Status:

RECRUITING

Esophageal Varices Prophylaxis in Hepatocellular Carcinoma Treated With Atezolizumab and Bevacizumab

Lead Sponsor:

Tanta University

Conditions:

Esophageal and/or Gastric Varices

Hepatocellular Carcinoma (HCC)

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The goal of this prospective cohort study is to evaluate the progression of esophagogastric varices in patients treated with atezolizumab-bevacizumab. Assess the efficacy of primary prophylaxis of sma...

Eligibility Criteria

Inclusion

  • Patients with confirmed advanced HCC (Diagnosed by two imaging modalities or liver biopsy) eligible for atezolizumab-bevacizumab therapy.
  • Patients with preserved liver function (compensated Child-Pugh A if there is underlying cirrhosis).
  • Patients with performance status ≤2 at staging work-up.
  • Patients with no or grade 1 non-risky esophageal varices on pretreatment endoscopic examination.

Exclusion

  • Child-Pugh class C patients.
  • Patients with performance status \>2 at staging work-up.
  • Vascular disorders and arterial hypertension.
  • Severe autoimmune disorders.
  • Patients who lost follow-up.
  • Pregnant or breastfeeding women.
  • Unwilling to participate in our study.

Key Trial Info

Start Date :

February 15 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 1 2026

Estimated Enrollment :

110 Patients enrolled

Trial Details

Trial ID

NCT06961526

Start Date

February 15 2025

End Date

July 1 2026

Last Update

May 8 2025

Active Locations (1)

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1

Tanta University Hospitals

Tanta, Gharbyea, Egypt, 31516