TACE Combined With Methylcantharidimide Tablets in the Treatment of Large and Unresectable Hepatocellular Carcinoma

• Status: Unknown status
• Trial end date: 2021-02-01
• Target enrollment: 0
• Participant gender: All

Summary

The purpose of this study is to evaluate the efficacy and safety of transarterial chemoembolization (TACE) combined with methylcantharidimide tablets in the treatment of patients with large and unresectable hepatocellular carcinoma.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Suzhou Municipal Hospital

Criteria

Inclusion Criteria:

1. Age range from 18-75 years;

2. KPS≥70;

3. The diagnosis of HCC was based on the diagnostic criteria for HCC used by the European Association for the Study of the Liver (EASL);

4. Simultaneously staged as BCLC A or BCLC B based on Barcelona Clinic Liver Cancer staging system;

5. Patients must have at least one tumor lesion that can be accurately measured;

6. Solitary tumor with diameter ≥10cm, or multiple tumors, diameter of the largest was more than 7cm;

7. Diagnosed as unresectable with consensus by the panel of liver surgery experts,

8. Re commanded treated by TACE with consensus by the panel of liver multi-disciplinary treatment (MDT);

9. No past history of TACE, chemotherapy or molecule-targeted treatment;

10. No Cirrhosis or cirrhotic status of Child-Pugh class A only;

11. No liver protection therapy in 2 weeks before enrolled, and meet the following laboratory parameters:(a) Platelet count ≥ 75,000/μL; (b)Hemoglobin ≥ 8.5 g/dL;(c) Total bilirubin ≤ 30mmol/L;(d) Serum albumin ≥ 32 g/L;(e) Glutamic pyruvic transaminase (ALT) and glutamic oxalacetic transaminase (AST) ≤ 6 x upper limit of normal;(f) Serum creatinine≤ 1.5 x upper limit of normal;(g) international normalized ratio（INR）> 2.3 or prothrombin time (PT)/activated partial thromboplastin time (APTT) within normal limits; (h) Absolute neutrophil count (ANC) >1,500/mm3;

12. Ability to understand the protocol and to agree to sign a written informed consent document.

Exclusion Criteria:

1. Factors that affect oral administration, such as dysphagia, chronic diarrhea and intestinal obstruction;

2. Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry;

3. Known of serious heart disease which can nor endure the treatment such as cardiac ventricular arrhythmias requiring anti-arrhythmic therapy;

4. Evidence of hepatic decompensation including ascites, gastrointestinal bleeding or hepatic encephalopathy;

5. Known history of HIV;

6. History of organ allograft;

7. Known or suspected allergy to the investigational agents or any agent given in association with this trial;

8. Evidence of bleeding diathesis;

9. Any other hemorrhage/bleeding event > CTCAE Grade 3 within 4 weeks of first dose of study drug;

10. Serious non-healing wound, ulcer, or bone fracture;

11. Known central nervous system tumors including metastatic brain disease;

12. Poor compliance that can not comply with the course of treatment and follow up;

13. Factors that the researchers consider it not appropriate to be included