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Carcinoma, Hepatocellular clinical trials

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NCT ID: NCT03839550 Not yet recruiting - Clinical trials for Hepatocellular Carcinoma

Combine Apatinib Mesylate With PD-1 Antibody SHR-1210 for HCC With High Risk of Recurrence After Radical Resection

Start date: February 15, 2019
Phase: Phase 2
Study type: Interventional

The purpose of this study is to assess the efficacy and safety of Apatinib Mesylate combined with PD-1 antibody SHR-1210 in HCC patients with high risk of disease recurrence contained microsatellite lesions, microvascular invasion(MVI) or secondary and above portal vein tumor thrombosis (PVTT) after radical resection. Patients will be randomized 1:1 either to the experimental arm to receive Apatinib Mesylate and PD-1 antibody SHR-1210 or to the standard therapy arm of hepatic arterial infusion(HAI) .

NCT ID: NCT03807947 Not yet recruiting - Clinical trials for Hepatocellular Carcinoma

Radial Versus Femoral Access for Superselective Embolization of Hepatocellular Carcinoma

Start date: January 2019
Phase: N/A
Study type: Interventional

The aim of this prospective, randomized study is to compare TRA vs TFA for superselective embolization of HCC using bland microparticles performed by multiple operators. In particular, main objectives are to compare: 1. the success rates of TRA and TFA including crossing over events between techniques 2. the inter-operator outcomes in terms of time to complete the vascular access and the vessel catheterization 3. access-related adverse events 4. patient preference and reported discomfort

NCT ID: NCT03793725 Not yet recruiting - Clinical trials for Hepatocellular Carcinoma

A Trial of SHR-1210 in Combination With Apatinib in Patients With Unresectable HCC

HZ-T-PD1-APA
Start date: January 30, 2019
Phase: Phase 2
Study type: Interventional

This is a Phase II , Open-label , Investigator-initiated Trail of SHR-1210 (an Anti-PD-1 Inhibitor) in Combination With Apatinib in Patients With unresectable Hepatocellular Carcinoma. This study aims to evaluate the safety and efficacy of SHR-1210 combination with Apatinib as a preoperative treatment of unresectable HCC.

NCT ID: NCT03766776 Not yet recruiting - Cancer of Liver Clinical Trials

Anlotinib in the Treatment of Advanced Hepatocellular Carcinoma (HCC)

ATAHC
Start date: December 31, 2018
Phase: N/A
Study type: Interventional

This is a prospective, one-arm, exploratory clinical study to observe and evaluate the efficacy and safety of Anlotinib hydrochloride capsules in patients with advanced liver cancer.

NCT ID: NCT03722628 Not yet recruiting - Clinical trials for Hepatocellular Carcinoma

The Assesment of MMP-1 Genotypes Polymorphism as a Risk Factor for HCC in Chronic HCV Patients With LC

Start date: December 15, 2018
Phase:
Study type: Observational

Egypt is an endemic area of HCV.Cirrhosis and HCC are the most serious complications of chronic HCV infection.Some studies noted that the risk of HCC increased 17-fold among HCV-infected patients compared with anti-HCV negative controls. Many studies demonstrate that direct antiviral therapy seems to accelerate the development of HCC, soon after the end of treatment, in those patients at higher risk of HCC occurrence or recurrence; and preliminary reports seem to indicate that HCC developed after direct antiviral therapy has more aggressive features. These findings clearly indicate the need for aggressive and close monitoring of cirrhotic patients during and after antiviral treatment, to detect and treat HCC at their earliest occurrence. Genetic variation plays a key role in HCC susceptibility and development of the disease.Genotype distribution frequency data can be used to map single nucleotide polymorphism (SNP) diversity in a population and to examine the risk and development of specific diseases.Many reports indicate an association between SNPs in certain genes and the susceptibility and clinicopathological status of HCC. MMP-1 is an endogenous peptide enzyme that is most widely expressed in interstitial collagenase,which can degrade the extracellular matrix surrounding tumor cells. It is involved in many stages of tumorigenesis, in angiogenesis, and in suppression of tumor cell apoptosis . MMP‑1 − 1607 1G/2G (rs1799750) contains a guanine insertion/deletion polymorphism at position − 1607 and is a functional (SNP) that can upregulate MMP expression. The association between the MMP‑1 − 1607 1G/2G polymorphism and the emergence of several diseases including the risk for many cancers has been reported. There are results suggest that MMP-1 is overexpressed in a large proportion of patients with HCC which correlated with the disease progression and poor clinical outcome. Furthermore, MMP-1 high expression proved to be a risk factor for tumor recurrence and independent molecular marker of prognosis in HCC and may become a novel target in the strategies for the prediction of tumor progression and prognosis of this disease. Aim: Is to asses: The contribution of MMP‑1-1607 genotype polymorphism to the risk of HCC on top of HCV. The relationship between MMP‑1−1607 gene polymorphism with HCC in patients who received antiviral treatment to HCV.

