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A randomised, open label controlled trial of trans-arterial chemoembolisation vs embolisation alone in non-resectable hepatocellular carcinoma
ISRCTN ISRCTN63349435
ClinicalTrials.gov identifier
Public title A randomised, open label controlled trial of trans-arterial chemoembolisation vs embolisation alone in non-resectable hepatocellular carcinoma
Scientific title
Acronym TACE
Serial number at source N0256130934
Study hypothesis To investigate whether there is a difference in terms of overall survival, time to progression, response rate, quality of life and toxicity between the two treatment arms.

As of 11/08/09 this record has been extensively updated. All updates can be found under the relevant field with the above update date. Please also note that this trial has been extended, the initial end date was listed as 31/10/2005
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised open label active controlled parallel group trial
Countries of recruitment United Kingdom
Disease/condition/study domain Liver cancer
Participants - inclusion criteria Added 11/08/09:
1. Evidence of HCC as diagnosed by either histological means; or as evidenced by a focal lesion >2 cm with arterial hypervascularisation detected on two radiological studies (any two of ultrasound, CT, MRI or angiography) in a patient with a background of cirrhosis; or by a single radiological study with an a-fetoprotein greater than 400 ng/ml (1)
2. The patient must not be a candidate for surgical resection of the tumour but may be suitable for transplantation
3. The patient must have either a solitary hepatic tumour >3 cm in diameter or multifocal disease as evidenced by CT or MRI scanning.
4. Aged ≥16 years and estimated life expectancy >3 months
5. ECOG performance status ≤ 2
6. Adequate haematological function
7. Adequate clotting function: INR ≤ 1.5
8. GFR ≥ 50ml/min
9. Adequate liver function
10. Capable of giving written informed consent
11. Women of child-bearing potential should have a negative pregnancy test prior to study entry AND be using an adequate contraception method, which must be continued for 3 months after completion of treatment
Participants - exclusion criteria Added 11/08/09:
1. Extra-hepatic metastases
2. Prior treatment for HCC
3. Active sepsis or bleeding
4. Hepatic encephalopathy
5. Ascites refractory to diuretic therapy
6. Documented occlusion of the hepatic artery or portal vein
7.Hypersensitivity to intravenous contrast agents
8. Pregnant or lactating women
9. History of prior malignancy
10. Any evidence of severe or uncontrolled systemic diseases or laboratory finding
11. Any psychiatric or other disorder (eg brain metastases) likely to impact on informed consent
Anticipated start date 14/10/2003
Anticipated end date 30/04/2008
Status of trial Completed
Patient information material
Target number of participants 196
Interventions Current information as of 11/08/09
Single centre phase III randomised controlled trial comparing trans-arterial chemoembolisation vs embolisation alone
1. Treatment arm - trans-arterially administered cisplatin followed by embolisation
2. Control arm - Embolisation only

Initial information at time of registration:
Single centre phase III randomised controlled trial comparing trans-arterial chemoembolisation vs embolisation alone
Primary outcome measure(s) 1. Overall survival
2. Quality of life
3. Toxicity
4. Objective response rates
Secondary outcome measure(s) Not provided at time of registration
Sources of funding The Royal Free Hampstead NHS Trust (UK)
Trial website
Publications
Contact name Dr  Tim  Meyer
  Address Department of Oncology and Radiotherapy
Royal Free Hampstead NHS Trust
Pond Street
Hampstead
  City/town London
  Zip/Postcode NW3 2QG
  Country United Kingdom
  Tel +44 (0)20 7794 0500 ext 8364
  Fax +44 (0)20 7794 3341
  Email t.meyer@ucl.ac.uk
Sponsor Record Provided by the NHSTCT Register - 2004 Update - Department of Health (UK)
  Address The Department of Health,
Richmond House,
79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.dh.gov.uk/Home/fs/en
Date applied 30/09/2004
Last edited 11/08/2009
Date ISRCTN assigned 30/09/2004
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