HCC, Hepatocellular Carcinoma
Conditions
Brief summary
The current study will aim to maximize the therapeutic effect and to minimize the adverse effects of sorafenib in HCC through pharmacogenomic analysis of VEGFA and KDR genetic polymorphisms.
Interventions
Sorafenib Tablets (200 -400 mg) twice daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Age of all studied subjects ≥ 18 years old * All patients with hepatocellular carcinoma will be included in group I. * Patients not treated with systemic TKIs
Exclusion criteria
* Patients presented with liver tumors other than HCC. * Patients with Child-Pugh grade C for liver function. * Patients with other malignancies. * Patients with chronic inflammatory disorders. * Patients with severe organ dysfunction such as heart, lung, and kidney. * Patients who cannot tolerate or are allergic to sorafenib. * Patients with severe coagulation dysfunction were uncorrectable. * Age less than 18 years old.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Vascular Endothelial Growth Factor A (VEGFA) genotyping | At Baseline, 3 month, and 6 month after treatment. | Genetic polymorphism of VEGFA |
| Kinase insert domain receptor (KDR) genotyping | At Baseline, 3 month, and 6 months after treatment. | Genetic polymorphism of KDR |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Kidney function tests | At Baseline 3 month, and 6 months after treatment. | Determination of Serum creatinine concentration |
| Tumor markers | At Baseline, 3 month, and 6 month after treatment. | Determination of serum Alpha-Fetoprotein, AFP-L3 |
| Safety outcome | At Baseline, 3 month, and 6 months after treatment. | Incidence of side effects such as (diarrhea, anorexia, nausea, vomiting, hand and foot syndrome) |
| Liver function tests. | At Baseline 3 month, and 6 months after treatment. | Determine serum level of ALT and AST |
| Complete blood culture | At Baseline 3 month, and 6 months after treatment. | Determination of hemoglobin concentration |
Countries
Egypt