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Trial Title: Applicability of 3D-HDRA in Patients With Primary Liver Cancer: A Randomized Controlled Trial

NCT ID: NCT05701436

Condition: Liver, Cancer of, Primary Resectable

Conditions: Official terms:
Liver Neoplasms
Leucovorin
Doxorubicin
Oxaliplatin
Fluorouracil
Raltitrexed

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: The test group received postoperative conventional treatment combined with precise transarterial chemoembolization based on 3D-HDRA results, and the control group received postoperative conventional treatment combined with Empirical transarterial chemoembolization.

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Oxaliplatin
Description: 130 mg per square body surface area for a total of four transcatheter hepatic artery infusions per month.
Arm group label: the control group
Arm group label: the test group

Intervention type: Drug
Intervention name: Doxorubicin
Description: 20 mg per square body surface area for a total of four transcatheter hepatic artery infusions per month.
Arm group label: the control group
Arm group label: the test group

Intervention type: Drug
Intervention name: Lobaplatin
Description: 50 mg per square body surface area for a total of four transcatheter hepatic artery infusions per month.
Arm group label: the control group
Arm group label: the test group

Intervention type: Drug
Intervention name: Cisplatin
Description: 50 mg per square body surface area was used for monthly transhepatic arterial infusions.
Arm group label: the control group
Arm group label: the test group

Intervention type: Drug
Intervention name: Oxaliplatin, Leucovorin, fluorouracil
Description: Oxaliplatin(130 mg per square body surface area), Leucovorin(400 mg per square body surface area), and fluorouracil(2800 mg per square body surface area) were used for monthly transhepatic arterial infusions.
Arm group label: the control group
Arm group label: the test group

Intervention type: Drug
Intervention name: Lobaplatin, Raltitrexed
Description: Lobaplatin(50 mg per square body surface area) and Raltitrexed(3 mg per square body surface area) were used for monthly transhepatic arterial infusions.
Arm group label: the control group
Arm group label: the test group

Summary: This Randomized Controlled Trial was to clarity the clinical feasibility of 3D-HDRA results in guiding the drug use of interventional chemotherapy after primary liver cancer surgery.

Detailed description: Data of Patients who received 3D-HDRA after primary liver cancer radical reaction and received Transarterial Chemoembolization #will be collected #excluding incomplete data. The primary endpoint was the one-year disease-free survival(DFS) rate #Secondary endpoint was the adverse event.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Patients voluntarily cooperated with the study and signed an informed consent form. 2. Any gender, age 18 or older, 75 or younger. 3. Patients who need to confirm the maximum tumor load (the maximum diameter of a single tumor lesion) before performing radical surgery; patients with a confirmed diagnosis of primary liver cancer after postoperative pathological histological examination. 4. Patients with R0 resection confirmed by imaging and pathology (no residual lesions and complete tumor resection after radical surgery). 5. Child-Pugh score of 5-7 (A or B), patients with a score of 7 must be free of ascites. 6. ECOG physical fitness status score of 0-1. 7. Women of childbearing age with a negative pregnancy test and willing to use effective contraception for the duration of the study. Exclusion Criteria: 1. Patients with recurrent liver cancer. 2. Patients with existing extrahepatic distant metastases (including local lymph node metastases or distant organ metastases: e.g., lung, brain, bone, etc.) at the time of diagnosis. 3. Treatment with other experimental drugs or other interventions after radical resection. 4. Patients with other malignant tumors that have not been cured within 5 years. 5. Patients with non-radical resections (R1 and R2 resections). 6. Patients with residual or recurrent lesions detected on imaging within 1-2 months after surgery. 7. Patients in whom death occurred within 30 days after surgery.

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Zhujiang Hospital of Southern Medical University

Address:
City: Guangzhou
Country: China

Status: Recruiting

Contact:
Last name: Mingxin Pan, Prof

Phone: 18928918216
Email: pmxwxy@sohu.com

Start date: September 1, 2022

Completion date: March 1, 2026

Lead sponsor:
Agency: Zhujiang Hospital
Agency class: Other

Source: Zhujiang Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05701436

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