Status:

UNKNOWN

A Prospective, Multicenter Clinical Trial of Safety and Effectiveness of Nanosecond Knife Ablation for Liver Cancer

Lead Sponsor:

First Affiliated Hospital of Zhejiang University

Collaborating Sponsors:

Shulan (Hangzhou) Hospital

The First Affiliated Hospital of Zhengzhou University

Conditions:

Liver Cancer

Eligibility:

All Genders

Phase:

NA

Brief Summary

This is a prospective, multi-center, single-arm clinical trial. Four hospitals with national medical clinical trial institution qualifications are selected as clinical trial centers. Qualified partici...

Detailed Description

The prospective, multi-center, single-arm clinical trial is to evaluate whether the nanosecond knife can achieve the effectiveness and safety of liver cancer ablation treatment. Four hospitals with na...

Eligibility Criteria

Inclusion

  • Liver malignant tumors with clear histopathology and cytology, or liver malignant tumors that meet clinical diagnosis and staging criteria.
  • Age: 18-75 years old, regardless of gender.
  • Liver function: Child-Pugh A or B, or Child C will reach B.
  • No serious heart, lung, brain and other organ dysfunction. Normal or nearly normal blood coagulation function. Prothrombin time does not exceed 50% of the normal control, and platelets are more than 50 × 109 / L.
  • It is usually suitable for single tumor with a maximum diameter of ≤5cm, or the number of tumors of ≤3 and a maximum diameter of ≤3cm.
  • For single tumors \> 5 cm in diameter that cannot be surgically removed, or multiple tumors with a maximum diameter \> 3 cm, local ablation can be used as p palliative comprehensive treatment.
  • According to CT and MRI, there are no macrovascular and bile duct invasions visible by the naked eye.
  • Patients signed informed consent to participate in the trial.

Exclusion

  • The lesion of liver cancer is huge or diffuse ;
  • Merged portal vein to secondary branch tumor thrombus or hepatic vein tumor thrombus, invasion of nearby organs or distant metastasis;
  • tumors located on the surface of the liver, of which more than 1/3 tumor size are bare;
  • liver function: Child-pugh C, those could not improve after liver protective treatment;
  • Esophageal (bottom of stomach) varices rupture and bleeding within 1 month before treatment;
  • Uncorrectable coagulation dysfunction and severe haematological abnormalities, who tend to severe bleeding;
  • Refractory large amount of ascites and cachexia;
  • active infection, especially inflammation of the biliary system;
  • Severe failure of major organs such as liver, kidney, heart, lung and brain;
  • Patients with unconsciousness or unable to cooperate with treatment;
  • Subjects could not be followed up and fell off;
  • Those who discontinued treatment, or the case records were incomplete for various reasons, and were determined by researchers to be unable to be evaluated.

Key Trial Info

Start Date :

April 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2022

Estimated Enrollment :

190 Patients enrolled

Trial Details

Trial ID

NCT04309747

Start Date

April 1 2020

End Date

December 1 2022

Last Update

March 17 2020

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