Lenvatinib, Sintilimab, and DEB-TACE With/Without HAIC for HCC >7 cm With PVTT

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-75
SponsorSecond Affiliated Hospital of Guangzhou Medical University

About this trial

This study is conducted to evaluate the efficacy and safety of lenvatinib plus sintilimab, transarterial chemoembolization (TACE) with drug-eluting beads (DEB-TACE) and hepatic artery infusion chemotherapy (HAIC) with FOLFOX regemen (LEN+SIN+DEB-TACE+HAIC) versus lenvatinib plus sintilimab and DEB-TACE (LEN+SIN+DEB-TACE) for large hepatocellular carcinoma (\> 7cm) with portal vein tumor thrombosis (PVTT).

Eligibility criteria

Qualifiers

a confirmed diagnosis of HCC

the largest intrahepatic lesion >7 cm

presence of PVTT on imaging

tumor recurrence after curative treatment (hepatectomy or ablation) is eligible for enrollment

Disqualifiers

accompanied with vena cava tumor thrombus

central nervous system involvement

previous treatment with TACE, HAIC, TAE, radiotherapy, or systemic therapy

organ (heart and kidneys) dysfunction, unable to tolerate TACE or HAIC treatment

Trial design

Treatments tested in this trial

  • LEN+SIN+DEB-TACE+HAIC
  • LEN+SIN+DEB-TACE

Treatment groups

320 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Second Affiliated Hospital of Guangzhou Medical University

Lead sponsor

Affiliated Hospital of Guangdong Medical University

Collaborator

Zhongshan People's Hospital, Guangdong, China

Collaborator

Huizhou Municipal Central Hospital

Collaborator

Jieyang People's Hospital

Collaborator

Guangzhou Development District Hospital

Collaborator

First People's Hospital of Foshan

Collaborator

Anqing Municipal Hospital

Collaborator

Jinan University Affiliated Shunde Hospital

Collaborator