| Eligibility |
Inclusion Criteria:
1. Ages 18-65 years
2. The diagnosis of ICC: in accordance with "diagnostic and treating standards on primary
liver cancer" or histological/cytological diagnosis of primary liver cancer
3. Un-resectable HCC : patients with developing primary liver cancer of Barcelona
stage(BCLC) B; multiple nodules (less than 5, the total diameter of less than 20 cm),
no invasion, no symptoms;refusing open surgical treatment and volunteering for the
treatment
4. The First-line system therapy failure (or residual lesion) from the group of this
study a signed informed consent (time) for 2 weeks or more basic returned to normal
and adverse events (NCI CTCAE ? level or less);
5. Child-Pugh liver function class A/B(score: =7)
6. Performance status 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) scale in
one week before admission
7. Estimated survival time > 3 months
8. HBV DNA#2000 IU/ml#10^4 copies/ml); or HBV DNA=2000 IU/ml and are accepting effective
antiviral therapy
9. The major organ function is normal. that is meeting the following standards:
Blood routine examination: (No blood transfusion, no G-CSF and no medication were
corrected within 14 days before screening)
10. For women of childbearing age, the results of serum/urine pregnancy tests must be
negative within 7 days before initiation of treatment. All men and women who
participate in the study have to take reliable contraceptive measures within the trial
and eight weeks after the trial is completed
11. volunteers must signed informed consent
Exclusion Criteria:
1. With a history of alimentary tract hemorrhage or a definite tendency of
gastrointestinal bleeding, such as varices of fundus of stomach and esophagus with
bleeding risk; local active ulcer lesions; fecal occult blood =#++#
2. Patients with hepatobiliary cell carcinoma, mixed cell carcinoma or lamellar cell
carcinoma; in the past (within 5 years) or at the same time suffering from other
untreated malignant tumors; excluding cured basal cell carcinoma and carcinoma in
situs of cervix
3. Patients who are undergoing liver transplantation or have a history of organ
transplantation(excluding the patient who has undergone liver transplantation before)
4. Patients with an allergic history of Levamisole Hydrochloride and Anlotinib
Hydrochloride Capsules
5. The blood pressure can not be reduced to the normal range by the antihypertensive drug
treatment in patients with hypertension(systolic pressure#140 mmHg, diastolic
pressure#90 mmHg)
6. Patients with myocardial ischemia or myocardial infarction over grade II or a poorly
controlled arrhythmia (including QTc interval: men = 450 ms; women = 470 ms)
7. Cardiac functional insufficiency of grade III to IV according to NYHA standard;
echocardiography: LVEF#50%
8. Many factors that influence oral medication, such as unable to swallow; chronic
diarrhea; intestinal obstruction; the situations which significantly affect the use
and absorption of drugs
9. Abdominal fistula, gastrointestinal perforation, or abdominal abscess occurred within
28 days before participating the study
10. Dysfunction of blood coagulation(INR#2.0 or PT# 16s#APTT > 43s#TT > 21s#Fbg < 2g/L),
having a tendency to bleed or undergoing thrombolysis or anticoagulant therapy;
ascites with clinical symptoms, that is requiring therapeutic abdominal paracentesis
or drainage or Child-Pugh score =2
11. Objective evidence of pulmonary fibrosis history, interstitial pneumonia,
pneumoconiosis, radiation pneumonitis, drug associated pneumonia, and severe lung
function impairment in the past and at present
12. Urine routine showed that urine protein =++ or the urine protein in 24 hours#1.0 g
13. Patients who have been treated with potent CYP3A4 inhibitors (ketoconazole,
itraconazole, voriconazole, ritonavir, clarithromycin, telithromycin, troleandomycin,
erythromycin, cimetidine and so on) within 28 days before participating the study, or
potent CYP3A4 inducers (dexamethasone, phenytoin, rifampin, rifabutin, carbamazepine,
phenobarbitone and so on) within 12 days before participating the study.
14. Pregnant or lactating women; fertile patients who are unwilling or unable to adopt
effective contraceptives
15. Patients with mental sickness or the history of psychotropic drug abuse
16. Patients with severe infection (unable to control the infection effectively)
17. The treatment history affecting this program or its efficacy, such as stem cell
transplantation, immune regulation (including PD-1 and other test regimens) recently
(within half a year)
18. The researchers believe that any other factors unsuitable for entering into the study.
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