Clinical trial · Interventional
Hepatic Arterial Chemoembolization With Cisplatin or Internal Radiation Therapy in Treating Patients With Advanced Liver Cancer That Cannot Be Removed By Surgery
A Prospectively Randomized Controlled Clinical Trial Comparing TheraSphere With Cisplatin-Based TACE (Trans Arterial Chemo Embolization) in the Management of Advanced Stage, Unresectable Hepatocellular Carcinoma (HCC)
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
RATIONALE: Drugs used in chemotherapy, such as cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. In this case, chemotherapy is given through the artery (hepatic artery) that brings blood to the tumor. Chemoembolization kills tumor cells by blocking the blood flow to the tumor and keeping chemotherapy drugs near the tumor. Internal radiation uses radioactive material placed directly into or near a tumor to kill tumor cells. It is not yet known whether hepatic arterial chemoembolization with cisplatin is more effective than internal radiation therapy in treating liver cancer. PURPOSE: This randomized phase III trial is studying hepatic arterial chemoembolization with cisplatin to see how well it works compared to internal radiation therapy in treating patients with advanced liver cancer that cannot be removed by surgery.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Liver Cancer | Malignant Liver Neoplasm | CURATED_EXACT | 0.92 |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| brachytherapy | Radiation | — | UNRESOLVED |
| cisplatin | Drug | Cisplatin | ALIAS |
| yttrium Y 90 glass microspheres | Radiation | — | UNRESOLVED |
Design
Arms and outcomes
Arms (0)
[]Primary outcomes (3)
- measure
- Progression-free survival as assessed by tumor progression in the treated lobe of the liver
- measure
- Health-related quality of life at baseline and every 3 months
- measure
- Toxicity as measured by NCI CTCAE version 3.0
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
- Maximum age
- 120 Years
Show eligibility criteria text
DISEASE CHARACTERISTICS:
* Diagnosis of 1 of the following:
* Histologically or cytologically confirmed hepatocellular carcinoma (HCC)
* Confined to the liver
* Vascular liver mass in the presence of cirrhosis
* Alpha-fetoprotein level \> 500 ng/mL
* Measurable disease
* At least 1 unidimensionally measurable lesion \> 20 mm by spiral CT scan
* Unresectable disease, due to tumor size or extent or presence of cirrhosis
* No metastatic disease, including brain metastases
* Locoregional lymph node metastases allowed
* No evidence of potential delivery of \> 16.5 miCi (30 Gy absorbed dose) of radiotherapy to the lungs either during the first administration of yttrium Y 90 glass microspheres (TheraSphere®) or on cumulative delivery of radiation to the lungs over multiple treatments\*
* No evidence of detectable technetium Tc 99m macroaggregated albumin (Tc-99m MAA) flow to the stomach or duodenum after application of established angiographic techniques to stop the flow\* NOTE: \*For patients randomized to the TheraSphere® arm only
PATIENT CHARACTERISTICS:
Age
* 18 and over
Performance status
* ECOG 0-2
Life expectancy
* More than 12 weeks
Hematopoietic
* WBC \> 2,500/mm\^3
* Absolute neutrophil count \> 1,500/mm\^3
* Platelet count \> 60,000/mm\^3
* No bleeding diathesis not correctable by usual forms of therapy
Hepatic
* See Disease Characteristics
* Bilirubin \< 2.0 mg/dL
* AST and/or ALT ≤ 5 times upper limit of normal
* Hepatitis allowed
* No portal hypertension with hepatofugal flow
Renal
* Creatinine \< 2.5 mg/dL
Cardiovascular
* No symptomatic congestive heart failure
* No severe peripheral vascular disease that would preclude catheterization
Other
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective double barrier or hormonal contraception during and for at least 30 days after completion of study treatment
* No ongoing or active infection
* No other uncontrolled illness
* No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix
PRIOR CONCURRENT THERAPY:
Biologic therapy
* Not specified
Chemotherapy
* No more than 1 prior systemic chemotherapy for HCC
* More than 4 weeks since prior IV chemotherapy and recovered
* More than 1 year since prior hepatic arterial cisplatin
* More than 4 months since other prior hepatic arterial chemotherapy
Endocrine therapy
* Not specified
Radiotherapy
* No prior external hepatic radiotherapy for HCC
Surgery
* Not specified
Other
* No other concurrent therapy for HCC
* No other concurrent investigational agentsReferences
Publications (0)
Data not yet available