- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04434989
SBRT Versus Ablation for Perivascular Hepatocellular Carcinoma (SAIL)
June 15, 2020 updated by: Ming Kuang, Sun Yat-sen University
Stereotactic Body Radiotherapy Versus Ablation for Perivascular Hepatocellular Carcinoma: A Phase 2, Multicenter, Randomized Controlled Trial
This trial is a multi-center, phase III, randomized (1:1) clinical trial.
The aim is to explore the efficacy and safety of SBRT for perivascular hepatocellular carcinoma, compared with RFA.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
The primary endpoint is 1-year local recurrence rate and disease-free survival.
We planned to recruit 170 patients who diagnosed as perivascular hepatocellular carcinoma.
The patients will be randomized into SBRT group and RFA group as 1:1 ratio.
Study Type
Interventional
Enrollment (Anticipated)
170
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
-
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Guangdong
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Guangzhou, Guangdong, China, 510080
- Recruiting
- The First Affiliated Hospital of Sun Yat-sen University
-
-
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 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Primary hepatocellular carcinoma or recurrent hepatocellular carcinoma after curative treatment.
- Unifocal tumor ≤5cm
- Closed to great vessels (diameter ≥3mm)
- ECOG score 0-1
- Child-Pugh grade A or B7
- Sufficient liver and kidney function
Exclusion Criteria:
- Vascular invasion
- Extra-hepatic metastasis
- Received TACE before
- Inflammation of local skin
- Dysfunction of liver, kidney or bone marrow.
- Concomitant other malignant tumor or HIV infection
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: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Stereotactic Body Radiation Therapy
SBRT is defined as a special radiotherapy technique.
The high dose of radiotherapy is accurately injected into the tumor lesion in one to several times using external irradiation technique.
Then the tumor is exposed to high dose and the surrounding normal tissue to low dose.
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SBRT for perivascular HCC
Other Names:
|
|
Active Comparator: Radiofrequency Ablation
Percutaneous radiofrequency ablation to the tumor
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RFA for perivascular HCC
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
1-year local recurrence rate
Time Frame: 1 year
|
The rate of participants who have recurrence in treating area in 1 year to all the participants
|
1 year
|
|
Disease-free survival
Time Frame: 2 years
|
The duration between radomization and recurrence, progression or death
|
2 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall survival
Time Frame: 2 years
|
The duration between radomization and death
|
2 years
|
|
2-year recurrence rate
Time Frame: 2 years
|
The rate of participants who have recurrence in 2 years to all the participants
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2 years
|
|
Adverse events
Time Frame: 2 years
|
The incidence rate of severe adverse events
|
2 years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Wahl DR, Stenmark MH, Tao Y, Pollom EL, Caoili EM, Lawrence TS, Schipper MJ, Feng M. Outcomes After Stereotactic Body Radiotherapy or Radiofrequency Ablation for Hepatocellular Carcinoma. J Clin Oncol. 2016 Feb 10;34(5):452-9. doi: 10.1200/JCO.2015.61.4925. Epub 2015 Nov 30.
- Kang TW, Lim HK, Lee MW, Kim YS, Choi D, Rhim H. Perivascular versus nonperivascular small HCC treated with percutaneous RF ablation: retrospective comparison of long-term therapeutic outcomes. Radiology. 2014 Mar;270(3):888-99. doi: 10.1148/radiol.13130753. Epub 2013 Nov 22.
- Kim N, Cheng J, Jung I, Liang J, Shih YL, Huang WY, Kimura T, Lee VHF, Zeng ZC, Zhenggan R, Kay CS, Heo SJ, Won JY, Seong J. Stereotactic body radiation therapy vs. radiofrequency ablation in Asian patients with hepatocellular carcinoma. J Hepatol. 2020 Jul;73(1):121-129. doi: 10.1016/j.jhep.2020.03.005. Epub 2020 Mar 10. Erratum In: J Hepatol. 2020 Nov;73(5):1295-1296.
- Rajyaguru DJ, Borgert AJ, Smith AL, Thomes RM, Conway PD, Halfdanarson TR, Truty MJ, Kurup AN, Go RS. Radiofrequency Ablation Versus Stereotactic Body Radiotherapy for Localized Hepatocellular Carcinoma in Nonsurgically Managed Patients: Analysis of the National Cancer Database. J Clin Oncol. 2018 Feb 20;36(6):600-608. doi: 10.1200/JCO.2017.75.3228. Epub 2018 Jan 12.
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 (Actual)
June 1, 2020
Primary Completion (Anticipated)
June 1, 2025
Study Completion (Anticipated)
December 1, 2025
Study Registration Dates
First Submitted
June 15, 2020
First Submitted That Met QC Criteria
June 15, 2020
First Posted (Actual)
June 17, 2020
Study Record Updates
Last Update Posted (Actual)
June 17, 2020
Last Update Submitted That Met QC Criteria
June 15, 2020
Last Verified
June 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- HCC2020
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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