Actively Recruiting

Phase 4
Age: 18Years - 75Years
All Genders
NCT06353126

DEB-TACE Prior to Liver Transplantation in the Treatment of HCC

Led by RenJi Hospital · Updated on 2024-10-18

40

Participants Needed

1

Research Sites

141 weeks

Total Duration

On this page

Sponsors

R

RenJi Hospital

Lead Sponsor

B

Boston Scientific Corporation

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of the study is to explore whether the usage of DEB-TACE (Drug-Eluting Bead Transarterial Chemoembolization) prior to living donor liver transplantation can prolong the recurrence-free survival in patients with hepatocellular carcinoma (HCC). It is a single-center, exploratory study. The patients scheduled for living donor liver transplantation receive DEB-TACE 2 weeks prior to the surgery. The primary outcome: Recurrence-free survival (RFS) The secondary outcome:1) Overall survival (OS);2) Pathological response rate (Pathological Response); 3) Proportion of patients completing living donor liver transplantation; 4) Adverse events related to DEB-TACE.

CONDITIONS

Official Title

DEB-TACE Prior to Liver Transplantation in the Treatment of HCC

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18 and 75 years
  • Diagnosed with viral hepatitis or cirrhosis according to AASLD standards using imaging and clinical history
  • Child-Pugh liver function score of grade A or B
  • Tumor located in the right lobe of the liver
  • Liver cancer meeting the "up to seven" criteria: tumor size plus number not exceeding 7
  • ECOG performance status score of 0 or 1
  • Scheduled for living donor liver transplantation as the first treatment
  • Signed informed consent form
Not Eligible

You will not qualify if you...

  • Presence of cancer thrombi in the main portal vein, vena cava, or main bile duct
  • Severe hepatic encephalopathy
  • Moderate to high risk pulmonary arterial hypertension (WHO Grade III-IV)
  • Severe allergy to contrast agents
  • Irreversible shunt between hepatic artery and hepatic vein
  • Special anatomical variations of portal vein (Asan type III)
  • Presence of tumors outside the liver (extrahepatic metastases)
  • Active hepatitis or severe infection at the time of study
  • Tumor spread or distant metastasis with expected survival less than 3 months
  • Kidney dysfunction with creatinine over 176.8 umol/L or low creatinine clearance below 30 ml/min
  • Low white blood cell count below 3.0x10^9/L or platelet count below 50x10^6/L that cannot be corrected
  • Unable to tolerate anesthesia due to severe infection, heart/lung problems, or stroke
  • Severe psychiatric illness
  • Any other condition deemed unsuitable by the investigator

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

Renji Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, China

Actively Recruiting

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Research Team

K

Kang He

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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