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WithdrawnNCT00238160Updated May 30, 2013

Surgery With or Without Hepatic Arterial Chemotherapy in Treating Patients With Liver Cancer

A Phase 3 interventional study of cisplatin and fluorouracil in Localized Resectable Adult Primary Liver Cancer and Stage III Childhood Liver Cancer, sponsored by Kyoto University. Withdrawn at 4 sites in Japan. Per ClinicalTrials.gov, last updated 2013-05-30.

Sponsored by Kyoto University · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
0
Sex
All
01

Study summary

RATIONALE: Drugs used in chemotherapy, such as fluorouracil and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving drugs directly into the arteries around the tumor may kill more tumor cells. Giving chemotherapy after surgery may kill any remaining tumor cells. It is not yet known whether surgery and hepatic arterial chemotherapy are more effective than surgery alone in treating patients with liver cancer that has spread to the portal vein.

PURPOSE: This randomized phase III trial is studying surgery and hepatic arterial chemotherapy to see how well they work compared to surgery alone in treating patients with liver cancer that has spread to the portal vein.

Read the detailed description

OBJECTIVES:

  • Compare the efficacy of surgical resection with vs without postoperative hepatic arterial chemotherapy in patients with hepatocellular carcinoma and portal vein tumor thrombus.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to grade of portal invasion and Child-Pugh classification. Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients undergo macroscopic curative resection. Within 28 days after surgery, patients without post-surgery complications undergo hepatic arterial infusion comprising fluorouracil and cisplatin on days 1-5, 8-12, and 15-19. Treatment continues for 6 months.
  • Arm II: Patients undergo macroscopic curative resection.

PROJECTED ACCRUAL: A total of 100 patients (50 per treatment arm) will be accrued for this study.

02

Conditions studied

  • Localized Resectable Adult Primary Liver Cancer
  • Stage III Childhood Liver Cancer

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03

In context

Liver Neoplasms

1,391 studies on the registry are indexed under Liver Neoplasms; 345 are open to participants now.

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Lead sponsor

Kyoto University is the lead sponsor of 20 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed hepatocellular carcinoma (HCC) with portal vein tumor thrombus
  • Tumor thrombus in the main trunk or first branch of the portal vein
  • No apparent distant metastases on chest CT scan and bone scintigraphy within the past 6 weeks
  • No pleural effusion or ascites

PATIENT CHARACTERISTICS:

Age

  • Not specified

Performance status

  • ECOG 0-1

Life expectancy

  • Not specified

Hematopoietic

  • Neutrophil count > 1,000/mm\^3
  • Platelet count > 50,000/mm\^3
  • Hemoglobin > 8 g/dL

Hepatic

  • Bilirubin \< 2 times upper limit of normal (ULN)
  • ALT and AST \< 4 times ULN

Renal

  • Creatinine normal

Cardiovascular

  • No severe heart disease
  • No cardiac effusion

Other

  • No other malignant disease
  • No high risk for esophageal varices rupture
  • No allergy to fluorouracil or cisplatin

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • No prior hepatic arterial chemotherapy
  • No prior systemic chemotherapy for HCC

Endocrine therapy

  • Not specified

Radiotherapy

  • Not specified

Surgery

  • Not specified
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Enrollment
0 participants (actual)

Interventions

  • Drugcisplatin
  • Drugfluorouracil
  • Procedureadjuvant therapy
  • Procedurechemotherapy
  • Procedureconventional surgery
  • Procedurehepatic arterial infusion
  • Proceduresurgery
06

Study locations

4 sites
  • Kyoto Prefectural University of Medicine
    Kyoto, 602-8566, Japan
  • Kyoto City Hospital
    Kyoto, 604-8845, Japan
  • Kyoto University Hospital
    Kyoto, 606-8501, Japan
  • Kyoto-Katsura Hospital
    Kyoto, 615-8256, Japan
07

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 30, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT00238160
Lead sponsor
Kyoto University
First posted
Oct 13, 2005
Last update
May 30, 2013

Study contacts

Iwao Ikai, MD
study chair · Kyoto University Hospital
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Jul 2006. You cannot join it, but the record below documents what was studied.

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