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RecruitingNCT05703750Updated May 31, 2023

Impact of Clinical Evident Portal Hypertension on HCC With TACE (CHANCE-CHESS 2301)

An observational study in Hepatocellular Carcinoma and Portal Hypertension, sponsored by Zhongda Hospital. Recruiting at 2 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-05-31.

Sponsored by Zhongda Hospital · Observational

From the registry’s dates

  • Primary completion was expected by Jun 2023, 3 years 3 months ago, but the record still lists the study as recruiting.
  • Started May 2023; still recruiting 3 years 5 months later.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
228
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to discuss the prognostic value of CEPH among HCC patients underwent TACE treatment, its impact on overall survival, and try to stratify patient cohorts for a better treatment strategy.

Read the detailed description

Hepatocellular carcinoma (HCC) is the sixth most common cancer worldwide and the second leading cause of cancer-related deaths globally. Transarterial chemoembolization (TACE) is recommended as standard therapy for intermediate-stage HCC according to the current guidelines and is also the most widely used in advanced HCC in real-world practice. Clinically relevant portal hypertension increases the risk of hepatic decompensation, which impairs survival in patients with HCC. The purpose of this study is to discuss the prognostic value of CEPH among HCC patients who underwent TACE treatment, its impact on overall survival, and try to stratify patient cohorts for a better treatment strategy.

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Conditions studied

  • Hepatocellular Carcinoma
  • Portal Hypertension

Keywords

  • hepatocellular carcinoma
  • transarterial chemoembolization
  • clinical evident portal hypertension
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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 228 is above the median of 149 across 1,175 observational studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Zhongda Hospital is the lead sponsor of 101 studies on the registry; 40 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients with HCC treated with TACE ± Systemic Treatment from June 2006 to December 2021.

Inclusion criteria

  1. Has a diagnosis of HCC confirmed by radiology, histology, or cytology;
  2. Received at least 1 TACE treatment;

Exclusion criteria

Exclusion Criteria:

  1. Cholangiocarcinoma, fibrolamellar, sarcomatoid hepatocellular carcinoma, and mixed hepatocellular/cholangiocarcinoma subtypes(confirmed by histology, or pathology) are not eligible;
  2. ECOG Performance Score > 2;
  3. History of spleen resection;
  4. Loss to follow-up.
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
228 participants (estimated)
Patient registry
No

Groups and cohorts

  • CEPH group

    CEPH was defined when at least one following factor was present: 1) esophageal/gastric varices on upper endoscopy or CT imaging, 2) ascites requiring diuretic treatment, 3) splenomegaly (largest diameter on CT \>12 cm) with a low platelet count (\<100,000/mm3).

    Procedure: TACE ± Systemic therapy

  • non-CEPH group

    Non-CEPH was defined when none of the following factor was present: 1) esophageal/gastric varices on upper endoscopy or CT imaging, 2) ascites requiring diuretic treatment, 3) splenomegaly (largest diameter on CT \>12 cm) with a low platelet count (\<100,000/mm3).

    Procedure: TACE ± Systemic therapy

Interventions

  • ProcedureTACE ± Systemic therapy

    TACE: cTACE (conventional TACE) or dTACE (drug-eluting beads TACE); Systemic therapy: PD-1/PD-L1 inhibitors, VEGF-TKI/bevacizumab, PD-1/PD-L1 inhibitors+VEGF-TKI/bevacizumab, radiotherapy or chemotherapy.

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What researchers measure

Primary outcomes

  1. Overall Survival(OS)

    The OS is defined as the time from the initiation of any treatment to death due to any cause.

    Time frame: up to approximately 2 years

Secondary outcomes

  1. Objective response rate(ORR) per Modified Response Evaluation Criteria in Solid Tumors (mRECIST)

    The ORR is defined as the proportion of patients with a documented complete response(CR) or partial response(PR) per mRECIST.

    Time frame: up to approximately 2 years

  2. Progression free survival(PFS) per mRECIST

    The PFS is defined as the time from the initiation of any treatment to the first documented progressive disease (according to mRECIST) or death due to any cause, whichever occurs first.

    Time frame: up to approximately 2 years

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Study locations

2 of 2 sites recruiting
  • Gao-Jun Teng
    Nanjing, China
    • Yu-Qing Wang · Contact
    Recruiting
  • Xiaolong Qi
    Nanjing, China
    • Yu-Qing Wang · Contact
    Recruiting
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References and documents

Publications

  • Hernandez-Gea V, Turon F, Berzigotti A, Villanueva A. Management of small hepatocellular carcinoma in cirrhosis: focus on portal hypertension. World J Gastroenterol. 2013 Feb 28;19(8):1193-9. doi: 10.3748/wjg.v19.i8.1193. PubMed 23482437 ↗
  • Muller L, Hahn F, Mahringer-Kunz A, Stoehr F, Gairing SJ, Foerster F, Weinmann A, Galle PR, Mittler J, Pinto Dos Santos D, Pitton MB, Duber C, Fehrenbach U, Auer TA, Gebauer B, Kloeckner R. Prevalence and clinical significance of clinically evident portal hypertension in patients with hepatocellular carcinoma undergoing transarterial chemoembolization. United European Gastroenterol J. 2022 Feb;10(1):41-53. doi: 10.1002/ueg2.12188. Epub 2021 Dec 16. PubMed 34918471 ↗
  • Faitot F, Allard MA, Pittau G, Ciacio O, Adam R, Castaing D, Cunha AS, Pelletier G, Cherqui D, Samuel D, Vibert E. Impact of clinically evident portal hypertension on the course of hepatocellular carcinoma in patients listed for liver transplantation. Hepatology. 2015 Jul;62(1):179-87. doi: 10.1002/hep.27864. Epub 2015 May 20. PubMed 25914217 ↗
  • European Association For The Study Of The Liver; European Organisation For Research And Treatment Of Cancer. EASL-EORTC clinical practice guidelines: management of hepatocellular carcinoma. J Hepatol. 2012 Apr;56(4):908-43. doi: 10.1016/j.jhep.2011.12.001. No abstract available. Erratum In: J Hepatol. 2012 Jun;56(6):1430. PubMed 22424438 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 31, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05703750
Lead sponsor
Zhongda Hospital
Responsible party
Gao-jun Teng (President, Zhongda Hospital) — Principal investigator
First posted
Jan 30, 2023
Start date
May 4, 2023
Primary completion
Jun 30, 2023 (estimated)
Completion
Dec 31, 2023 (estimated)
Last update
May 31, 2023

Study contacts

Gao-Jun Teng, M.D.
Contact
gjteng@vip.sina.com
+86-02583272121
Yu-Qing Wang, MPH
Contact
yuqingwangseu@163.com
+86-02583272121
Gao-Jun Teng, M.D.
principal investigator · Zhongda hospital, Southeast university, Nanjing, China
Xiaolong Qi, M.D.
principal investigator · Zhongda hospital, Southeast university, Nanjing, China

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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