Advanced HCC Treated by Systemic Immunotherapy
Conditions
Brief summary
The purpose of this study is to compare CT perfusion parameters to RECIST 1.1 and mRECIST assessment for advanced HCC treated by systemic immunotherapy, and to evaluate perfusion parameters as predictive factors of response on baseline and on early follow-up
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients \> 18 years old * Proved HCC * Advanced HCC, defined as Barcelona Clinic Liver Classifications (BCLC) stage B non eligible for loco-regional therapy and stage C * No prior systemic therapy * Measurable disease per Response Evaluation Criteria for Solid Tumour (RECIST) v1.1 * Child-Pugh Score = A * Eastern Cooperative Oncology Group (ECOG) Performance Status \< 2
Exclusion criteria
* Absence of CT perfusion before treatment initiation more than a two-month delay between treatment initiation and first post-treatment CT perfusion * Uninterpretable CT perfusion * Definitive contraindication to CT perfusion (allergy or advanced renal disease)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of CT perfusion parameters between the responders and non-responders according to RECIST 1.1 assessment for advanced HCC treated by systemic immunotherapy | Through study completion, an average of 1 year | Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 assessed by a senior radiologist. Comparison assessed by t test or Mann-Whitney test. |
| Comparison of CT perfusion parameters between the responders and non-responders according to mRECIST assessment for advanced HCC treated by systemic immunotherapy | Through study completion, an average of 1 year | modified Response Evaluation Criteria in Solid Tumors (mRECIST) assessed by a senior radiologist. Comparison assessed by t test or Mann-Whitney test. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of CT perfusion parameters as predictive factors of response on baseline and on early follow-up | Through study completion, an average of 1 year | Assessed using logistic regression |
Countries
France