Hepatocellular Carcinoma, Regorafenib, Transcatheter Arterial ChEmoembolization
Conditions
Brief summary
. 1 Clarify the difference in efficacy of regofinib combined with TACE compared with second-line treatment of advanced liver cancer; 2. To evaluate the safety and prognostic imaging factors of regorofenib in advanced second-line therapy; 3, to explore whether it is necessary to increase the treatment of TACE in the second-line treatment of advanced HCC.
Interventions
Transcatheter Arterial Chemoembolization
Regorafenib alone
Sponsors
Study design
Eligibility
Inclusion criteria
( - ) After pathological / clinical diagnosis of hepatocellular carcinoma or radical resection of hepatocellular carcinoma; ( - ) CNLC Ⅲa Patients with intrahepatic recurrence before (including a); ( - ) Previous failure of first-line systemic treatment; ( - ) Age: 18-75 years old; ( - ) Child-Pugh 7 points; ( - ) ECOG PS Grade 0-2; ( - ) At least one measurable lesion in the liver.
Exclusion criteria
( - ) Known hepatobiliary tubular cell carcinoma and mixed cell carcinoma and fibrolamellar cell carcinoma; ( - ) Previous (within 5 years) or concurrent other incurable malignant tumors; ( - ) Having received local treatment, systemic chemotherapy, radiotherapy other than TACE during the first-line systemic treatment; ( - ) During the second-line systemic treatment, I also received local treatment, systemic chemotherapy, radiotherapy other than TACE; ( - ) Serious uncontrollable systemic and other systemic diseases, such as uremia, cardiovascular and cerebrovascular accidents; ( - ) Allergy to any drug included in the study; ( - ) Pregnant or lactating women;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival | 2022.12.27-2025.09.30 | defined as the time between the start of second-line treatment and the end of follow-up / death. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression-free survival for the first subsequent treatment PFS 2 | 2022.12.27-2025.09.30 | defined as the time of second-line treatment initiation to the date of radiological progression or death from any cause. |
Countries
China