HepatoCellular Carcinoma
Conditions
Keywords
TACE, SBRT
Brief summary
Comparison of Stereotactic Body Radiation Therapy (SBRT) and repeated transarterial chemoembolization (TACE) for Hepatocellular Carcinoma (HCC)as a Local Salvage Treatment after first incomplete TACE
Detailed description
The aim of this study is to evaluate the effect of SBRT after first incomplete TACE. In HCC patients with incomplete TACE response, repeated TACE did not showed good response. In this case, SBRT could have better results than TACE.
Interventions
Maximum dose : 60Gray (Gy) Fraction : 2 to 5
Sponsors
Study design
Masking description
open labled
Eligibility
Inclusion criteria
* Age \>18 years * Eastern cooperative oncology group(ECOG) score 0 to 2 * Primary HCC * HCC (single nodule ≤ 7 cm or max 3 nodules ≤ 3 cm) * Child-Turgottei-Pugh A or B * Unresectable lesion or medically contraindicated surgery or a case in which surgery was declined. * No evidence of radiologically definable major vascular invasion or extrahepatic disease * Previously incomplete TACE with radiologically defined residual disease after first TACE * Informed consent
Exclusion criteria
* Prior TACE to the target lesion * Contraindication to receiving radiotherapy or TACE * Decompensated liver cirrhosis * Extrahepatic mets * Pregnancy * Patients with other cancers
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Local tumor control (efficacy fo SBRT) | 1 year | To evaluate the effect of SBRT. Local tumor control is defined as the disappearance of any intraarterial enhancement in all target lesions. Local tumor control will be measured on triphasic Computerized Tomography (CT) or Magnetic Resonance Imaging (MRI). Patient will be asked to visit their study doctor for follow-up exams and imaging (CT or MRI) every 3 months. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| progression free-survival | 2 year | survival from SBRT to recurrence |
| overall survival | 2 year | survival from SBRT to death |
| Radiation induced liver disease (RILD) | 1 year | Liver toxicities were evaluated using Common Terminology Criteria of Adverse Events (CTCAE). RILD was defined as elevated liver transaminases more than five times the upper normal limit or a worsening of Child-Pugh (CP) score by 2 within 3 months after SBRT. |
Countries
South Korea