About this trial
On the basis of previous retrospective studies, the Task Force will further optimize the CTCs longitudinal surveillance model and initially validate the subclonal origin (CTC-DNA) of recurrent/metastatic foci derived from CTCs at the molecular level in hepatocellular carcinoma, prospective clinical trials will be conducted to further validate the predictive value of the CTCS longitudinal monitoring model in predicting postoperative recurrence of hepatocellular carcinoma, and to verify whether it is earlier than imaging to indicate recurrence, to explore the clinical feasibility of CTCs in guiding postoperative adjuvant therapy of liver cancer, and to provide new ideas for early intervention strategy of liver cancer after operation, to establish a set of standardized clinical scheme of auxiliary treatment for patients with liver cancer after operation for accurate and individualized"Early diagnosis and treatment".
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female patients aged 18-75 years;
Preoperative imaging examination diagnosed hepatocellular carcinoma (BCLC) stage 0 /stage A/stage B, eligible for radical surgery;
ECOG physical status score is 0-1;
Child-Pugh score is 5-6 points (Level A);
Disqualifiers
Patient can't provide blood samples for CTCs and CTC-DNA testing;
Patient with two or more types of tumors at the same time;
Non-primary liver lesions;
Pregnant or lactating women;
Trial population
Patient with hepatocellular carcinoma who can undergo radical surgical resection
Trial design
Cohort
Prospective
Treatments tested in this trial
circulating tumor cells
Diagnostic testblood sample and tissue specimen for circulating tumor cell and DNA will be done to patient with hepatocellular carcinoma
Treatment groups
Trial outcomes
Primary outcomes
2-year recurrence-free survival rate
percentage of recurrence-free survival 2 years after surgery
Secondary outcomes
Correlation between CTCs status dynamic changes and relapse
Correlation between CTCs status dynamic changes and relapse
Correlation between metastasis,primary tumor and CTCs in blood through NGS and CTC-DNA
The subclonal origin of recurrent/metastatic foci derived from CTCs was verified at the molecular level in hepatocellular carcinoma
Sponsors and contacts
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