UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002083
Receipt number R000002540
Scientific Title A randomized controlled trial for the comparison of radiofrequency ablation with and without transcatheter arterial chemoembolization for patients with hepatocellular carcinoma
Date of disclosure of the study information 2009/06/18
Last modified on 2013/04/02 15:10:35

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Basic information

Public title

A randomized controlled trial for the comparison of radiofrequency ablation with and without transcatheter arterial chemoembolization for patients with hepatocellular carcinoma

Acronym

A randomized controlled trial for the comparison of radiofrequency ablation with and without transcatheter arterial chemoembolization for patients with hepatocellular carcinoma

Scientific Title

A randomized controlled trial for the comparison of radiofrequency ablation with and without transcatheter arterial chemoembolization for patients with hepatocellular carcinoma

Scientific Title:Acronym

A randomized controlled trial for the comparison of radiofrequency ablation with and without transcatheter arterial chemoembolization for patients with hepatocellular carcinoma

Region

Japan


Condition

Condition

hepatocellular carcinoma

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To clarify the efficacy of local disease control, the survival benefit, and safety of radiofrequency ablation combined with transcatheter arterial chemoembolization compared to radiofrequency ablation in hepatocellular carcinoma patients

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

Time to recurrence (TTR)

Key secondary outcomes

Overall survival (OS)
Safety


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration


Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

TACE-RFA group: Transcatheter arterial chemoembolization (TACE) was performed by selectively introducing a microcatheter into the right/left hepatic artery or tumor feeding arteries injecting epirubicin, lipiodol, and gelatin sponge. Within 24 hours after TACE, radiofrequency ablation (RFA) was performed percutaneously using multitined expandable electrodes or internally cooled electrodes.

Interventions/Control_2

RFA group: RFA was performed percutaneously using multitined expandable electrodes or internally cooled electrodes.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) The HCC diagnoses were confirmed by histological or clinical confirmation (Bruix, et al. Hepatology 2005).
2) Any prior anti-cancer therapy for HCC is exclusionary.
3) Male or female subjects >=20 years old
4) Single HCC, > 3 cm in diameter. Percutaneous radiofrequency ablation can be performed technically under ultrasonic guidance.
5) Laboratory parameters:
WBC < 12,000/mm3
Platelet >= 50,000/mm3
Hemoglobin >=9.5g/dL
AST and ALT <= 5 x upper limit of normal
Total bilirubin < 2.0mg/dL
Serum creatinin <= upper limit of normal
6) Life expectancy of at least 3 months
7) Cirrhotic status of Child-Pugh class A or B, and ECOG performance status of 0-2
8) Voluntary signed and dated written informed consent from all the patients was obtained.
9) Radiological evidence of HCC showing lesion arterial hypervascularity by dynamic contrast-enhanced computed tomography or abdominal angiography
10) Transcatheter arterial embolization can be performed technically

Key exclusion criteria

1) History of any other cancer curatively treated < 3years prior to study entry
2) Uncontrolled ascites or pleural effusion
3) Active clinically serious infection ( > grade 2 NCI)
4) Uncontrolled diabetes mellitus or ileus
5) Having with extrahepatic spread HCC tumors
6) Pregnant or breast-feeding patients
7)Known or suspected allergy to iodine or any agents given in this trial
8) Active coronary artery disease less than 3 months prior to study entry
9) Psychological conditions that may interfere with the patient's compliance and evaluation of the study results
10) Evidence of tumor thrombosis in hepatic veins, portal veins, and/or bile ducts
11) Evidence of arterio-portal shunting in liver

Any condition that is unstable or which
could jeopardize the safety of the subject and their compliance in this study

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Katsuaki Tanaka

Organization

Yokohama City University Medical Center

Division name

Gastroenterological Center

Zip code


Address

4-57, Urafune-cho, Minami-ku, Yokohama City, 232-0024, Japan

TEL

045-261-5656

Email



Public contact

Name of contact person

1st name
Middle name
Last name Manabu Morimoto

Organization

Yokohama City University Medical Center

Division name

Gastroenterological Center

Zip code


Address

4-57, Urafune-cho, Minami-ku, Yokohama City, 232-0024, Japan

TEL

045-261-5656

Homepage URL


Email

morimoto@urahp.yokohama-cu.ac.jp


Sponsor or person

Institute

Yokohama City University Medical Center
Gastroenterological Center

Institute

Department

Personal name



Funding Source

Organization

Yokohama Foundation for Advancement of Medical Science

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2009 Year 06 Month 18 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2005 Year 05 Month 18 Day

Date of IRB


Anticipated trial start date

2005 Year 09 Month 01 Day

Last follow-up date

2009 Year 08 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2009 Year 06 Month 16 Day

Last modified on

2013 Year 04 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002540


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name