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The aim of this study is to evaluate the safety of selective transarterial chemoembolization (TACE) of hepatocellular carcinoma (HCC) in the setting of an elevated total bilirubin, but relatively normal direct bilirubin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transarterial chemoembolization | Experimental | Transarterial chemoembolization |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transarterial chemoembolization | Combination Product | Delivery of lipiodol, chemotherapy (Deoxyrubicin), and particles (embosphere particles) to the arteries feeding hepatocellular carcinoma. While both chemotherapy and particles are delivered this is a single procedure in which the chemotherapy is delivered followed immediately by particles. |
| Measure | Description | Time Frame |
|---|---|---|
| Procedure related adverse events | Percentage of adverse events following TACE | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Radiologic Response | mRECIST response after TACE | 1 month |
| Progression free survival | Liver PFS and overall PFS | 1, 3, 6, 12, 18, and 24 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Minnesota | Minneapolis | Minnesota | 55455 | United States |
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| ID | Term |
|---|---|
| D006528 | Carcinoma, Hepatocellular |
| D006932 | Hyperbilirubinemia |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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|
| Overall survival | Overall survival | 24 months |
| Change in Model for end stage liver disease (MELD) | Change in MELD (MELD = 3.78×ln[serum bilirubin (mg/dL)] + 11.2×ln[INR] + 9.57×ln[serum creatinine (mg/dL)] + 6.43) score at 7 and 30 days post TACE | 7 and 30 days |
| Change in Child Pugh score | Change in Child Pugh score at 7 and 30 days post TACE | 7 and 30 days |
| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |