metastasis. 3. hepatitis B surface antigen should be positive before surgery HBV-DNA level between 100000 copies/ml and 10000000copies/ml anti-HCV negative
Exclusion criteria
1. previous history of antiviral therapy 2. a baseline serum alanine aminotransferase level 2.5 times the ULN or higher 3. positive for anti-HCV or anti-HIV 4. Child-Pugh classification B or C after surgery 5. preexisting evidence of hepatic decompensation, including encephalopathy,ascites,a bilirubin level more than 2 times the ULN, or a prolonged prothrombin time of more than 3 seconds 6. signs showing recurrence or metastasis oen month after surgery 7. underlying cardiac or renal diseases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survivals | 2,3,5years |
Secondary
| Measure | Time frame |
|---|---|
| Recurrence rate | 2,3,5years |
Countries
China