RATIONALE: Estrogen can stimulate the growth of cancer cells. Hormone therapy using tamoxifen may fight liver cancer by blocking the absorption of estrogen. It is not yet known whether receiving tamoxifen is more effective than no further therapy in treating patients with primary liver cancer. PURPOSE: Randomized phase III trial to compare high-dose tamoxifen with no further treatment in treating patients with liver cancer that cannot be surgically removed.
OBJECTIVES: I. Assess the therapeutic role of tamoxifen in patients with inoperable hepatocellular carcinoma in terms of overall survival and quality of life. OUTLINE: This is a randomized, double blind, placebo controlled study of tamoxifen. Patients are randomized to one of 3 treatment arms. Arm I: Patients receive placebo orally twice daily for one year. Arms II and III: Patients receive tamoxifen, at 1 of 2 different doses, orally twice daily for one year. Quality of life is assessed before treatment and then monthly thereafter. Patients are followed monthly until death. PROJECTED ACCRUAL: This study will accrue 300 patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Enrollment
300
Prince of Wales Hospital
Shatin, New Territories, Hong Kong
University of Udayana
Sanglah, Denpasar, Bali, Indonesia
Universiti Kebangsaan Malaysia
Bangi, Malaysia
Wellington Cancer Centre
Wellington, New Zealand
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
National Cancer Institute - Karachi
Karachi, Pakistan
Nishtar Medical College, Multan
Multan, Pakistan
Tan Tock Seng Hospital
Singapore, Singapore
National Cancer Centre - Singapore
Singapore, Singapore