Comparing Outpatient and Inpatient Care for Intra-arterial Treatment of Primary Liver Cancer Including Hepato Cellular Carcinoma and Intrahepatic Cholangiocarcinoma
Led by University Hospital, Angers · Updated on 2026-07-17
206
Participants Needed
19
Research Sites
52 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are comparing two ways of organizing care for patients with primary liver cancer, specifically Hepato Cellular Carcinoma HCC or intrahepatic cholangiocarcinoma iCCA. The study looks at outpatient ambulatory care versus conventional inpatient care for patients receiving transarterial chemoembolization TACE or transarterial radioembolization TARE. The goal is to assess patient satisfaction, safety, and clinical outcomes over a follow-up period of 7 months. The study also includes an evaluation of how well outpatient care can be adopted, its economic impact, and its potential for long-term use.
Participants receive either outpatient management with systematic telephone and nursing follow-up for 48 to 72 hours after treatment depending on the procedure, or conventional inpatient hospitalization for their radiological liver cancer treatment. A special re-hospitalization process is available for outpatient participants if complications occur. The study is randomized and multicenter, comparing these two care pathways side by side.
During the study, participants will be closely monitored through visits and follow-ups that include assessments of pain, comfort, quality of life, clinical complications, and treatment success. Researchers will also collect data on patient expectations, satisfaction factors, costs, and budget impact over several years. The main outcome is overall patient satisfaction measured 72 hours after the treatment procedure. Participation lasts through the treatment and includes follow-up visits up to 7 months after treatment.
CONDITIONS
Brief Title
Outpatient Versus Inpatient Care Pathway for Intra-arterial Treatment of Primary Liver Cancer (CHOC)
Research Team
C
Christophe AUBE, Pr
S
Sandra MERZEAU
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Diagnosis of Hepato Cellular Carcinoma (HCC) or intrahepatic cholangiocarcinoma (iCCA) confirmed by criteria or histology
Eligible for transarterial chemoembolization (TACE) or transarterial radioembolization (TARE)
No prior intra-arterial treatment of the same type planned in the study
Child-Pugh score less than B8 if proposed for TACE
No lobar or truncal portal obstruction or bile duct dilatation for TACE
No truncal portal tumor invasion and uni-lobar tumor invasion for TARE
Affiliated with or benefiting from a social security scheme
Signed informed consent form
You will not qualify if you...
Technical or morphological contraindications to treatment
Planned combined same-day treatments
Chronic renal insufficiency with clearance less than 30 ml/min
Known allergy to contrast or chemotherapy agents
Inability to participate in outpatient care or follow instructions
Previous participation in this study
Inability to be regularly monitored for psychological, social, family, or geographical reasons
Severe uncontrolled clinical conditions or infections
Pregnant, breastfeeding, or recently given birth
Legal restrictions such as judicial custody or compulsory psychiatric care
Unable to provide consent
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Treatment
Duration - Up to 7 months
Participants receive either outpatient management with follow-up calls and nursing support after treatment or conventional inpatient hospitalization for their liver cancer treatment.
Follow-up over 7 months after treatment
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
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Published Research Related To This Trial
Implementation and evaluation of an ambulatory care pathway for intra-arterial treatment of primary liver cancer: study protocol for a multicentre randomised controlled hybrid type 1 trial (CHOC).
Jules Grégory, Jean-François Hammel, Maxime Ronot...