Hepatocellular Carcinoma
Conditions
Brief summary
This study is a randomized, open-label, controlled study that will explore the efficacy of individualized adjuvant chemotherapy based on the adenosine triphosphate tumor chemosensitivity assay for patients with hepatocellular carcinoma after liver transplantation.
Interventions
Two drug combination adjuvant chemotherapy based on the Adenosine Triphosphate Tumor Chemosensitivity(Oxaliplatin, Gemcitabine, Irinotecan, Paclitaxel,docetaxel, Fluorouracil,Doxorubicin,Cisplatin)
Oxaliplatin,Fluorouracil
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who had experienced liver transplantation with histologically confirmed advanced hepatocellular carcinoma with more one risk factor (tumour burden \>8 cm, AFP\>400 ng/mL,poorly differentiated,vessels invasion ) * No extrahepatic metastasis confirmed with computed tomography (CT) or magnetic resonance imaging (MRI) * Additional inclusion criteria were age 18 years or older * Karnofsky performance status (KPS) of at least 70% * Adequate renal function, defined as creatinine clearance greater than 30 mL/min) * Adequate hepatic function, defined as ALT and AST less than 5× upper limit of normal * Adequate bone marrow function, defined as platelets greater than 100×10E9/L and WBC greater than 3.5×10E9/L.
Exclusion criteria
* The presence of any severe concomitant disease that could interrupt the planned treatment; intractable pain * Hypersensitivity to study drugs * Serious cardiovascular disease (eg, unstable coronary artery disease or myocardial infarction within 4 weeks of study start) * National Cancer Institute CommonToxicity Criteria (NCI-CTC) grade 3 or 4 sensory or motor neuropathy * Prior or concurrent malignancy (other than pancreatic cancer) * Female, pregnancy or breastfeeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Desease free Survival | 3 years |
Secondary
| Measure | Time frame |
|---|---|
| Overall Survival | 3 years |
Countries
China