Denne side blev automatisk oversat, og nøjagtigheden af ​​oversættelsen er ikke garanteret. Der henvises til engelsk version for en kildetekst.

Observation Study: Superselective Drug-Eluting Chemoembolization in Unresectable Intermediate and Advanced HCC Patients

4. september 2017 opdateret af: vghtpe user, Taipei Veterans General Hospital, Taiwan

Superselective Drug-Eluting Chemoembolization in Unresectable Intermediate and Advanced HCC Patients: Safety & Efficacy Registry in Taiwan (SUPER- Taiwan)

The purpose of this multicenter registry is to gather the safety, efficacy and survival data in intermediate and advanced HCC patients treated drug-eluting microsphere in Taiwan in order to provide clinical evidence in HCC management to physicians in the region, and to support the application of deTACE in treating advanced HCC patients.

Studieoversigt

Status

Ukendt

Betingelser

Detaljeret beskrivelse

The purpose of this multicenter registry is to gather the safety, efficacy and survival data in intermediate and advanced HCC patients treated drug-eluting microsphere in Taiwan in order to provide clinical evidence on deTACE in HCC management to physicians in the region, and to support the application of in treating advanced HCC patients.

  1. Primary Objective:

    To collect 1-year overall survival of chemoembolization with drug-eluting microsphere in intermediate and advanced HCC patients in Taiwan.

  2. Secondary Objectives:

    1. To evaluate the overall tumor response of chemoembolization with drug-eluting microsphere in intermediate and advanced HCC patients. The tumor response is according to Modified Response Evaluation Criteria in Solid Tumors (mRECIST) criteria.
    2. To evaluate the local tumor response (in the tumor(s) treated with drug-eluting microsphere) by chemoembolization with drug-eluting microsphere in intermediate and advanced HCC patients.
    3. To evaluate the safety profile of chemoembolization with drug-eluting microsphere in intermediate and advanced HCC patients.
  3. Exploratory Objectives:

    1. To evaluate the downstaging and downsizing potential of chemoembolization with drug-eluting microsphere in intermediate and advanced HCC patients to within Milan Criteria and to within Resection margin.
    2. To collect time-to-progression (TTP) and progress-free-survival (PFS) data of chemoembolization with drug-eluting microsphere in intermediate and advanced HCC patients.

Undersøgelsestype

Observationel

Tilmelding (Forventet)

120

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

      • Taipei, Taiwan, 11217
        • Rekruttering
        • Taipei Veterans General Hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

20 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Superselective Drug-Eluting Chemoembolization in Unresectable Intermediate and Advanced HCC Patients.

Beskrivelse

Inclusion Criteria:Patients must meet all of the following inclusion criteria in order to be entered into the study:

  • Age 20 or older.
  • Patient has signed informed consent.
  • Patient must have a diagnosis of hepatocellular cancer confirmed by AASLD and at least one of the following method:

    • Magnetic resonance imaging (MRI) with early enhancement and delayed enhancement washout of at least one solid liver lesion > 1 cm.
    • Contrast enhanced computed tomography (CT) with early enhancement and delayed enhancement washout of at least one solid liver lesion > 1 cm.
    • Histological confirmation is required for lesions with inconclusive features.
  • Patient must not be suitable for treatment by resection or percutaneous ablation at time of study entry.

    • Patients not suitable for ablation due to lesion location may be enrolled.
    • Patients with HCC recurrence but not suitable for resection or ablation maybe enrolled.
  • Patient MUST be with either BCLC stage B OR C, and meet the following criteria:

    • Stage Child-Pugh A or B AND
    • Performance status ECOG ≤ 1 WITH Vascular Invasion or WITHOUT Vascular invasion.
  • Patient has a life expectancy of at least 6 months.

Exclusion Criteria:If patients meet any of the following criteria they may not be entered into the study:

  • Current or previous treatment with chemo- or radiation therapy or sorafenib or drug-eluting chemoembolization (deTACE).
  • Patients with concurrent cancer except non-melanomatous skin cancer.
  • Female patients who are pregnant, breastfeeding, or premenopausal and not using an effective method of contraceptive.
  • Performance status ECOG > 1.
  • Child-Pugh Class C.
  • Occlusive tumor thrombus to the main portal trunk.
  • Active gastrointestinal bleeding.
  • Evidence of uncorrectable bleeding diathesis.
  • Extra-Hepatic spread of the HCC.
  • Encephalopathy not adequately controlled medically.
  • Presence of ascites not controlled medically.
  • Any contraindication for MRI/ CT (eg. metallic implants).
  • Allergy to contrast media that cannot be managed with prophylaxis.
  • Any contraindication to arteriography.
  • Any contraindication for doxorubicin administration.
  • Any contraindication for hepatic embolization. Porto-systemic shunt, or an arteriovenous shunt that cannot be adequately closed prior to chemoembolization. Hepatofugal blood flow. Serum creatinine > 2mg/dL. Other condition deemed exclusionary by physician. Uncorrectable impaired clotting.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Observationsmodeller: Kun etui
  • Tidsperspektiver: Fremadrettet

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Overall survival
Tidsramme: 1 year
To define all participants from the day of the first HepaSphere Treatment until end of study or death is reported, whichever comes first.
1 year

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Tumor Response
Tidsramme: 1 year
Tumor response will be assessed using modified Response Evaluation Criteria In Solid Tumors (mRECIST) criteria to evaluate tumor necrosis under CT/ MRI and will be presented as %.
1 year
Adverse Event (AE)
Tidsramme: 1 year
Adverse event will be accessed according to CTCAE 4.0 after treatments until end of study or death.
1 year

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Exploratory Objectives, Time-To-Progression (TTP)
Tidsramme: 1 year
To define all participants from the day of the first HepaSphere Treatment until tumor progression or death is first reported, whichever comes first.
1 year
Exploratory Objectives, Downstaging
Tidsramme: 1 year
Tumor staging will be accessed according to BCLC staging system and Milan criteria, and will be reviewed at follow-up until end of study or death.
1 year

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Efterforskere

  • Ledende efterforsker: Yi-Hsiang Huang, M.D. Ph.D., Taipei Veterans General Hospital, Taiwan

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

14. september 2016

Primær færdiggørelse (Forventet)

30. september 2019

Studieafslutning (Forventet)

30. september 2019

Datoer for studieregistrering

Først indsendt

4. august 2017

Først indsendt, der opfyldte QC-kriterier

4. september 2017

Først opslået (Faktiske)

6. september 2017

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

6. september 2017

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

4. september 2017

Sidst verificeret

1. september 2017

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • HEPA-Taiwan-001

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Hepatocellulært karcinom

Søg i lignende forsøg