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CompletedNCT06265883Updated Feb 20, 2024

Lenvatinib Plus DEB-TACE With/Without FOLFOX-HAIC for Large HCC With PVTT

An observational study in Hepatocellular Carcinoma Non-resectable, sponsored by Second Affiliated Hospital of Guangzhou Medical University. Completed at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-02-20.

Sponsored by Second Affiliated Hospital of Guangzhou Medical University · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
205
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This multicenter retrospective study evaluated consecutive patients with large HCC and PVTT who received lenvatinib plus DEB-TACE with/without FOLFOX-HAIC between July 2019 and June 2021. Tumor response, time to progression (TTP), overall survival (OS), and treatment-related adverse events (TRAEs) were compared between the two groups.

Read the detailed description

Consecutive patients with large HCC and PVTT treated with lenvatinib plus drug-eluting bead transarterial chemoembolization (DEB-TACE) and hepatic arterial infusion chemotherapy (HAIC) with oxaliplatin, fluorouracil and leucovorin (Len+DEB-TACE+HAIC) or lenvatinib plus DEB-TACE (Len+DEB-TACE) from July 2019 to June 2021 were screened. Tumor response was evaluated according to modified Response Evaluation Criteria in Solid Tumors (mRECIST). Clinical outcomes, including tumor response, TTP, OS, and TRAEs were compared between the two groups.

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Conditions studied

  • Hepatocellular Carcinoma Non-resectable

Keywords

  • Hepatocellular Carcinoma
  • Lenvatinib
  • transarterial chemoembolization
  • drug-eluting bead
  • hepatic arterial infusion chemotherapy
  • portal vein tumor thrombosis
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 205 is above the median of 149 across 1,175 observational studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Second Affiliated Hospital of Guangzhou Medical University is the lead sponsor of 69 studies on the registry; 49 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 to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with large HCC and PVTT.

Inclusion criteria

  • a confirmed diagnosis of HCC
  • the largest intrahepatic lesion >7 cm
  • presence of major PVTT on imaging
  • Eastern Cooperative Oncology Group performance status ≤1
  • Child-Pugh class A/B
  • adequate hematologic and organ function, with leukocyte count 3.0 109/L, neutrophil count 1.5 109/L, platelet count 75 109/L, hemoglobin 85 g/L, alanine transaminase and aspartate transaminase 5 upper limit of the normal, creatinine clearance rate 1.5 upper limit of the normal, and prothrombin time prolongation \<4 s

Exclusion criteria

Exclusion Criteria:

  • incomplete medical records
  • central nervous system involvement
  • previous treatment with transarterial embolization, TACE, HAIC, radiotherapy, or systemic therapy
  • history of malignancies other than HCC
  • history of organ transplantation
  • severe cardiac, pulmonary or renal dysfunction
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
205 participants (actual)
Patient registry
No

Groups and cohorts

  • Len+DEB-TACE+HAIC

    Patients were treated with Len+DEB-TACE+HAIC.

    Procedure: Len+DEB-TACE+HAIC

  • Len+DEB-TACE

    Patients were treated with Len+DEB-TACE.

    Procedure: Len+DEB-TACE

Interventions

  • ProcedureLen+DEB-TACE+HAIC

    Patients received TACE with drug-eluting beads and FOLFOX-HAIC. DEB-TACE and/or HAIC was repeated for viable tumors demonstrated by follow-up imaging in patients without worsening liver function or contraindications. Lenvatinib was orally administered at a dose of 12 mg/day (bodyweight 60 kg) or 8mg/day (bodyweight \<60 kg). It was initiated within 7 days after the first DEB-TACE or DEB-TACE+HAIC and continued until unacceptable toxicity or disease progression occurred.

  • ProcedureLen+DEB-TACE

    Patients received TACE with drug-eluting beads. DEB-TACE was repeated for viable tumors demonstrated by follow-up imaging in patients without worsening liver function or contraindications. Lenvatinib was orally administered at a dose of 12 mg/day (bodyweight 60 kg) or 8mg/day (bodyweight \<60 kg). It was initiated within 7 days after the first DEB-TACE or DEB-TACE+HAIC and continued until unacceptable toxicity or disease progression occurred.

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What researchers measure

Primary outcomes

  1. Time to progression (TTP)

    defined as the time from treatment initiation to the first occurrence of disease progression.

    Time frame: 3.5 years

Secondary outcomes

  1. objective response rate (ORR)

    defined as the percentage of patients with complete or partial response

    Time frame: 3.5 years

  2. Disease control rate (DCR)

    defined as the percentage of patients with complete or partial response, or stable disease

    Time frame: 3.5 years

  3. overall survival

    defined as the time from treatment initiation until death from any reason.

    Time frame: 3.5 years

  4. treatment-related adverse events (TRAEs)

    assessed based on Common Terminology Criteria for Adverse Events version 5.0

    Time frame: 3.5 years

07

Study locations

1 site
  • The Second Affiliated Hospital of Guangzhou Medical University
    Guangzhou, Guangdong 510260, 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 Feb 20, 2024, 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
NCT06265883
Lead sponsor
Second Affiliated Hospital of Guangzhou Medical University
Collaborators
Zhongshan People's Hospital, Guangdong, China, Affiliate Hospital of Guangdong Medical University, Jieyang People's Hospital, Huizhou Municipal Central Hospital, Guangzhou Development District Hospital, Shenzhen Traditional Chinese Medicine Hospital, First People's Hospital of Foshan
Responsible party
Sponsor
First posted
Feb 20, 2024
Start date
Jul 1, 2019
Primary completion
Dec 31, 2022
Completion
Dec 31, 2022
Last update
Feb 20, 2024

Oversight

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

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This study is completed, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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