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HCC clinical trials

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NCT ID: NCT05227482 Recruiting - HCC Clinical Trials

Accurate Dosimetry and Biomarkers Improve Survival in HCC Patients Treated With Resin 90 Yttrium (90Y)-Microspheres

DOSEY90
Start date: April 10, 2018
Phase: Phase 2
Study type: Interventional

This trial involves patients with hepatocellular carcinoma (HCC) diagnosis treated with transarterial radioembolization (TARE) with resin microspheres loaded with 90Y. Patients will be divided in two groups based on prescription method to calculate the therapeutic radionuclide activity to be injected. In arm A, standard dosimetric approach such as Body Surface Area (BSA) method and Medical Internal Radiation Dosimetry (MIRD) monocompartmental method will be used. In arm B, novel voxel-based dosimetry, based on pre-treatment simulation with 99m-Technetium (99mTc)-Macro Aggregated Albumin (MAA) injection and SPECT/CT image acquisition, will be used. The primary outcome will be the overall survival of patients included in arm A and arm B. Secondary outcomes will be adverse events, tumor response, biomarkers assessed from blood samples prior and after the treatment and voxel-based dosimetry obtained from post-treatment PET/CT images acquisitions.

NCT ID: NCT05202015 Recruiting - Clinical trials for Hepatocellular Carcinoma

Non-invasive MRI Subclassification of Heptocellular Carcinoma - HepCaSt-Study

HepCaSt
Start date: January 1, 2022
Phase:
Study type: Observational

Non-invasive MRI subclassification of Heptocellular Carcinoma - HepCaSt-Study

NCT ID: NCT05199259 Recruiting - Clinical trials for Hepatocellular Carcinoma

Multi-analyte Blood Test Clinical Trial

LIVER-1
Start date: March 1, 2022
Phase:
Study type: Observational

The objective of this study is the acquisition of whole blood samples and serum samples from participants with untreated Hepatocellular Carcinoma (HCC) and subjects undergoing Hepatocellular Carcinoma (HCC) surveillance. These samples will be used for research purposes to develop and validate the Helio multi-analyte blood test.

NCT ID: NCT04988945 Recruiting - HCC Clinical Trials

TACE and SBRT Followed by Double Immunotherapy for Downstaging Hepatocellular Carcinoma

Start date: December 1, 2020
Phase: Phase 2
Study type: Interventional

This study is a prospective phase II, single arm mono-institutional study conducted in Queen Mary Hospital (Hong Kong) assessing the efficacy and safety of the sequential administration of trans-arterial chemo-embolization (TACE) and stereotactic body radiotherapy (SBRT) with immune checkpoint inhibitors in unresectable hepatocellular carcinoma (HCC) patients.

NCT ID: NCT04843176 Recruiting - Liver Cancer Clinical Trials

Artificial Intelligence vs. LIRADS in Diagnosing HCC on CT

Start date: March 19, 2021
Phase: N/A
Study type: Interventional

Liver cancer is the sixth most commonly diagnosed cancer and the fourth leading cause of cancer death worldwide. It is the 3rd most common cause of cancer death in Hong Kong. The five-year survival rates of liver cancer differ greatly with disease staging, ranging from 91.5% in early-stage to 11% in late-stage. The early and accurate diagnosis of liver cancer is paramount in improving cancer survival. Liver cancer is diagnosed radiologically via cross sectional imaging, e.g. computed tomography (CT), without the routine use of liver biopsy. However, with current internationally-recommended radiological reporting methods, up to 49% of liver lesions may be inconclusive, resulting in repeated scans and a delay in diagnosis and treatment. An artificial intelligence (AI) algorithm that that can accurately diagnosed liver cancer has been developed. Based on an interim analysis, the algorithm achieved a high diagnostic accuracy. The AI algorithm is now ready for implementation. This study aims to prospective validate this AI algorithm in comparison with the current standard of radiological reporting in a randomized manner in the at-risk population undergoing triphasic contrast CT. This research project is totally independent and separated from the actual clinical reporting of the CT scan by the duty radiologist. The primary study outcome is the diagnostic accuracy of liver cancer, which will be unbiasedly based on a composite clinical reference standard.

NCT ID: NCT04766736 Recruiting - HCC Clinical Trials

Netrin-1 & Hepatocellular Carcinoma HCC

HCC-Net
Start date: July 1, 2019
Phase:
Study type: Observational

Netrin-1 is a dependence receptor ligand participating in the pathology of several cancer types. It is up-regulated in chronic liver diseases, cirrhosis and HCC. We hypothesize that netrin-1 may play a detrimental role in HCC. The goal of this project is to characterize netrin-1 signals in HCC samples with ad hoc controls, to investigate the benefit of capturing netrin-1 in preclinical models of HCC and to try to define patients groups the most likely to benefit from this targeting approach in the clinic.

NCT ID: NCT04640363 Recruiting - HCC Clinical Trials

Combi-elastography Assessment of HCC Recurrence After Thermal Ablation Multi-center Study

Start date: December 1, 2020
Phase:
Study type: Observational

Combined F index, A index,ATT index and spleen stiffness to predict tumor recurrence in different liver settings after thermal ablation of HCC.

NCT ID: NCT04611373 Recruiting - HCC Clinical Trials

Clinical Study on the Efficacy of Acetazolamide Combined With Levamisole in the Treatment of HCC

Start date: May 1, 2020
Phase: Phase 3
Study type: Interventional

The purpose of this study is to evaluate the efficacy and safety of acetazolamide combined with levamisole in the treatment of advanced HCC.

NCT ID: NCT04522544 Recruiting - HCC Clinical Trials

Durvalumab and Tremelimumab in Combination With Either Y-90 SIRT or DEB-TACE for Intermediate Stage HCC

Start date: December 15, 2020
Phase: Phase 2
Study type: Interventional

A Phase II study of immunotherapy with Durvalumab (MEDI4736) and Tremelimumab in combination with either Y-90 SIRT or DEB-TACE for intermediate stage HCC with pick-the-winner design

NCT ID: NCT04472767 Recruiting - Clinical trials for Hepatocellular Carcinoma

Cabozantinib Combined With Ipilimumab/Nivolumab and TACE in Patients With Hepatocellular Carcinoma

Start date: August 7, 2020
Phase: Phase 2
Study type: Interventional

This is a phase 2 single-arm, open-label clinical trial determining efficacy of cabozantinib in combination with ipilimumab/nivolumab and transarterial chemoembolization (TACE) in subjects with hepatocellular carcinoma (HCC). These are subjects who are not candidates for curative intent treatment.