Hepatocellular Carcinoma
Conditions
Brief summary
To compare the impact on survival of neo-adjuvant TAI for patients with beyond Milan criteria BCLC stage A/B HCC who underwent hepatectomy.
Interventions
transarterial chemoinfusion with mFOLFOX6 (oxaliplatin, calcium folinate, and 5-FU)
Sponsors
Study design
Eligibility
Inclusion criteria
* older than 18 years old and younger than 75 years; * ECOG PS≤1; * proven hepatocellular carcinoma according patological examination or EASL/AASLD diagnostic criteria; * not previous treated for tumor; * the tumor was diagnosed as BCLC stage A/B and beyond Milan criteria; * no distant metastasis; * the lab test could meet: * neutrophil count≥2.0×109/L; * hemoglobin≥100g/L; * platelet count≥75×109/L; * serum albumin≥35g/L; * total bilirubin\<2-times upper limit of normal; * ALT\<3-times upper limit of normal; * AST\<3-times upper limit of normal; * serum creatine\<1.5-times upper limit of normal; * PT≤upper limit of normal plus 4 seconds; * INR≤2.2; * sign up consent.
Exclusion criteria
* cannot tolerate TAI or surgery; * distant 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 |
|---|---|---|
| OS | From date of randomization until the date of death from any cause, assessed up to 60 months | overall survival |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| RFS | From date of randomization until the date of recurrence, assessed up to 60 months | recurrence-free survival |
| recurrence rate | 1 year, 2 year, 3 year, 5 year after surgery | recurrence rate |
| PFS | From date of randomization until the date of progression, assessed up to 60 months | progression free survival |
Countries
China