Adjuvant Chemotherapy Based on the Adenosine Triphosphate Tumor Chemosensitivity Assay for Hepatocellular Carcinoma After Liver Transplantation
Study Details
Study Description
Brief Summary
This study is a randomized, open-label, controlled study that will explore the efficacy of individualized adjuvant chemotherapy based on the adenosine triphosphate tumor chemosensitivity assay for patients with hepatocellular carcinoma after liver transplantation.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Individualized Chemotherapy Two drug combination adjuvant chemotherapy based on the Adenosine Triphosphate Tumor Chemosensitivity(Oxaliplatin, Gemcitabine, Irinotecan, Paclitaxel,docetaxel, Fluorouracil,Doxorubicin,Cisplatin) |
Drug: Individualized Chemotherapy
Two drug combination adjuvant chemotherapy based on the Adenosine Triphosphate Tumor Chemosensitivity(Oxaliplatin, Gemcitabine, Irinotecan, Paclitaxel,docetaxel, Fluorouracil,Doxorubicin,Cisplatin)
|
Active Comparator: mFOLFOX6 Oxaliplatin (85 mg/m2 )+Fluorouracil (2800 mg/m2 ) q2w |
Drug: mFOLFOX6
Oxaliplatin,Fluorouracil
|
Outcome Measures
Primary Outcome Measures
- Desease free Survival [3 years]
Secondary Outcome Measures
- Overall Survival [3 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients who had experienced liver transplantation with histologically confirmed advanced hepatocellular carcinoma with more one risk factor (tumour burden >8 cm, AFP>400 ng/mL,poorly differentiated,vessels invasion )
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No extrahepatic metastasis confirmed with computed tomography (CT) or magnetic resonance imaging (MRI)
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Additional inclusion criteria were age 18 years or older
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Karnofsky performance status (KPS) of at least 70%
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Adequate renal function, defined as creatinine clearance greater than 30 mL/min)
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Adequate hepatic function, defined as ALT and AST less than 5× upper limit of normal
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Adequate bone marrow function, defined as platelets greater than 100×10E9/L and WBC greater than 3.5×10E9/L.
Exclusion Criteria:
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The presence of any severe concomitant disease that could interrupt the planned treatment; intractable pain
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Hypersensitivity to study drugs
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Serious cardiovascular disease (eg, unstable coronary artery disease or myocardial infarction within 4 weeks of study start)
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National Cancer Institute CommonToxicity Criteria (NCI-CTC) grade 3 or 4 sensory or motor neuropathy
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Prior or concurrent malignancy (other than pancreatic cancer)
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Female, pregnancy or breastfeeding.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | First affiliated hospital, Zhejiang University | Hangzhou | Zhejiang | China | 310006 |
Sponsors and Collaborators
- Zhejiang University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- ZYYYMedOncoLT02