CClinicalTrials.gg
CompletedNCT02856126Updated Jul 23, 2024

HAIC Plus Sorafenib Versus TACE Plus Sorafenibfor Advanced HCC

A Phase 3 interventional study of Hepatic arterial infusion chemotherapy and Transarterial chemoembolization in Hepatocellular Carcinoma, sponsored by Sun Yat-sen University. Completed at 7 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-07-23.

Sponsored by Sun Yat-sen University · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
214
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of hepatic arterial infusion chemotherapy (HAIC) compared with transarterial chemoembolization (TACE) in patients with BCLC stage hepatocellular carcinoma (HCC).

Read the detailed description

Transarterial chemoembolization (TACE) is the most widely used palliative treatment for hepatocellular carcinoma (HCC) patients. Our previous prospective study also revealed that TACE confers a survival benefit to patients with HCC and portal venous tumor thrombus (PVTT). Recently, the results of our preliminary pilot study suggested that, compared with TACE, hepatic arterial infusion chemotherapy (HAIC) may improve the survivals for patitens with BCLC stage C HCC. Thus, the investigators carried out this prospective randomized control study to find out it.

02

Conditions studied

  • Hepatocellular Carcinoma

Keywords

  • Hepatic arterial infusion chemotherapy
  • Transarterial Chemoembolization
03

In context

Carcinoma

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

This study's enrollment of 214 is above the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Sun Yat-sen University is the lead sponsor of 1,644 studies on the registry; 602 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

  • The diagnosis of BCLC C stage HCC was based on the diagnostic criteria for HCC used by the European Association for the Study of the Liver (EASL)
  • Patients must have at least one tumor lesion that can be accurately measured according to EASL criteria.
  • with no previous treatment
  • No Cirrhosis or cirrhotic status of Child-Pugh class A only
  • Not amendable to surgical resection ,local ablative therapy and any other cured treatment.
  • The following laboratory parameters:

    • Platelet count ≥ 75,000/µL
    • Hemoglobin ≥ 8.5 g/dL
    • Total bilirubin ≤ 30mmol/L
    • Serum albumin ≥ 30 g/L
    • ASL and AST ≤ 5 x upper limit of normal
    • Serum creatinine ≤ 1.5 x upper limit of normal
    • INR ≤ 1.5 or PT/APTT within normal limits
    • Absolute neutrophil count (ANC) >1,500/mm3
  • Ability to understand the protocol and to agree to and sign a written informed consent document

Exclusion criteria

Exclusion Criteria:

  • Main portal vein occlusion
  • Evidence of hepatic decompensation including ascites, gastrointestinal bleeding or hepatic encephalopathy
  • Known history of HIV
  • History of organ allograft
  • Known or suspected allergy to the investigational agents or any agent given in association with this trial.
  • Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy
  • Evidence of bleeding diathesis.
  • Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry.
  • Any other hemorrhage/bleeding event > CTCAE Grade 3 within 4 weeks of first dose of study drug
  • Serious non-healing wound, ulcer, or bone fracture
  • Known central nervous system tumors including metastatic brain disease
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
214 participants (actual)

Study arms

  • Experimental
    HAIC plus sorafenib

    Procedure/Surgery: Hepatic arterial infusion chemotherapy Drug: HAIC Regimen Drug: Oral Sorafenib

    Procedure: Hepatic arterial infusion chemotherapy · Drug: HAIC Regimen · Drug: Oral Sorafenib

  • Active comparator
    TACE plus sorafenib

    Procedure/Surgery: Transarterial chemoembolization Drug: TACE regimen Drug: Oral Sorafenib

    Procedure: Transarterial chemoembolization · Drug: TACE regimen · Drug: Oral Sorafenib

Interventions

  • ProcedureHepatic arterial infusion chemotherapy
  • ProcedureTransarterial chemoembolization
  • DrugTACE regimen

    infusion with lipiodol mixed with chemotherapy drugs (EADM , lobaplatin, and MMC ), and embolization with polyvinyl alcohol particles (PVA)

  • DrugHAIC Regimen

    Hepatic intra-arterial infusion via the tumor feeding arteries of Oxaliplatin , fluorouracil, and leucovorin

  • DrugOral Sorafenib

    Oral Sorafenib, 400mg, Bid

06

What researchers measure

Primary outcomes

  1. Overall survival

    Overall survival

    Time frame: 18 months

Secondary outcomes

  1. Progress free survival

    Progress free survival

    Time frame: 18 months

  2. Adverse Events

    Number of adverse events. Postoperative adverse events were graded based on CTCAE v3.0

    Time frame: 30 Days

  3. Number of of Patients developed Adverse Events

    Number of of patients who developed adverse event. Postoperative adverse events were graded based on CTCAE v3.0

    Time frame: 30 Days

07

Study locations

7 sites
  • Dongguan People's Hospital
    Dongguan, Guangdong 523059, China
  • Cancer Center Sun Yat-sen University
    Guangzhou, Guangdong 510060, China
  • The First Affiliated Hospital, Sun Yat-sen University
    Guangzhou, Guangdong 510060, China
  • Guangzhou Twelfth People 's Hospital
    Guangzhou, Guangdong 510620, China
  • Kaiping Central Hospital
    Kaiping, Guangdong 529300, China
  • The First Affiliated Hospital of University Of South China
    Hengyang, Hunan 421001, China
  • The First Affiliated Hospital Of Xi'an Jiaotong University
    Xi'an, Shanxi 710061, China
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 23, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02856126
Lead sponsor
Sun Yat-sen University
Responsible party
Shi Ming (Proffessor, Sun Yat-sen University) — Principal investigator
First posted
Aug 4, 2016
Start date
Aug 2016
Primary completion
Oct 2020
Completion
Jul 2024
Last update
Jul 23, 2024

Study contacts

Ming Shi, MD
principal investigator · The Department of Hepatobiliary Oncology of Sun Yat-sen University Cancer Center

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2024. 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