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RecruitingNCT06609876Updated Dec 3, 2024

Donafenib as Adjuvant Therapy Following Ablation for Recurrent HCC

An interventional study of Thermal ablation and Donafenib in Hepatocellular Carcinoma, Microwave Ablation and Donafenib, sponsored by Sun Yat-sen University. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-12-03.

Sponsored by Sun Yat-sen University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2024; still recruiting 2 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
108
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

This study intends to evaluate the efficacy and safety of low-dose adjuvant donafenib after thermal ablation for early recurrent HCC within Milan criteria.

Read the detailed description

Thermal ablation is available as the major curative treatments for early-stage recurrent HCC. Donafenib was inferior to sorafenib in overall survival in untreated advanced hepatocellular carcinoma. No study has evaluated low-dose donafenib as adjuvant therapy after thermal ablation. There needs further investigation to explore the efficacy and safety of the combination treatment. Thus, the investigators carried out this prospective, randomized, open-label, phase II trial study to find out it.

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Conditions studied

  • Hepatocellular Carcinoma
  • Microwave Ablation
  • Donafenib
  • Recurrent Tumor
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 108 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

  1. were aged 18-75 years;
  2. had recurrent HCC (RHCC) diagnosed by imaging studies, the first or the second RHCC;
  3. RHCC met the Milan criteria, namely single RHCC lesion less than 5 cm in diameter or no more than 3 tumors (each ≤3 cm in diameter);
  4. the early RHCC (recurrent time \<1 year)
  5. patients were unwilling to undergo repeat hepatectomy or liver transplantation;
  6. had well-preserved liver function, i.e., Child-Pugh class A or B, and prolonged prothrombin time≤5 s;
  7. patients had an Eastern Cooperative Oncology Group performance status score ≤1.
  8. Ability to understand the protocol and to agree to and sign a written informed consent document.

Exclusion criteria

Exclusion Criteria:

  1. were under 18 years or over 75 years of age;
  2. primary HCC;
  3. recurrent HCC beyond Milan criteria;
  4. RHCC with metastasis or macrovascular tumor thrombus
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
108 participants (estimated)

Study arms

  • Experimental
    Thermal ablation

    Patients only accepted thermal ablation (microwave ablation,radiofrequency ablation)

    Procedure: Thermal ablation

  • Experimental
    Microwave ablation plus Donafenib

    Patients accepted thermal ablation (microwave ablation,radiofrequency ablation) plus Donafenib (100mg, bid)

    Procedure: Thermal ablation · Drug: Donafenib

Interventions

  • ProcedureThermal ablation

    Thermal ablation of tumors

  • DrugDonafenib

    Donafenib ( 100 mg,bid)

06

What researchers measure

Primary outcomes

  1. Tumor-free survival rate

    Progression was defined as progressive disease after thermal ablation by independent radiologic review according to mRECIST or death from any cause

    Time frame: 24 months

Secondary outcomes

  1. Overall survival (OS)

    OS is the length of time from the date of ablation until death from any cause.

    Time frame: 36 months

  2. Adverse events

    Safety will be evaluated according to the NCI CTCAE Version 4.03. All observations pertinent to the safety of the study medication will be recorded on the CRF and included in the final report.

    Time frame: 36 months

07

Study locations

1 of 1 sites recruiting
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References and documents

Individual participant data

Plan to share: No

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 Dec 3, 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
NCT06609876
Lead sponsor
Sun Yat-sen University
Collaborators
Chinese PLA General Hospital
Responsible party
Zhou Qunfang (Clinical Professor, Sun Yat-sen University) — Principal investigator
First posted
Sep 24, 2024
Start date
Oct 1, 2024
Primary completion
Oct 1, 2026 (estimated)
Completion
Oct 1, 2028 (estimated)
Last update
Dec 3, 2024

Study contacts

Qunfang Zhou, MD
Contact
zhouqun988509@163.com
86 19868000115
Feng Duan, Professor
Contact
duanfeng@vip.sina.com
86 13910984586
Feng Duan, Professor
study director · Chinese PLA General Hospital

Oversight

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

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