Hepatocellular Carcinoma
Conditions
Brief summary
To compare the impact on recurrence risk of adjuvant TAI and adjuvant TACE for patients with HCC and PVTT after hepatectomy.
Interventions
transarterial chemoinfusion with mFOLFOX6 (oxaliplatin, calcium folinate, and 5-FU)
transarterial chemoembolization with epidoxorubicin and cisplatin and lipiodol
epidoxorubicin and cisplatin and lipiodol
oxaliplatin, calcium folinate, and 5-FU
Sponsors
Study design
Eligibility
Inclusion criteria
* older than 18 years old and younger than 75 years; * ECOG PS\<3; * proven hepatocellular carcinoma with PVTT according pathological examination; * not previous treated for tumor; * tumor and tumor thrombosis were removed in operation; * no recurrence occurence at 4 to 7 weeks after surgery; * the lab test could meet: neutrophil count≥1.5×109/L; hemoglobin≥80g/L; platelet count≥60×109/L; serum albumin≥28g/L; total bilirubin\<3-times upper limit of normal; ALT\<5-times upper limit of normal; AST\<5-times upper limit of normal; serum creatine\<1.5-times upper limit of normal; PT≤upper limit of normal plus 6 seconds; INR≤2.3; * sign up consent; * unrolled by other clinical trials about hepatocellular carcinoma.
Exclusion criteria
* cannot tolerate TACE or TAI; * CNS or bone metastasis exits; * known history of other malignancy; * be allergic to related drugs; * underwent organ transplantation before; * be treated before (interferon included); * known history of HIV infection; * known history of drug or alcohol abuse; * have GI hemorrhage or cardiac/brain vascular events within 30 days; * pregnancy;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| recurrence-free survival (RFS) | From date of randomization until the date of recurrence, assessed up to 60 months | recurrence-free survival |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| recurrence rate | 1 year, 2 year, 3 year, 5 year after surgery | recurrence rate |
| Overall survival (OS) | From date of randomization until the date of death from any cause, assessed up to 60 months | overall survival |
Countries
China