RecruitingNot ApplicableNCT03732105

Randomized Study of Adjuvant Radiotherapy After Curative Resection of HCC With Narrow Margin (RAISE)

Randomized Study of Adjuvant Radiotherapy After Curative Resection of Hepatocellular Carcinoma With Narrow Margin (≤1 cm)


Sponsor

Sun Yat-sen University

Enrollment

148 participants

Start Date

Aug 8, 2018

Study Type

INTERVENTIONAL

Conditions

Summary

RAISE is a multicenter randomized controlled trial to assess the efficacy of adjuvant radiotherapy for controlling postsurgical recurrence in HCC patients with narrow margin (≤ 1 cm) after curative resection.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria8

  • Age 18 - 75 years.
  • HCC who underwent R0 resection with pathological confirmation.
  • The narrowest margin is less than or equal to 1 cm.
  • No residual tumors after surgery based on postoperative CT or MR images in 4-6 weeks.
  • ECOG PS ≤ 1.
  • Child-Pugh score 5-7.
  • Expected life expectancy ≥ 6 months.
  • Blood, liver, and kidney functions meet the following criteria: 1)Neutrophil counts ≥ 1.5×109/L; 2)Platelet counts ≥ 60×109/L; 3)Hemoglobin concentration ≥ 90g/L; 4)Serum albumin concentration ≥ 30g/L; 5)Bilirubin ≤ 1.5 × upper limit of normal; 6)AST and ALT \< 3× ULN; 7)Extended prothrombin time not exceeding 3s of ULN; 8)Creatinine \< 1.5× ULN.

Exclusion Criteria8

  • Preoperative imaging revealed tumor thrombus in the portal vein, hepatic vein, bile duct, or extrahepatic metastasis.
  • The number of tumors ≥4.
  • Pregnant or lactating women or subjects scheduled for contraceptive procedures within 2 years.
  • Patients with concomitant HIV or syphilis infection.
  • Patients with concurrent or other malignancies within 5 years before enrollment.
  • Patients receiving allogeneic organ transplantation.
  • Patients with severe dysfunction of the heart, kidneys or other organs.
  • Participated in clinical trials of other drugs within 12 months before enrollment.

Interventions

RADIATIONSurgery-radiotherapy

Patients in the surgery-radiotherapy group will receive Intensity Modulated Radiation Therapy (IMRT) at a dose of 50Gy/25fraction after randomization.


Locations(1)

The First Affiliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, China

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NCT03732105


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