TIPS Combined With Lenvatinib and PD-1 Inhibitor for Advanced HCC With Main Trunk PVTT
NCT06622031 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 42
Last updated 2025-01-13
Summary
Hepatocellular carcinoma (HCC) with main trunk portal vein tumor thrombus (PVTT) has poor prognosis. The main lethiferous factor is the upper gastrointestinal hemorrhage by PVTT-related portal hypertension, then the second is the tumor-caused death. It is vital to prevent the portal hypertension by PVTT.
Conditions
- Hepatocellular Carcinoma
- Portal Vein Tumor Thrombus
- Systemic Therapy
Interventions
- PROCEDURE
-
Transjugular intrahepatic portosystemic shunt
A needle punctured the portal vein through the transjugular approach. After a successful puncture, the parenchymal tract was dilated, and covered stents were introduced. The specifications of the covered stents were 8 mm × 50 mm, 8 mm × 60 mm, 8 mm × 70 mm, and 8 mm × 80 mm. All of the diameters of the bare stents were 8 mm, and the lengths were 50-80 mm. The portal vein pressure was measured before and after shunt creation. After the insertion of TIPS, all of the participants received a diuretic treatment and a salt-limited diet.
- DRUG
-
12 mg (body weight ≥60 kg) , 8 mg (body weight \<60 kg
- DRUG
-
PD-1 inhibitor
Tislelizumab (200mg intravenously every 3 weeks), Sintilimab (200mg intravenously every 3 weeks), Camrelizumab (200mg intravenously every 3 weeks)
Sponsors & Collaborators
-
Chinese PLA General Hospital
collaborator OTHER -
Sun Yat-sen University
lead OTHER
Principal Investigators
-
Feng Duan · Chinese PLA General Hospital
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-10-01
- Primary Completion
- 2026-12-01
- Completion
- 2027-08-30
Countries
- China
Study Locations
More Related Trials
-
Comparing the Prognosis of Patients With HCC and PVTT Treated With Surgery Versus Locoregional Therapy.
NCT06248528 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
TACE Combined With Lenvatinib and PD-1 Inhibitor for Ruptured Hepatocellular Carcinoma
NCT06740370 ·Status: RECRUITING ·Phase: NA
-
TACE Versus HAIC, Combined With PD-1 Inhibitors and Lenvatinib for Unresectable Hepatocellular Carcinoma
NCT07340502 ·Status: NOT_YET_RECRUITING
-
Lenvatinib, Sintilimab, and DEB-TACE With/Without HAIC for HCC >7 cm With PVTT
NCT06904183 ·Status: RECRUITING ·Phase: PHASE2
-
Lenvatinib Plus DEB-TACE and HAIC vs. Lenvatinib Plus DEB-TACE for Large HCC With PVTT
NCT06492395 ·Status: RECRUITING ·Phase: PHASE3
-
Lenvatinib Following Liver Transplantation in Patients of Hepatocellular Carcinoma With Portal Vein Tumor Thrombus
NCT04319484 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2/PHASE3
-
TACE Combined With ICIs Plus MTT After 125I Irradiation Stent Placement in HCC With Main PVTT.
NCT06669377 ·Status: RECRUITING
-
Lenvatinib Combined Anti-PD1 Antibody for the Advanced Hepatocellular Carcinoma
NCT04627012 ·Status: COMPLETED
-
A Study to Evaluate Sintilimab Plus Lenvatinib as Adjuvant Therapy in Hepatocellular Carcinoma With Portal Vein Tumor Thrombosis (PVTT) After Surgical Resection
NCT06089382 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Neoadjuvant Radiotherapy for HCC Involving Type I PVTT
NCT04025437 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Resection vs. Best Supportive Care for Hepatocellular Carcinoma (HCC) With Portal Venous Thrombus
NCT01600196 ·Status: TERMINATED ·Phase: PHASE4
-
Lenvatinib Plus PD-1 Antibody vs TACE for Intermediate-stage HCC Beyond Up-to-seven Criteria
NCT03791918 ·Status: WITHDRAWN ·Phase: PHASE3
-
Lipotecan Based Concurrent Chemoradiotherapy in Hepatocellular Carcinoma With Portal Vein Tumor Thrombosis
NCT03035006 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Lenvatinib Plus Tislelizumab With or Without TACE in First-line Treatment of Unresectable HCC
NCT05842317 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
The Safety and Efficacy of Transarterial Chemoembolization (TACE) + Lenvatinib + Programmed Cell Death Protein 1 (PD-1) Antibody of Advanced Unresectable Hepatocellular Carcinoma
NCT04997850 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Irradiation Stent Placement Plus TACE for HCC and PVTT
NCT03730675 ·Status: UNKNOWN ·Phase: NA
-
Pembrolizumab and LENvatinib in Participants With Hepatocellular Carcinoma (HCC) Before Liver Transplant
NCT04425226 ·Status: UNKNOWN ·Phase: NA
-
TACE-HAIC Combined With TKIs and Immunotherapy Versus TACE Alone for Hepatocellular Carcinoma With PVTT
NCT05535998 ·Status: COMPLETED
-
Hepatic Resection Versus Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma Complicated by Portal Vein Tumor Thrombosis
NCT01350206 ·Status: UNKNOWN ·Phase: PHASE4
-
Phase Ib/II Trial of Combining Pembrolizumab and Lenvatinib With SBRT for HCC Patients With Portal Vein Thrombosis.
NCT05286320 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1/PHASE2
-
Efficacy of Postoperative Adjuvant Treatments for Hepatocellular Carcinoma With Portal Vein Tumor Thrombosis
NCT01033578 ·Status: UNKNOWN ·Phase: NA
-
TACE Plus Multikinase Inhibitor and I-125 Seeds Brachytherapy for HCC With Branch PVTT
NCT04967495 ·Status: UNKNOWN ·Phase: NA
-
SBRT Plus Lenvatinib and TACE for Advanced Primary HCC: A Phase 3 Trial (SEARCH)
NCT05718232 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
TACE Combined With Lenvatinib and Sintilimab for Advanced HCC
NCT04599790 ·Status: COMPLETED ·Phase: PHASE2
-
HAIC Combine Tislelizumab and Lenvatinib in the Treatment of HCC With Type IV (Vp4) Portal Vein Tumor Thrombus (HAI-TL)
NCT06210334 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2