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Study of Cytokine-induced Killer Cell (CIK) Treatment in Patients After Resection of Liver Cancer (HCC-CIK)

Sun Yat-sen University logo

Sun Yat-sen University

Status and phase

Completed
Phase 3

Conditions

Hepatocellular Carcinoma

Treatments

Biological: cytokine-induced killer cell (CIK) treatment

Study type

Interventional

Funder types

Other

Identifiers

NCT00769106
SunYat-senU 5010

Details and patient eligibility

About

Study hypothesis:

The recurrence rate of HCC patients after radical resection is about 60-70%. This study is based on the hypothesis that CIK treatment could decrease the recurrence rate by 15% to 20%.

Abstract:

This is a randomized controlled study. About 200 patients with hepatocellular carcinoma who underwent radical resection will be included. The patients will be randomized to group A (receive CIK treatment) or group B (just regularly follow up) without any anti-cancer treatment after resection of HCC, and the randomize ratio will be 1:1.

Study treatment:

Patients in group A will receive 4 cycles of CIK treatments within 3 months after their liver resection. Patients in group B will have no anti-cancer therapy. Anti-virus and other supportive therapies are available in both groups.

Enrollment

200 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

  • Male or female patients > 18 years of age.

  • Without any prior anti-cancer therapy.

  • Patients who have a life expectancy of at least 12 weeks.

  • Patients already had radical resection of HCC.

  • Definition of radical resection in this study:

  • All tumors were moved out, with a clean resection margin.

  • Number of tumors <= 3.

  • Without tumor invasion of the main trunk and first branch of the portal vein, or hepatic duct, or hepatic vein.

  • No hepatic hilum lymphnode metastasis.

  • No distance metastasis.

  • Hepatocellular carcinoma with histological diagnose.

  • No major post-operative complication.

  • Patients who have an ECOG PS of 0, or 1.

  • Cirrhotic status of Child-Pugh class A only.

  • The following laboratory parameters:

    • Platelet count >= 70 x 109/L
    • Hemoglobin >= 8.5 g/dL
    • Albumin >= 3.5 g/dL
    • Total bilirubin <= 25umol/L
    • Alanine transaminase (ALT) and AST <= 2.5 x upper limit of normal
    • Serum creatinine <= 1.5 x the upper limit of normal
    • Prothrombin time (PT) <= 3 seconds above control.
    • Patients who give written informed consent.

Exclusion Criteria

  • Previous or concurrent cancer that is distinct in primary site or histology from HCC.
  • History of cardiac disease.
  • Active clinically serious infections (> grade 2 National Cancer Institute [NCI]-Common Terminology Criteria for Adverse Events [CTCAE] version 3.0)
  • Known history of human immunodeficiency virus (HIV) infection
  • Known Central Nervous System tumors including metastatic brain disease.
  • Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry.
  • History of organ allograft.
  • Known or suspected allergy to the investigational agent or any agent given in association with this trial.
  • Pregnant or breast-feeding patients.
  • Any condition that is unstable or which could jeopardize the safety of the patient and his/her compliance in the study.

Excluded therapies and medications, previous and concomitant:

  • Prior use of any anti-cancer treatment for HCC, eg. chemotherapy, radiotherapy.
  • Antiviral treatment is allowed.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

200 participants in 2 patient groups

B (control group)
No Intervention group
Description:
regular treatment and follow up
A (CIK group)
Experimental group
Description:
cytokine-induced killer cell treatment plus regular treatment and follow up
Treatment:
Biological: cytokine-induced killer cell (CIK) treatment

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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