CClinicalTrials.gg
Status unknownNCT01861912ACTIONUpdated Jun 5, 2013

Arsenic Trioxide TACE and Intravenous Administration in Unresectable Hepatocellular Carcinoma

A Phase 2/3 interventional study of Arsenic trioxide TACE and Arsenic trioxide intravenous infusion in Carcinoma, Hepatocellular, sponsored by Guangdong Provincial People's Hospital. Status unknown. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2013-06-05.

Sponsored by Guangdong Provincial People's Hospital · Phase 2/3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jun 2013), so the status shown — last known as Enrolling by invitation — may be out of date.
Phase
Phase 2/3
Study type
Interventional
Enrollment
258
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to determine whether compared with arsenic trioxide TACE alone, arsenic trioxide TACE and intravenous administration could further prolong the overall survival.

02

Conditions studied

  • Carcinoma, Hepatocellular

Keywords

  • Carcinoma, Hepatocellular
  • Arsenic trioxide
03

In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's planned enrollment of 258 is above the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Guangdong Provincial People's Hospital is the lead sponsor of 231 studies on the registry; 101 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Having signed informed consent;
  • Histological or clinical diagnosis of hepatocellular carcinoma(HCC);
  • The target lesion should had at least one diameter line available for measurement, with the maximum diameter ≥5cm and ≤10cm;
  • Barcelona Clinic Liver Cancer staging B or C;
  • Child-Pugh liver function class: score≤7;
  • Eastern Cooperative Oncology Group performance 0 or 1;
  • At least 12 weeks life expectancy;
  • Never received systemic treatment, such as oral molecularly targeted drugs and systemic chemotherapy;
  • Be able to abide by the treatment and follow-up plan;
  • Adequate results for laboratory tests, including:

    1. Neutrophil count≥1.5×109/L, platelet count≥60×109 /L; hemoglobin≥85g/L;
    2. Total bilirubin≤51.3 μmol/L, albumin≥28 g/L,and alanine aminotransferase and aspartate aminotransferase≤5 times the upper limit of the normal range;
    3. Amylase and lipase≤1.5 times the upper limit of the normal range
    4. Serum creatinine≤20 g/L
    5. Prothrombin time international normalized ratio ≤1.7; or prothrombin time≤4seconds above control;
    6. Left ventricular ejection fraction≥50% according to two-dimensional echocardiography;
  • Contraception: during the trail and 12 weeks after the withdrawal, female of childbearing age (WOCBP), WOCBP whose male partners receive study drug or male must use appropriate contraceptive to avoid pregnancy;

Exclusion criteria

Exclusion Criteria:

  • Disease should be excluded:

    1. CT / MRI showed diffuse lesions;
    2. Extrahepatic metastasis (metastasis in lungs not included);
    3. Invasion in the main portal vein / vena cava or other major vascular;
    4. Previous shunt surgery;
    5. PreviousTACE or transarterial embolization for HCC, unless there is a untreated lesion;
    6. Hepatic encephalopathy in the past or present;
    7. Current ascites requiring treatment;
  • Medical history and concomitant diseases:

    1. Previous or current cancer other than HCC, unless it is cervical carcinoma in situ, treated basal cell carcinoma, superficial bladder tumors (Ta, Tis and T1). Cancer having received curative treatment 5 years ago will not be excluded;
    2. Disease history in the cardiovascular system as the following:

    (a)Uncontrolled hypertension;(b)Congestive heart failure in New York Heart Association grade 3 or 4; (c)Active coronary artery disease within 12 months, unstable angina or newly diagnosed angina/myocardial infarction;(d)Arrhythmia requiring drugs other than β-blockers and digoxin;(e)Valvular heart disease ≥ CTCAE grade 2; c) Corrected QT interval (Fridericia)> 450 ms confirmed by 2 ECGs in a row d) Thrombotic or embolic events within 6 months, e) Gastrointestinal bleeding within 6 months; f) Unstable and / or active stomach ulcer within 6 months, unless gastroscopy showed it to be fully recovered; g) Variceal bleeding within 6 months; h) Unhealed wound or ulcer, fracture within 3 months; i) Major surgery, open biopsy, or severe trauma within 3 weeks; j) History of organ transplant or subjects in the transplant waiting list; k) Uncontrolled abnormal thyroid function; l) HIV infection; m) Active or untreated hepatitis B;

  • laboratory tests unsuitable for the enrollment:

