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This is a prospective, multicenter, randomized, parallel-controlled, non-inferiority clinical trial that will be conducted at multiple clinical trial institutions in China. The trial is divided into two phases: the lead-in phase and the main study phase, with a total of 216 subjects planned to be enrolled. In the main study phase, subjects will be randomly assigned in a 1:1 ratio to either the test group or the control group. The randomly assigned subjects will receive TACE treatment. The test group will receive embolization therapy with anthracycline chemotherapy drugs, iodinated oil, and tumor temperature-sensitive embolic agents (test group), while the control group will receive embolization therapy with anthracycline chemotherapy drugs, iodinated oil, and gelatin sponge particles (control group).
The purpose of this study is to evaluate the safety and effectiveness of the tumor thermosensitive he main efficacy evaluation indicator of this clinical trial is disease control rate. This indicator is widely regarded as a reflection of the effectiveness of tumor treatment, indicating the proportion of tumors that completely disappear, shrink, or remain stable after TACE treatment. Analyzing the results of the subjects, indirectly and directly reflecting clinical benefits, is preliminary reliable evidence of anti-tumor activity in treatment. As the main purpose of this experiment is to evaluate the tumor response of liver tumors treated with TACE using tumor thermosensitive embolic agents and compare it with gelatin sponge embolic agents,
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tumor thermosensitive embolic agent | Experimental | The experimental group received anthracycline chemotherapy drugs, iodinated oil, and tumor thermosensitive embolic agents。 |
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| Gelatin sponge granules embolic agent | Active Comparator | The control group received anthracycline chemotherapy drugs, iodinated oil, and gelatin sponge particle embolic agents |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transcatheter Arterial Chemoembolization | Device | In the main research stage, the researchers randomly confirmed the subject groups, and the experimental group used anthracycline chemotherapy drugs, iodized oil, and tumor thermosensitive embolization agents for embolization; The control group was treated with anthracycline chemotherapy drugs, iodized oil, and gelatin sponge particles embolization for embolization. |
| Measure | Description | Time Frame |
|---|---|---|
| DCR | Target lesion disease control rate | 30 days ± 7 days after the first TACE treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Immediate success rate of target lesion embolization | The immediate success rate of target lesion embolization refers to the percentage of successful embolization cases in the total number of cases immediately after the initial TACE angiography review. | Immediately after the initial TACE |
| Objective remission rate of target lesion |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Huamin Wang | Contact | +86 15116996413 | huaminwang@grandpharma.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Anhui Provincial Hospital | Recruiting | Hefei | Anhui | 230002 | China |
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This trial is a prospective, multicenter, randomized, parallel-controlled, non-inferiority clinical trial.
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open Label
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Objective remission rate of target lesion |
| 30 days ± 7 days after the first TACE treatment, 30 days ± 7 days, 90 days ± 15 days and 180 days ± 30 days after the last TACE treatment |
| DCR | Disease control rate of target lesions | 30 days, 90 days and 180 days after the last TACE treatment |
| Duration of target lesion response | The duration of target lesion response refers to the time from the initial recording to the target lesion CR or PR to the target lesion PD or death | 30 days after the first TACE treatment, 30 days, 90 days, and 180 days after the last TACE treatment |
| AFP | Changes of serum alpha fetoprotein values | 30 days ± 7 days after the first TACE treatment, 30 days ± 7 days, 90 days ± 15 days and 180 days ± 30 days after the last TACE treatment |
| Duration of embolization | the average value of the time taken for the embolization of a single lesion was calculated according to the number of embolic lesions | Immediately after surgery |
| Embolization times | Record the total number of TACE treatments received by the subject from enrollment to the end of the trial | Within 90 days after surgery |
| Device performance evaluation | The surgeon conducted a subjective evaluation of the performance of the trial device during the surgical process after the operation, including system infusion performance, embolization performance, imaging performance, and overall evaluation, using a grading system of "excellent", "good", "fair", "acceptable", and "poor" to complete the evaluation | within 1 day after surgery |
| Peking University First Hospital | Recruiting | Beijing | Beijing Municipality | 100034 | China |
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| Affiliated Cancer Hospital of Guangxi Medical University | Recruiting | Nanning | Guangxi | 530012 | China |
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| The Affiliated Cancer Hospital of Guizhou Medical University | Recruiting | Guiyang | Guizhou | 550008 | China |
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| The Fourth Hospital of Hebei Medical University (Hebei Provincial Cancer Hospital) | Recruiting | Shijiazhuang | Hebei | '050010 | China |
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| Anyang Tumor Hospital | Recruiting | Anyang | Henan | 455001 | China |
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| The First Affiliated Hospital of Henan University of Science & Technology | Recruiting | Luoyang | Henan | 471023 | China |
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| Henan Cancer Hospital | Recruiting | Zhengzhou | Henan | 450000 | China |
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| Yichang Central People's Hospital | Recruiting | Yichang | Hubei | 443008 | China |
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| First Affiliated Hospital of Gannan Medical University | Recruiting | Ganzhou | Jiangxi | 341099 | China |
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| The Second Affiliated Hospital of Nanchang University | Recruiting | Nanchang | Jiangxi | 330008 | China |
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| Jilin Guowen Hospital | Recruiting | Gongzhuling | Jilin | 130028 | China |
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| Shanxi Bethune Hospital | Recruiting | Taiyuan | Shanxi | '030032 | China |
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| Lishui Central Hospital | Recruiting | Lishui | Zhejiang | 323020 | China |
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| The First Affiliated Hospital of Wenzhou Medical University | Recruiting | Wenzhou | Zhejiang | 325000 | China |
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| ID | Term |
|---|---|
| D008113 | Liver Neoplasms |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
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