About this trial
This study is conducted to evaluate the efficacy and safety of lenvatinib plus SIRT (LEN+SIRT) compared with lenvatinib (LEN) alone for patients with hepatocellular carcinoma (HCC) refractory to transarterial chemoembolization (TACE).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Pathologically confirmed or clinically diagnosed HCC
Diagnosis of HCC with TACE refractoriness according to the criteria proposed by Japan Society of Hepatology (2021)
Patients who have Tumor recurrence after surgical resection or ablation are allowed to be included
At least one measurable intrahepatic target lesion
Disqualifiers
Extrahepatic metastasis
Tumor thrombus involving main portal vein or both the first left and right branches of portal vein
Vena cava invasion
Patients who received prior hepatic arterial infusion chemotherapy (HAIC), radiotherapy, or systemic therapy, for HCC
Trial design
Parallel
Treatments tested in this trial
Lenvatinib plus SIRT
Combination productLenvatinib 12mg (body weight ≥60kg) or 8mg (body weight \<60kg) P.O. QD will be started at 3-7 days after the first SIRT.
Lenvatinib
DrugLenvatinib 12mg (body weight ≥60kg) or 8mg (body weight \<60kg) P.O. QD.
Treatment groups
Trial outcomes
Primary outcomes
Objective response rate (ORR)
The percentage of patients who had a best overall tumor response rating of complete response (CR) or partial response (PR) according to mRECIST
Secondary outcomes
Disease control rate (DCR)
The percentage of patients who had a tumor response rating of CR, PR, or stable disease (SD) according to mRECIST.
Progression free survival (PFS)
The time from initiation of treatment until the first occurrence of disease progression or death from any cause, whichever occurs first.
Time to response (TTR)
The time from treatment initiation to first tumour remission (mRECIST)
Duration of response (DOR)
Time from first tumor response to first disease progression (mRECIST) or death from any cause (whichever occurs first)
Sponsors and contacts
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