Hepatocellular Carcinoma
Conditions
Brief summary
Selective Internal Radiation Therapy is superior to Transarterial Chemoembolisation for the treatment of intermediate stage hepatocellular carcinoma.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* ≥18 years * HCC, proven by histology or according to EASL criteria * Intermediate stage HCC (stage B according to BCLC) * At least one measurable lesion in magnetic resonance imaging (MRI) * Tumor load ≤ 50% * preserved liver function (Child Pugh A and B)
Exclusion criteria
* Patients feasible for curative treatment (e.g. resection or local ablation) * Previous TACE or SIRT * Chemotherapy during the last 4 weeks * Child Pugh stage C * BCLC stage D * ECOG Performance Status \>0 * Tumor involvement \>50% of the liver * Extrahepatic tumor * Serum Bilirubin \>2.0 mg/dl; Serum Albumin 2.8 g/dl, Serum Creatinine \>2 mg/dl; Leukocytes \<3000/ml; Thrombocytes \<50000/ml * Clinically apparent ascites (ascites only in CT/MRI is no
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall-Survival | up to three years |
| Progression-free-Survival | up to three years |