Trajectory-Based Prognostic Modeling in Hepatocellular Carcinoma

N/ACompletedNCT07204262

Xu Yong, MD379 enrolled

Overview

To evaluate whether tracking changes in key blood markers over time, together with clinical features, can improve the prediction of outcomes in patients with hepatocellular carcinoma (HCC). By developing a trajectory-based prognostic model, we aim to provide more accurate risk assessment and support personalized treatment decisions.

This study retrospectively analyzed patients with advanced hepatocellular carcinoma (HCC) who were treated at Shenzhen Third People's Hospital between 2018 and 2024. Eligible participants received systemic therapy with molecular targeted agents or PD-(L)1 inhibitors, with or without interventional procedures such as transarterial chemoembolization (TACE) or hepatic arterial infusion chemotherapy (HAIC). Clinical, radiological, and laboratory data were collected at baseline and during follow-up. Blood tests were performed at regular intervals, and imaging evaluations with contrast-enhanced CT or MRI were conducted every 6-12 weeks in accordance with standard practice. Demographic information, disease stage, comorbidities, and treatment- or disease-related complications were also recorded. The study focuses on the analysis of longitudinal biomarker changes, with the aim of developing prognostic models that integrate biomarker trajectories with clinical features. The ultimate goal is to improve dynamic risk stratification and support personalized treatment decisions for patients with HCC.

Study Type

OBSERVATIONAL

Enrollment

379

Conditions

Liver Cancer

Interventions

Molecular Targeted Therapy (TKI / anti-VEGF antibody) PD-(L)1 Inhibitor Immunotherapy Interventional Therapy (TACE / HAIC)COMBINATION_PRODUCT

Patients in this study received systemic therapy with molecular targeted agents, including tyrosine kinase inhibitors (TKIs) and anti-VEGF antibodies, and/or PD-(L)1 inhibitor immunotherapy. Some patients also received interventional therapies such as transarterial chemoembolization (TACE) or hepatic arterial infusion chemotherapy (HAIC). Treatment regimens, combinations, and sequencing were determined based on physician discretion and patient clinical status. This study focuses on the longitudinal monitoring of biomarkers during these therapies to evaluate their prognostic value and to develop a trajectory-based risk stratification model for advanced hepatocellular carcinoma (HCC).

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. pathologically or radiologically confirmed HCC; 2. availability of pre- treatment clinical record, radiological and hematological data and more than 2 cycles of post-treatment data; 3. receipt of treatment during the study period; 4. Age rather than 18 years old. Exclusion Criteria: 1. baseline data missed; 2. Non-primary liver cancer; 3. incomplete follow-up data; 4. Unevaluable lesions.

Locations (1)

Shenzhen Third People's Hospital

Shenzhen, Guangdong, China

Outcomes

Primary Outcomes

Objective Progression-Free Survival (PFS)

To analyse the Progression-Free Survival (PFS) of patients

Time frame: Up to approximately 3 years

Secondary Outcomes

Objective Secondary Clinical Endpoints - Overall Growth Phase (OS)

To analyse the Secondary Clinical Endpoints - Overall Growth Phase (OS) of patients

Time frame: Up to approximately 3 years

Data from ClinicalTrials.gov

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