A randomised, open label controlled trial of trans-arterial chemoembolisation vs embolisation alone in non-resectable hepatocellular carcinoma

ISRCTN ISRCTN63349435
DOI https://doi.org/10.1186/ISRCTN63349435
Secondary identifying numbers N0256130934
Submission date
30/09/2004
Registration date
30/09/2004
Last edited
26/10/2018
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

http://cancerhelp.cancerresearchuk.org/trials/a-trial-comparing-treatment-for-primary-liver-cancer-that-cannot-be-removed-with-surgery

Contact information

Dr Tim Meyer
Scientific

Department of Oncology and Radiotherapy
Royal Free Hampstead NHS Trust
Pond Street
Hampstead
London
NW3 2QG
United Kingdom

Phone +44 (0)20 7794 0500 ext 8364
Email t.meyer@ucl.ac.uk

Study information

Study designRandomised open-label active-controlled parallel-group trial
Primary study designInterventional
Secondary study designRandomised parallel trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA randomised, open label controlled trial of trans-arterial chemoembolisation vs embolisation alone in non-resectable hepatocellular carcinoma
Study acronymTACE
Study objectivesTo investigate whether there is a difference in terms of overall survival, time to progression, response rate, quality of life and toxicity between the two treatment arms.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedLiver cancer
InterventionCurrent information as of 11/08/2009:
Single centre phase III randomised controlled trial comparing trans-arterial chemoembolisation vs embolisation alone
1. Treatment arm - trans-arterially administered cisplatin followed by embolisation
2. Control arm - Embolisation only

Initial information at time of registration:
Single centre phase III randomised controlled trial comparing trans-arterial chemoembolisation vs embolisation alone
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase III
Drug / device / biological / vaccine name(s)Cisplatin
Primary outcome measure1. Overall survival
2. Quality of life
3. Toxicity
4. Objective response rates
Secondary outcome measuresNot provided at time of registration
Overall study start date14/10/2003
Completion date30/04/2008

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants196
Key inclusion criteriaAdded 11/08/2009:
1. Evidence of HCC as diagnosed by either histological means; or as evidenced by a focal lesion >2 cm with arterial hypervascularisation detected on two radiological studies (any two of ultrasound, CT, MRI or angiography) in a patient with a background of cirrhosis; or by a single radiological study with an a-fetoprotein greater than 400 ng/ml (1)
2. The patient must not be a candidate for surgical resection of the tumour but may be suitable for transplantation
3. The patient must have either a solitary hepatic tumour >3 cm in diameter or multifocal disease as evidenced by CT or MRI scanning.
4. Aged ≥16 years and estimated life expectancy >3 months
5. ECOG performance status ≤ 2
6. Adequate haematological function
7. Adequate clotting function: INR ≤ 1.5
8. GFR ≥ 50ml/min
9. Adequate liver function
10. Capable of giving written informed consent
11. Women of child-bearing potential should have a negative pregnancy test prior to study entry AND be using an adequate contraception method, which must be continued for 3 months after completion of treatment
Key exclusion criteriaAdded 11/08/2009:
1. Extra-hepatic metastases
2. Prior treatment for HCC
3. Active sepsis or bleeding
4. Hepatic encephalopathy
5. Ascites refractory to diuretic therapy
6. Documented occlusion of the hepatic artery or portal vein
7.Hypersensitivity to intravenous contrast agents
8. Pregnant or lactating women
9. History of prior malignancy
10. Any evidence of severe or uncontrolled systemic diseases or laboratory finding
11. Any psychiatric or other disorder (eg brain metastases) likely to impact on informed consent
Date of first enrolment14/10/2003
Date of final enrolment30/04/2008

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Royal Free Hampstead NHS Trust
London
NW3 2QG
United Kingdom

Sponsor information

Department of Health
Government

Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Website http://www.dh.gov.uk/Home/fs/en

Funders

Funder type

Hospital/treatment centre

The Royal Free Hampstead NHS Trust (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Plain English results No Yes
Results article results 02/04/2013 Yes No

Editorial Notes

26/10/2018: Cancer Research UK lay results summary link added to Results (plain English)
As of 11/08/09 this record has been extensively updated. All updates can be found under the relevant field with the above update date. Please also note that this trial has been extended, the initial end date was listed as 31/10/2005.