Advanced Adult Hepatocellular Carcinoma Clinical Trial
Official title:
A Randomized, Controlled Phase III Trial of Sorafenib With or Without Conventional Transarterial Chemoembolization in Patients With Advanced Hepatocellular Carcinoma (STAH Study)
This is a randomized, multi-center, open-labeled, phase III study in patients with advanced
HCC. A total of 338 patients will be randomized (1:1) into one of the two treatment arms, to
receive sorafenib with (Arm Combination-treatment; Arm C) or without (Arm Sorafenib alone
treatment; Arm S) cTACE.
All the patients will be initially given sorafenib within 72 hours after the randomization.
Treatment should continue until the criteria for treatment discontinuation are met.
After the treatment period, patients will undergo follow up for survival every 12 weeks (±7
days) from the last dose, and the survival follow up will be performed for at least 1.5 years
after the last patient's last treatment.
The superiority of the Arm C (cTACE+Sorafenib) over the Arm S (Sorafenib) in the OS period will be verified in the ITT set and FAS using a stratified log-rank test. Stratification factors consist of mUICC stage (III vs. IV), Vascular invasion (none and Vp1-2 vs. Vp3-4 and any other presence), Child-Pugh score (5 vs. 6-7), serum AFP level (≥200 ng/mL vs. <200 ng/mL). The significance level is 5% (one-sided). ;
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