Actively Recruiting

Phase Not Applicable
Age: 18Years - 75Years
All Genders
NCT06622031

TIPS Combined With Lenvatinib and PD-1 Inhibitor for Advanced HCC With Main Trunk PVTT

Led by Sun Yat-sen University · Updated on 2025-01-13

42

Participants Needed

1

Research Sites

151 weeks

Total Duration

On this page

Sponsors

S

Sun Yat-sen University

Lead Sponsor

C

Chinese PLA General Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

Hepatocellular carcinoma (HCC) with main trunk portal vein tumor thrombus (PVTT) has poor prognosis. The main lethiferous factor is the upper gastrointestinal hemorrhage by PVTT-related portal hypertension, then the second is the tumor-caused death. It is vital to prevent the portal hypertension by PVTT.

CONDITIONS

Official Title

TIPS Combined With Lenvatinib and PD-1 Inhibitor for Advanced HCC With Main Trunk PVTT

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of primary HCC confirmed histologically or clinically
  • Presence of PVTT with III-IV grade by Cheng's criteria
  • PVTT-induced portal hypertension
  • With or without PVTT-induced acute variceal bleeding
  • Limited metastases: no more than five sites and involvement of no more than two organs
  • No more than five intrahepatic tumors
  • Receiving Lenvatinib and PD-1 inhibitor as first-line systemic therapy
  • Classified as Child-Pugh class A or B
  • ECOG performance status of 0 to 2
  • No history of other malignancies
  • Agree to participate in the clinical trial
  • Blood counts and liver/kidney function within specified limits (e.g., hemameba ≥3.0 x10^9/L, neutrophil ≥1.5 x10^9/L, hemoglobin ≥10.0 g/L, platelets ≥100 x10^9/L, ALT, AST, bilirubin ≤1.5 times normal, GFR ≥60 ml/min)
Not Eligible

You will not qualify if you...

  • Recurrent HCC
  • PVTT at I-II grade by Cheng's criteria
  • Age under 18 or over 75 years
  • Advanced HCC with more than five metastases
  • More than five intrahepatic tumors
  • No response to Lenvatinib
  • Life expectancy less than 3 months

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Chinese PLA General hospital

Beijing, None Selected, China, 100853

Actively Recruiting

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Research Team

Q

Qunfang Zhou, MD

CONTACT

F

Feng Duan, MD

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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