Study of Postoperative 3D-CRT/IMRT in Hepatocellular Carcinoma
Primary Purpose
Hepatocellular Cancer
Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
postoperative radiotherapy
Sponsored by
About this trial
This is an interventional treatment trial for Hepatocellular Cancer focused on measuring hepatocellular carcinoma, postoperative radiotherapy
Eligibility Criteria
Inclusion Criteria:
- written informed consent provided
- 18~75 years old
- patients with histopathological proved hepatocellular carcinoma received hepatectomy and had at least one risk factor of recurrence
- without any lymph node or distant metastasis (any T N0M0)
- liver function: Child-Pugh A or B
- Performance status: Karnofsky (KPS)≥70 or world health organization(WHO) score 0,1
- life expectation>6 months
- no dysfunction of major organs
- no prior radiotherapy
- negative for human immunodeficiency virus syndrome (HIV)
- Considerable to computed tomography(CT) simulation and 3D-CRT or IMRT
Exclusion Criteria:
- malignant tumors of other sits
- combining severe diseases, such as acute myocardial infarction(AMI), arrhythmias, infection
- surgery performed in other hospitals without details
- pregnant woman or woman need to breast feed or woman with positive chorionic gonadotrophin (HCG)
Sites / Locations
- Department of Radiation Oncology, Cancer Hospital, Chinese Academy of Medical Sciences
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
hepatectomy plus radiotherapy
Arm Description
Outcomes
Primary Outcome Measures
overall survival
the rate of overall survival for 3 year
Secondary Outcome Measures
local recurrence free survival
the rate of local recurrence free survival for 3 years
disease free survival
the rate of disease free survival for 3 years
Number of Participants with Adverse Events
Full Information
NCT ID
NCT01456156
First Posted
October 12, 2011
Last Updated
July 2, 2017
Sponsor
Chinese Academy of Medical Sciences
1. Study Identification
Unique Protocol Identification Number
NCT01456156
Brief Title
Study of Postoperative 3D-CRT/IMRT in Hepatocellular Carcinoma
Official Title
Phase 2 Study of Postoperative Three-dimensional Conformal Radiation Therapy/Intensive Modulated Radiation Therapy in Hepatocellular Carcinoma: a Single Center Prospective Study
Study Type
Interventional
2. Study Status
Record Verification Date
July 2017
Overall Recruitment Status
Completed
Study Start Date
January 2008 (Actual)
Primary Completion Date
January 2017 (Actual)
Study Completion Date
January 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Chinese Academy of Medical Sciences
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Hepatectomy is difficult when the tumor is adjacent to the big vessels of the liver and some patients can not receive radical resection. Such patients have high risk of recurrence. Tumor resection and postoperative radiation is an option for such patients to achieve radical treatment and radiation may reduce local recurrence.
Detailed Description
Patients with risk factors of recurrence receive postoperative radiotherapy using intensive modulated radiation therapy (IMRT) or three-dimensional conformal radiation therapy (3DCRT). The clinical target volume includes tumor bed. The dose will be 50-60Gy/25-30f. Overall survival, local-recurrence free survival, disease free survival and toxicity need be observed.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatocellular Cancer
Keywords
hepatocellular carcinoma, postoperative radiotherapy
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
76 (Actual)
8. Arms, Groups, and Interventions
Arm Title
hepatectomy plus radiotherapy
Arm Type
Experimental
Intervention Type
Radiation
Intervention Name(s)
postoperative radiotherapy
Other Intervention Name(s)
adjuvant radiotherapy
Intervention Description
IMRT or 3DCRT, 50-60Gy to the tumor bed
Primary Outcome Measure Information:
Title
overall survival
Description
the rate of overall survival for 3 year
Time Frame
3 year
Secondary Outcome Measure Information:
Title
local recurrence free survival
Description
the rate of local recurrence free survival for 3 years
Time Frame
3 years
Title
disease free survival
Description
the rate of disease free survival for 3 years
Time Frame
3 years
Title
Number of Participants with Adverse Events
Time Frame
3 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
written informed consent provided
18~75 years old
patients with histopathological proved hepatocellular carcinoma received hepatectomy and had at least one risk factor of recurrence
without any lymph node or distant metastasis (any T N0M0)
liver function: Child-Pugh A or B
Performance status: Karnofsky (KPS)≥70 or world health organization(WHO) score 0,1
life expectation>6 months
no dysfunction of major organs
no prior radiotherapy
negative for human immunodeficiency virus syndrome (HIV)
Considerable to computed tomography(CT) simulation and 3D-CRT or IMRT
Exclusion Criteria:
malignant tumors of other sits
combining severe diseases, such as acute myocardial infarction(AMI), arrhythmias, infection
surgery performed in other hospitals without details
pregnant woman or woman need to breast feed or woman with positive chorionic gonadotrophin (HCG)
Facility Information:
Facility Name
Department of Radiation Oncology, Cancer Hospital, Chinese Academy of Medical Sciences
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100021
Country
China
12. IPD Sharing Statement
Citations:
PubMed Identifier
34097307
Citation
Chen B, Wu JX, Cheng SH, Wang LM, Rong WQ, Wu F, Wang SL, Jin J, Liu YP, Song YW, Ren H, Fang H, Tang Y, Li N, Li YX, Wang WH. Phase 2 Study of Adjuvant Radiotherapy Following Narrow-Margin Hepatectomy in Patients With HCC. Hepatology. 2021 Nov;74(5):2595-2604. doi: 10.1002/hep.31993. Epub 2021 Sep 16.
Results Reference
derived
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Study of Postoperative 3D-CRT/IMRT in Hepatocellular Carcinoma
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