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Treatment of Portal Vein Tumor Thrombus After Hepatocellular Carcinoma Resection

Primary Purpose

Hepatocellular Carcinoma

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
TACE
Laser ablation
Sponsored by
Eastern Hepatobiliary Surgery Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatocellular Carcinoma focused on measuring hepatocellular carcinoma, Portal vein tumor thrombus, laser ablation

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. PVTT after liver resection was diagnosed with at least two types of imaging findings, such as CT, MRI or color doplor findings.
  2. The functions of the kidney, heart and lung and the routine test of the blood are in good condition.
  3. The liver function is of grade A or B in Child-Pugh classification.
  4. The patient is eligible of the trial and will show consent to the test.

Exclusion Criteria:

  1. any of the parameters. WBC less than 2000/ml, Hb less than 90g/L or PLT less than 50000/ml.
  2. disfunction of the heart, lung, kidney, or brain.
  3. any other disease might affect the trial .
  4. the patients would not sign the consent to the trial.

Sites / Locations

  • Eastern Hepatobiliary Surgery Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

survival rate (TACE)

survival rate (TACE plus laser ablation)

Arm Description

to compare the effects of TACE and TACE plus laser ablation for treating patients with PVTT

to compare the effects of TACE and TACE plus laser ablation for treating patients with PVTT

Outcomes

Primary Outcome Measures

overall survival

Secondary Outcome Measures

the changes of the PVTT

Full Information

First Posted
January 16, 2009
Last Updated
March 30, 2016
Sponsor
Eastern Hepatobiliary Surgery Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT00825669
Brief Title
Treatment of Portal Vein Tumor Thrombus After Hepatocellular Carcinoma Resection
Official Title
A Randomized Controlled Trial of Treatment of Portal Vein Tumor Thrombus After Hepatocellular Carcinoma Resection
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
December 2008 (undefined)
Primary Completion Date
December 2009 (Actual)
Study Completion Date
December 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Eastern Hepatobiliary Surgery Hospital

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Hepatectomy is still the treatment of choice for hepatocellular carcinoma. Part of the patients may present portal vein tumor thrombus (PVTT) after resection. PVTT might lead to upper gastrointestinal bleeding and worsening of hypersplenism which will endanger the life of the patients. PVTT also plays the centre role of recurrence and metastasis of HCC. There is no standard treatment for PVTT yet. We aim to compare the effects of TACE and TACE plus laser ablation for treating patients with PVTT.
Detailed Description
Hepatectomy is still the treatment of choice for hepatocellular carcinoma, but the prognosis is not agreeable. Part of the patients may present portal vein tumor thrombus (PVTT) after resection. PVTT might further increase the pressure of portal vein and lead to upper gastrointestinal bleeding and worsening of hypersplenism which will endanger the life of the patients. PVTT also plays the centre role of recurrence and metastasis of HCC. There is no standard treatment available now for PVTT yet. TACE is mostly often used to treat the PVTT. We aim to compare the effects of TACE and TACE plus laser ablation for treating patients with PVTT.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatocellular Carcinoma
Keywords
hepatocellular carcinoma, Portal vein tumor thrombus, laser ablation

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
survival rate (TACE)
Arm Type
Active Comparator
Arm Description
to compare the effects of TACE and TACE plus laser ablation for treating patients with PVTT
Arm Title
survival rate (TACE plus laser ablation)
Arm Type
Active Comparator
Arm Description
to compare the effects of TACE and TACE plus laser ablation for treating patients with PVTT
Intervention Type
Drug
Intervention Name(s)
TACE
Other Intervention Name(s)
TAE
Intervention Description
TACE: The chemotherapeutic drugs and 2 to 10 ml lipiodol are given via hepatica propria artery. The chemotherapeutic drugs include 5-Fu 1500 mg, epirubicin 30 mg, cisplatin 30 mg.
Intervention Type
Procedure
Intervention Name(s)
Laser ablation
Other Intervention Name(s)
Microinvasive
Intervention Description
Laser ablation is given to the PVTT.
Primary Outcome Measure Information:
Title
overall survival
Time Frame
2010
Secondary Outcome Measure Information:
Title
the changes of the PVTT
Time Frame
2010

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: PVTT after liver resection was diagnosed with at least two types of imaging findings, such as CT, MRI or color doplor findings. The functions of the kidney, heart and lung and the routine test of the blood are in good condition. The liver function is of grade A or B in Child-Pugh classification. The patient is eligible of the trial and will show consent to the test. Exclusion Criteria: any of the parameters. WBC less than 2000/ml, Hb less than 90g/L or PLT less than 50000/ml. disfunction of the heart, lung, kidney, or brain. any other disease might affect the trial . the patients would not sign the consent to the trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
shen feng, M.D
Organizational Affiliation
Eastern Hepatobiliary Surgery Hospital Affiliated to Second Military Medical University
Official's Role
Study Chair
Facility Information:
Facility Name
Eastern Hepatobiliary Surgery Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200438
Country
China

12. IPD Sharing Statement

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Treatment of Portal Vein Tumor Thrombus After Hepatocellular Carcinoma Resection

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