Hepatocellular Carcinoma
Conditions
Keywords
hepatitis B virus, Antiviral Agents, Liver Neoplasms, Drug Toxicity, Survival
Brief summary
The purpose of this study is to elucidate the influence of anti-hepatitis B virus therapy on safety and survival of HCC patient after transcatheter arterial chemoembolization.
Interventions
The procedure is performed under local anaesthesia. The femoral artery at groin region is punctured for arterial access. Angiography is performed for demonstration of vascular structures before embolization.The arteries supplying the tumor are selectively catheterized, this includes the hepatic arteries or other extrahepatic collateral arteries.The chemotherapeutic agent(s) is mixed with lipiodol (an oily contrast) to enhance tumour uptake. Following delivery of the lipiodol/chemotherapy mixture, small gelfoam particles may be injected to reinforce the effect of treatment.
anti-HBV drug
Sponsors
Study design
Eligibility
Inclusion criteria
* hepatocellular carcinoma * treated with transcatheter arterial chemoembolization (TACE) * HBVDNA \> 10\^3copies/mL, including alanine aminotransferase (ALT) normal patient * expected survive time \> 1 year * HBV marker positive (anyone of HbsAg, HbsAb, HbeAg, HbeAb and HbcAb)
Exclusion criteria
* antiviral therapy history * alanine aminotransferase (ALT) \>400 U/L * serum total bilirubin \> 50 μmol/L * HBVDNA \> 10\^9copies/mL * extrahepatic metastasis or main portal vein embolus * apparent cardiac or pulmonary dysfunction * liver function: Child B or Child C * HCV infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of Participants with Adverse Events as a Measure of Safety and Tolerability | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival | 2 years |
Countries
China