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Liver Resection Versus Transarterial Chemoembolization for the Treatment of Intermediate-stage Hepatocellular Carcinoma: a Prospective Non-randomized Trial
The role of transarterial chemoembolization (TACE) as the standard therapy for intermediate-stage hepatocellular carcinoma (HCC) is being challenged by increasing studies which showed that liver resection (LR) is a safe and feasible procedure with better survival outcomes than TACE does. In light of this, the investigators have constructed a Markov model to simulate comparing LR and TACE in the treatment of intermediate-stage HCC. The results suggested that LR may provide survival benefit over TACE for the treatment of intermediate-stage HCC in cirrhotic patients. However, validating the simulated result by a study with higher quality (e.g. prospective clinical trial) would be of great value in providing a more convincing finding. Therefore, based on the established Markov model, the investigators aimed to prospectively compare the treatment efficacy and safety of LR with TACE for consecutive patients with intermediate-stage HCC.
Details
| Lead sponsor | Sun Yat-sen University |
|---|---|
| Phase | Phase 3 |
| Status | UNKNOWN |
| Enrolment | 198 |
| Start date | 2014-03 |
| Completion | 2016-06 |
Conditions
- Hepatocellular Carcinoma
Interventions
- liver resection
- transarterial chemoembolization
- carboplatin
- lipiodol
- epirubicin , pirarubicin , hydroxycamptothecin and fluorouracil
- absorbable gelatin sponge particles
Primary outcomes
- Overall survival — 1 year
1-year overall survival
Countries
China