An interventional study of Combined Treatment in Hepatocellular Carcinoma, sponsored by The National Ribat University. Status unknown at 1 site in Sudan. Open to participants aged 15 Years to 75 Years. Per ClinicalTrials.gov, last updated 2019-05-14.
Sponsored by The National Ribat University · Not applicable, Interventional, and Treatment
Assessment of the long-term outcome of combined ipsilateral liver lobe devascularization (ILAD) and alcohol injection of the large hepatocellular carcinoma (HCC): single center non-randomized trial.
Assessment of the overall (OS); one year; two years and three years' survival rates; the disease free survival (DFS) and the tumor response rate in the patients undergoing Combined Ipsilateral Liver Lobe Devascularization and Alcohol Treatment (CILDAT) of the Large HCC. This is a prospective non randomized trial carried out at the Ribat University Hospital between May 2017 to April 2020.
Exclusion Criteria:
The Combined Treatment: patients undergo a surgical operation of ipsilateral liver lobe devascularization and four weeks later after the operation percutaneous alcohol injection sessions.
Procedure: Combined Treatment
This modality of palliative treatment includes initial surgical operation where arterial vascular supply of the tumor carrying liver lobe of the corresponding hepatic artery as well as the extrahepatic collateral arteries (EHCAs) feeding the large HCC (\> 5 cms size) under general anesthesia. Four weeks after the operation the tumor is injeted (intralesionally and intravascularly) with absolute ethanol alcohol injections on regular weekly percutaneous sessions until the tumor become saturated and its vascularity rendered inactive.
Also known as: CILDAT
Overall survival rate
The percentage of patients who are still alive for three years after they started CILDAT for their large HCC.
Time frame: 3 years
Disease free survival
Percentage of HCC patients who are alive and well (without a recurrence of their HCC) 3 years after CILDAT
Time frame: 3 years
Major complications' rate
Incidence of post CILDAT Clavien-Dindo comlicatins grade 3b or more.
Time frame: 3 years
Major toxicity rate
Incidence of post CILDAT Common Terminology Criteria for Adverse Events (CTCAE v4.03) grade
Time frame: 3 years
Tumor response rate
Mean percentage reduction in the sizes of the patients' tumors
Time frame: 3 years
Plan to share: No
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The National Ribat University