The aim of this study is to compare the efficacy of conventional transarterial chemoembolization(TACE) and transarterial radioembolization in patients with unilobar advanced hepatocellular carcinoma.
Potentially curative treatments for hepatocellular carcinoma (HCC) include surgical resection, liver transplantation, and local ablative therapy. However, HCC patients are diagnosed at advanced stages in Korea. Unresectable advanced HCCs are not suitable for other curative therapies. For these patients, the optimal treatment remains largely controversial. As a palliative treatment, the benefit of transarterial chemoembolization (TACE) had been shown in patients with unresectable HCC by several trials. Recently,transarterial radioembolization (TARE) has been introduced for the treatment of advanced HCC. However, the efficacy of TARE compared to TACE is uncertain. The aim of this study is to compare the efficacy of conventional transarterial chemoembolization(TACE) and transarterial radioembolization in patients with unilobar advanced hepatocellular carcinoma.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
transarterial radioembolization
transarterial chemoembolization
Seoul National University Hospital
Seoul, South Korea
Overall survival
From date of randomization until the date of death
Time frame: every 12 weeks, up to the time of death, up to 12 months
Progression-Free Survival in the Liver
From date of randomization until the date of first documented intrahepatic tumor progression or death
Time frame: every 12 weeks, up to the time of death or first documented intrahepatic tumor progression, up to 12 months
Progression-Free Survival Overall
From date of randomization until the date of first documented progression or death
Time frame: every 12 weeks, up to the time of death or first documented progression, up to 12 months
Overall tumor response assessment
(CR, PR, SD, PD)by modified RECIST criteria
Time frame: every 12 weeks, up to the time of death or 12 months
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