UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004963
Receipt number R000005908
Scientific Title A prospective randomized controlled trial of preoperative transarterial chemoembolization of the selective, whole liver or no preoperative transarterial chemoembolization for hepatocellular carcinoma
Date of disclosure of the study information 2011/01/26
Last modified on 2011/01/26 19:45:58

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Basic information

Public title

A prospective randomized controlled trial of preoperative transarterial chemoembolization of the selective, whole liver or no preoperative transarterial chemoembolization for hepatocellular carcinoma

Acronym

Preoperative TACE vs. no preoperative TACE for HCC

Scientific Title

A prospective randomized controlled trial of preoperative transarterial chemoembolization of the selective, whole liver or no preoperative transarterial chemoembolization for hepatocellular carcinoma

Scientific Title:Acronym

Preoperative TACE vs. no preoperative TACE for HCC

Region

Japan


Condition

Condition

A primary hepatocellular carcinoma case

Classification by specialty

Hepato-biliary-pancreatic medicine Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

We previously reported that preoperative chemolipiodolization of the whole liver is effective for reducing the incidence of postoperative recurrence and prolonging survival in patients with respectable hepatocellular carcinoma (HCC). We conducted a randomized controlled trial to evaluate the effects of preoperative transcatheter arterial chemoembolization (TACE) on survival after resection of HCC.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

Overall survival

Recurrence-free survival

Key secondary outcomes

Preoperative liver function
Types of recurrence
Therapeutic choice for primary recurrence


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

Preoperative transarterial chemoembolization of whole liver for hepatocellular carcinoma

Interventions/Control_2

Preoperative transarterial chemoembolization of the selective liver for hepatocelullar carcinoma

Interventions/Control_3

No preoperative transarterial chemoembolization for hepatocellular carcinoma

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)no preceded treatment
2)no extrahepatic lesion or major vascular invasion
3)performance status 0-2
4) bone marrow function and
hepatic/renal functions are well
maintained
a)White blood cell count: 2000-
10000/mm3
b)Platelet count of 50000/mm3 or more
c)Hemoglobin of 8.0g/dL or more
d)Serum total bilirubin of 2.0mg/dL or
less
e)Prothronbin time of 50% or more
f)Serum creatinine of 1.5mg/dL or less
g)Blood urea nitrogen of 35mg/dL or less

Key exclusion criteria

1) Double cancer or history of other
malignancy within 5 years after diagnosis
2) History of myocardial infarction or
unstable angina within 6 months prior to
registration
3) Patient with interstitial pneumonia,
pneumofibrosis, or severe lung
emphysema
4) Patient who cannot undergo enhanced
CT scan due to some reason such as
allergy for iodized contrast media or
renal dysfunction
5) Patient with psychiatric disorder or
symptom
6) Pregnant patient or patient with
possibility to be pregnant

Target sample size

120


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masaki Kaibori

Organization

Kansai Medical University

Division name

Surgery

Zip code


Address

2-3-1 Shinmachi, Hirakata city, Osaka, Japan

TEL

072-804-0101

Email



Public contact

Name of contact person

1st name
Middle name
Last name Masaki Kaibori

Organization

Kansai Medical University

Division name

Surgery

Zip code


Address

2-3-1 Shinmachi, Hirakata city, Osaka, Japan

TEL

072-804-0101

Homepage URL


Email

kaibori@hirakatra.kmu.ac.jp


Sponsor or person

Institute

Departement of Surgery, Kansai Medical University

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



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

2011 Year 01 Month 26 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

There were no serious side effects in either TACE groups and the operative outcome did not differ among the three groups. Even though preoperative TACE induced complete tumor necrosis, no significant difference was observed in the pattern of intrahepatic recurrence or the recurrence time among three groups. There were no significant differences of disease-free survival and overall survival among three groups, even if the patients were stratified with regard to preoperative tumor size.

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

2003 Year 12 Month 01 Day

Date of IRB


Anticipated trial start date

2004 Year 01 Month 01 Day

Last follow-up date

2007 Year 06 Month 01 Day

Date of closure to data entry

2010 Year 06 Month 01 Day

Date trial data considered complete

2010 Year 06 Month 01 Day

Date analysis concluded

2010 Year 12 Month 01 Day


Other

Other related information



Management information

Registered date

2011 Year 01 Month 26 Day

Last modified on

2011 Year 01 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005908


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name