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The study aims to compare efficacy and adverse reactions of large hepatocellular carcinoma participants (5-10cm) who receive stereotactic body radiation therapy with or without transcatheter arterial chemoembolization.The investigators will optimize the combined treatment schedule of SBRT for hepatocellular carcinoma participants by comparing overall survival rates, progression-free survival rates and local control and adverse reaction occurrence rates in the two groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CK-SBRT with TACE group | The hepatocellular carcinoma patients (5-10cm)who received SBRT with TACE. | ||
| CK-SBRT group | The hepatocellular carcinoma patients (5-10cm)who received SBRT alone. |
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| Measure | Description | Time Frame |
|---|---|---|
| Overall survival time | OS is calculated starting from the date of SBRT to the date of the final follow-up or demise of the patients. | From date of randomization until the date of death from any cause, assessed up to 36 months |
| Progression-free survival time | PFS is estimated starting from the date of SBRT to the date of disease progression or patient death. | From date of randomization until the date of disease progression or date of death from any cause, whichever came first, assessed up to 36 months |
| Local control time | LC is defined starting from the date of SBRT to the date of treated-lesion progression or patient death. | From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months |
| Measure | Description | Time Frame |
|---|---|---|
| Radiation-induced liver injury rates | From the date of radiotherapy completion until the 4 months after therapy,up to 6 months. | |
| Adverse reaction | From the date of radiotherapy completion until the 4 months after therapy,up to 6 months. |
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Inclusion Criteria:
Exclusion Criteria:
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The large HCC patients who receive SBRT with or without TACE.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jing Sun | Contact | +8613718681094 | 519299998@qq.com | |
| Xuezhang Duan | Contact | +8613621386161 | duanxuezhang2006@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing 302 hospital | Recruiting | Beijing | 100039 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27809890 | Result | Su TS, Lu HZ, Cheng T, Zhou Y, Huang Y, Gao YC, Tang MY, Jiang HY, Lian ZP, Hou EC, Liang P. Long-term survival analysis in combined transarterial embolization and stereotactic body radiation therapy versus stereotactic body radiation monotherapy for unresectable hepatocellular carcinoma >5 cm. BMC Cancer. 2016 Nov 3;16(1):834. doi: 10.1186/s12885-016-2894-9. | |
| 30851906 |
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| Wong TC, Chiang CL, Lee AS, Lee VH, Yeung CS, Ho CH, Cheung TT, Ng KK, Chok SH, Chan AC, Dai WC, Wong FC, Luk MY, Leung TW, Lo CM. Better survival after stereotactic body radiation therapy following transarterial chemoembolization in nonresectable hepatocellular carcinoma: A propensity score matched analysis. Surg Oncol. 2019 Mar;28:228-235. doi: 10.1016/j.suronc.2019.01.006. Epub 2019 Jan 29. |
| 20879569 | Result | Benedict SH, Yenice KM, Followill D, Galvin JM, Hinson W, Kavanagh B, Keall P, Lovelock M, Meeks S, Papiez L, Purdie T, Sadagopan R, Schell MC, Salter B, Schlesinger DJ, Shiu AS, Solberg T, Song DY, Stieber V, Timmerman R, Tome WA, Verellen D, Wang L, Yin FF. Stereotactic body radiation therapy: the report of AAPM Task Group 101. Med Phys. 2010 Aug;37(8):4078-101. doi: 10.1118/1.3438081. |