A Prospective Randomized Trial Comparing Partial Hepatectomy and TACE Plus PEI for Small Hepatocellular Carcinoma
March 30, 2016 updated by: ShenFeng, Eastern Hepatobiliary Surgery Hospital
Presently,the diagnostic method of small hepatocellular carcinoma has been greatly elevated in China.The treatment is being from simplification to diversification,from entirety to individualization.Confronting small hepatocellular carcinoma,we not select simple operation treatment but select a treatment that have more predominance and more fitting with patients in various kinds of treatment methods;including operation ,TACE,PEI,et al.which is better ?
There are many arguments.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
randomly put in group standard:
- via clinical diagnosis and confirm it is primary liver cancer, and not accept any anticancer treatment.
- age: 18-70 years.
- early hepatocyte cancer，which is single focus of infection diameter ≤ 3 cm.
- estimate tumor can gain treatment of curing operation or TACE plus PEI.
- better liver function (Child-Pugh，class A or B).
Case loads: 160 residents with small hepatocellular carcinoma in China
Therapeutic regimen: under normal rules, the operation group open abdomen to perform operation through subtotal incision while the patient has been general anesthesia with trachea cannula. The operation range on hepatic tissue of un-tumor tissue around tumor should maintain at least 1cm. As for the micro-create treatment combination group, taking TACE all through arteria cruralies super-elect arteria hepatica and injecting MITO、FUDR、iodipin. By B transonogram guiding to nyxis liver biopsy,and perform per cutem absolute alcohol injection treatment.
Research end-point:
- ensemble life span.To compare 1、2 and 3 year overall survival rate in hepatectomy and TACE plus PEI for small hepatocellular carcinoma
- intraliver recurrence rate; distant metastasis rate; non-tumor life span; band tumor life span
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Study Type
Interventional
Enrollment (Actual)
160
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Shanghai
-
Shanghai, Shanghai, China
- Eastern Hepatobiliary Surgery Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 70 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- via clinical diagnosis and confirm it is primary liver cancer, and not accept any anticancer treatment.
- age:18-70years
- early hepatocyte cancer，which is single focus of infection diameter ≤3cm.
- estimate tumor can gain treatment of curing operation or micro-create treatment combineation
- better liver function (Child-Pugh，class A or B)
Exclusion Criteria:
- reject to attend；
- impossible to come to our hospital for physical examination regularly.
- cancer epitome、seed focus、lymph node or distant metastasis
- Blood clotting function hindrance;
- serious heart、lung、kidney disease.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: survival rate
therapeutic effect of partial hepatectomy or TACE plus PEI for small hepatocellular carcinoma
|
Under normal rules, the operation group open abdomen to perform operation through subtotal incision while the patient has been general anesthesia with trachea cannula.
The operation range on hepatic tissue of un-tumor tissue around tumor should maintain at least 1cm.
As for the micro-create treatment combination group, taking TACE all through arteria cruralies super-elect arteria hepatica and injecting MITO、FUDR、iodipin.
By B transonogram guiding to nyxis liver biopsy,and perform per cutem absolute alcohol injection treatment.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
overall survival
Time Frame: 2010
|
2010
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Study Chair: shen feng, MD, Eastern Hepatobiliary Surgery Hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
August 1, 2008
Primary Completion (Actual)
August 1, 2009
Study Completion (Actual)
August 1, 2010
Study Registration Dates
First Submitted
January 15, 2009
First Submitted That Met QC Criteria
January 17, 2009
First Posted (Estimate)
January 21, 2009
Study Record Updates
Last Update Posted (Estimate)
April 1, 2016
Last Update Submitted That Met QC Criteria
March 30, 2016
Last Verified
March 1, 2016
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- EHBH-RCT-2008-003
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