NCT ID: NCT03718078 Not yet recruiting - Hepatocarcinoma Clinical Trials

Robotic Endomicroscopy to Better Define Resection Strategies Applied to Hepatic Surgery

PERSEE
Start date: March 2019
Phase: N/A
Study type: Interventional

This study aims at assessing the feasibility of Probe-based Confocal Laser Endomicroscopy (pCLE) during laparoscopic hepatic masses resection for intra-operative characterisation of hepatic masses and surgical margins assessment.

NCT ID: NCT03708705 Not yet recruiting - Clinical trials for Hepatocellular Carcinoma

Liquid Biopsy-based Monitoring System for Relapse of HCC After Liver Transplantation: A Multi-center and Prospective Study

Start date: November 20, 2018
Phase:
Study type: Observational

This study aims to develop a novel, reliable, liquid biopsy-based biomarker system for relapse of HCC associated with hepatitis B after liver transplantation.

NCT ID: NCT03672305 Not yet recruiting - Clinical trials for Primary Hepatocellular Carcinoma

Clinical Study on the Efficacy and Safety of c-Met/PD-L1 CAR-T Cell Injection in the Treatment of HCC

Start date: October 1, 2018
Phase: Early Phase 1
Study type: Interventional

Title: Single-center, open clinical study on the efficacy and safety of c-Met/PD-L1 T cell injection in the treatment of primary hepatocellular carcinoma Stage: Phase I clinical trial Purpose: To evaluate the efficacy and safety of c-Met/PD-L1 CAR-T cells in patients with primary hepatocellular carcinoma Object: patients with primary hepatocellular carcinoma Sample size: 50 cases Number of centres:1 Study design: CT, MRI, PET and blood biochemical tests were performed before treatment to evaluate the state of HCC. Peripheral blood of the patient was extracted and PBMC was isolated. CAR-T cells were obtained by tranducing PBMC with c-Met/PD-L1 CAR lentivirus, and the proliferation capacity and immune phenotype of the cells were tested. After passing the inspection, the cells were re-injected into the patient three times. The efficacy and safety of c-Met/PD-L1 CAR-T cells was assessed respectively at 4 week, 12 week, 24 week and 48 week after treatment. Trial product: c-Met/PD-L1 CAR-T cells Course of treatment: 3 days for a course of treatment, only one course of treatment. A second course is given as appropriate if the treatment is beneficial to the patient.

NCT ID: NCT03668158 Not yet recruiting - Clinical trials for Hepatocellular Carcinoma

Multi-center Study on Therapy-oriented Molecular Subtyping of Hepatocellular Carcinoma

Start date: November 20, 2018
Phase:
Study type: Observational

The purpose of this study is to establish molecular subtyping of HCC.

NCT ID: NCT03652896 Not yet recruiting - Clinical trials for Hepatocellular Carcinoma by BCLC Stage

Anatomy-based Resection or Margin-based Resection for Hepatocellular Carcinoma

Start date: January 1, 2019
Phase: N/A
Study type: Interventional

Anatomical liver resection was widely accepted as first line curative therapy for hepatocellular carcinoma. However, number of retrospective clinical studies showed no priority of anatomical resection for hepatocellular, compared with non-anatomical resection. Surgical resection margin is a essential factor that may affect tumor prognosis. It is controversial whether adequate liver resection margin is associated with improved survival outcome in patients with hepatocellular. There was few prospective clinical trial to investigate whether anatomical liver resection is superior to non-anatomical resection or liver resection with adequate margin is superior to that with inadequate margin. This prospective clinical trial aims at fix these issues.