Actively Recruiting

Phase 3
Age: 18Years - 75Years
All Genders
NCT05476432

HAIC With One-day FOLFOX vs. HAIC With Two-day FOLFOX for Unresectable HCC: a Non-inferiority Study

Led by Sun Yat-sen University · Updated on 2022-12-09

300

Participants Needed

3

Research Sites

218 weeks

Total Duration

On this page

Sponsors

S

Sun Yat-sen University

Lead Sponsor

G

Guangzhou No.12 People's Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

Hepatic arterial infusion chemotherapy (HAIC) with oxaliplatin\&5-fluorouracil was effective in unresectable hepatocellular carcinoma (HCC). The program of FOLFOX-HAIC in HCC was performed for 1 day (HAIC 1d) or 2 days (HAIC 2d). We hereby retrospectively compared the efficacy and safety between these two treatment regimens, and explored the predictive power of thymidylate synthase (TYMS), an enzyme involved in the DNA synthesis process and metabolism of fluorouracil. Patients with HCC staged BCLC A-B receive HAIC only, and patients with HCC staged BCLC C receive HAIC plus systemic treatment, such as sorafenib, A+T, lenvatinib.

CONDITIONS

Official Title

HAIC With One-day FOLFOX vs. HAIC With Two-day FOLFOX for Unresectable HCC: a Non-inferiority Study

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18 and 75 years
  • Karnofsky Performance Status (KPS) of 70 or higher
  • Diagnosis of hepatocellular carcinoma (HCC) according to European Association for the Study of the Liver criteria
  • HCC staged as BCLC A, B, or C based on Barcelona Clinic Liver Cancer system
  • At least one tumor lesion that can be accurately measured
  • Unresectable HCC confirmed by a panel of liver surgery experts
  • No cirrhosis or Child-Pugh class A cirrhosis only
  • Laboratory values meeting all of the following: platelet count ≥ 75,000/μL; hemoglobin ≥ 8.5 g/dL; total bilirubin ≤ 30 mmol/L; serum albumin ≥ 32 g/L; AST and ALT ≤ 6 times upper limit of normal; serum creatinine ≤ 1.5 times upper limit of normal; INR > 2.3 or normal PT/APTT; absolute neutrophil count > 1,500/mm3
  • Ability to understand the study protocol and provide written informed consent
Not Eligible

You will not qualify if you...

  • Clinically significant gastrointestinal bleeding within 30 days prior to study entry
  • Serious heart disease such as cardiac ventricular arrhythmias requiring anti-arrhythmic therapy
  • Signs of liver decompensation including ascites, gastrointestinal bleeding, or hepatic encephalopathy
  • Known HIV infection
  • History of organ transplant
  • Known or suspected allergy to study drugs or related agents
  • Bleeding disorders or any hemorrhage event greater than Grade 3 within 4 weeks before the first study drug dose
  • Serious non-healing wounds, ulcers, or bone fractures
  • Known central nervous system tumors including brain metastases
  • Poor compliance preventing adherence to treatment and follow-up

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 3 locations

1

The First People's Hospital of Foshan

Foshan, Guangdong, China, 510060

Actively Recruiting

2

Cancer Center Sun Yat-sen University

Guangzhou, Guangdong, China, 510060

Actively Recruiting

3

Guangzhou Twelfth People 's Hospita

Guangzhou, Guangdong, China, 510620

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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