TACE Plus Atezolizumab/Bevacizumab and I-125 Seeds Brachytherapy for HCC With Branch PVTT

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorThird Affiliated Hospital, Sun Yat-Sen University

About this trial

The present study aimed to assess the effectiveness of the combination treatment of Atezolizumab/Bevacizumab, transcatheter arterial chemoembolization (TACE) and I-125 Seeds Brachytherapy (TACE-AB-I) in patients with advanced hepatocellular carcinoma (HCC) and portal vein tumor thrombosis (PVTT). The investigators confirmed that the combination therapy yielded better survival data than the combined administration of Atezolizumab/Bevacizumab and TACE (TACE-AB) in patients with advanced HCC and Type I/II PVTT (Based on Cheng's PVTT classification).

Eligibility criteria

Qualifiers

Age between18 and 75 years;

Has a diagnosis of HCC confirmed by radiology, histology, or cytology;

Type I PVTT or type II PVTT;

Child-Pugh class A;

Disqualifiers

Diffuse HCC;

Cholangiocarcinoma, fibrolamellar, sarcomatoid hepatocellular carcinoma, and mixed hepatocellular/cholangiocarcinoma subtypes (confirmed by histology, or pathology) are not eligible;

Evidence of extrahepatic spread (EHS);

Any condition representing a contraindication to TACE or I-125 seeds brachytherapy as determined by the investigators;

Trial design

Treatments tested in this trial

  • I-125 Seeds Brachytherapy in PVTT
  • Transcatheter arterial chemoembolization
  • Atezolizumab plus Bevacizumab

Treatment groups

234 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Third Affiliated Hospital, Sun Yat-Sen University

Lead sponsor

Sun Yat-Sen University Cancer Center

Collaborator

Fifth Affiliated Hospital, Sun Yat-Sen University

Collaborator

Second Affiliated Hospital of Guangzhou Medical University

Collaborator

Maoming People's Hospital

Collaborator

Shandong Province Third hospital

Collaborator