    1. Hyponatremia, serum sodium \<130 mmol / L;
    2. Hypokalemia, serum potassium \<3.5 mmol / L;
  • Allergic reactions to arsenic trioxide and any other drugs used in this trail;
  • Forbidden therapies and/or drugs:

    1. Condensation treatment (e.g., warfarin or heparin);
    2. Chronic antiplatelet therapy (Aspirin ≥ 300 mg / day; clopidogrel ≥ 75 mg / day);
    3. Radiotherapy within 4 weeks;
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
258 participants (estimated)

Study arms

  • Active comparator
    Arsenic trioxide TACE

    Arsenic trioxide TACE: arsenic trioxide powder 20mg dissolved in lipiodol(the dosage of lipiodol is decided according to the volume of the target lesion)is used for transcatheter arterial chemoembolization(TACE). TACE will be repeated after 4\~6 weeks if it is necessary according to the assessment from imaging modalities.

    Device: Arsenic trioxide TACE · Drug: lipiodol

  • Experimental
    Arsenic trioxide TACE+IV

    1. Arsenic trioxide TACE: arsenic trioxide powder 20mg dissolved in lipiodol(the dosage of lipiodol is decided according to the volume of the target lesion)is used for transcatheter arterial chemoembolization(TACE). TACE will be repeated after 4\~6 weeks if it is necessary according to the assessment from imaging modalities. 2. Arsenic trioxide intravenous infusion: arsenic trioxide powder 0.15mg/Kg/d(maxim 10mg/d) dissolved in 250ml 0.9% sodium chloride solution is used for intravenous infusion.Every course will last for 3 weeks and the next course will be continued after 1 week suspension.Intravenous infusion will be suspended 3 days before and 7\~14 days after TACE.

    Device: Arsenic trioxide TACE · Drug: Arsenic trioxide intravenous infusion · Drug: lipiodol · Drug: NaCl solution

Interventions

  • DeviceArsenic trioxide TACE

    Arsenic trioxide powder 20mg dissolved in lipiodol(the dosage of lipiodol is decided according to the volume of the target lesion)is used for transcatheter arterial chemoembolization(TACE). TACE will be repeated after 4\~6 weeks if it is necessary according to the assessment from imaging modalities

  • DrugArsenic trioxide intravenous infusion

    Arsenic trioxide intravenous infusion: arsenic trioxide powder 0.15mg/Kg/d(maxim 10mg/d) dissolved in 250ml 0.9%NaCl solution is used for intravenous infusion.Every course will last for 3 weeks and the next course will be continued after 1 week suspension.Intravenous infusion will be suspended 3 days before and 7\~14 days after TACE.

  • Druglipiodol

    Lipiodol is used to dissolve arsenic trioxide for TACE,with the dosage decided according to the volume of the target lesion.

  • DrugNaCl solution

    250ml NaCl solution is used to dissolve the arsenic trioxide for intravenous infusion.

06

What researchers measure

Primary outcomes

  1. Time to Progression

    Time to progression in our study is defined as the time from a patient's enrollment to the time for disease progression (according to Recist1.1).

    Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 2 years.

Secondary outcomes

  1. Overall Survival

    Overall survival in our study is defined as the time from a patient's enrollment to the time for death.

    Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 2 years.

  2. Quality of Life

    Quality of life is assessed according to the FACT-Hep questionnaire.

    Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 2 years.

  3. Safety

    Safety of our treatment plan will be assessed according to the Common Terminology Criteria for Adverse Events(CTCAE) 3.0

    Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 2 years.

Other outcomes

  1. Extrahepatic Metastasis Rate

    Extrahepatic metastasis rate is defined as the proportion of the extrahepatic metastasis for patients who were absent of extrahepatic metastasis at enrollment.

    Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 2 years.

  2. Recurrence Rate

    Recurrence rate is defined as the proportion of the recurrence in the patients.

    Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 2 years.

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 5, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01861912
Lead sponsor
Guangdong Provincial People's Hospital
Responsible party
Ligong Lu (MD, Guangdong Provincial People's Hospital) — Principal investigator
First posted
May 24, 2013
Start date
Jun 2013
Primary completion
Jun 2016 (estimated)
Completion
Dec 2016 (estimated)
Last update
Jun 5, 2013

Study contacts

Ligong Lu, Doctor
principal investigator · Guangdong Provincial People's Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jun 2013. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion