The Investigation of Peginterferon Alfa-2a on the RFS of the Subjects With HCC Who Have Been Treated by Resection

Fudan University

Status and phase: Unknown; Phase 4

Conditions: Hepatic Carcinoma; Chronic Hepatitis b

Treatments: Drug: Peginterferon Alfa-2a; Drug: ETV；TDF；ADV

Study type: Interventional

Funder types: Other

Identifiers

NCT03253250

PEG-HCC

Details and patient eligibility

About

The current study is a prospective, randomized, open, multi-center investigation. The aim of current study is to investigate whether the Recurrence-free Survival Rate (RFS）of the hepatitis B related -hepatocellular carcinoma subjects who have been treated by resection can be improved by peginterferon alfa-2a

Full description

The subjects who have been treated by resection due to hepatocellular carcinoma (HCC) will be randomized into 2 groups: the subjects in group A will be treated by Nucleotide analogues (NAs)( ETV, 0.5mg，qd；tenofovir disoproxil fumarate(TDF)，300mg，qd；ADV，10mg，qd）for 96 weeks; the subjects in group B will be treated by peginterferon alfa-2a （135μg/week）combination with NAs (ETV\TDF\ADV)for 96 weeks.

Enrollment: 432 estimated patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Male and female patients with age ≥18 and ≤70 years;
2. Expected survival time >3 months;
3. There should be evidences that chronic hepatitis B or hepatitis have been positive, hepatitis B virus (HBV) DNA detectable or undetectable, Alanine aminotransferase(ALT)<upper limit of normal (ULN) or ≥ULN；
4. The patients have been treated by resection due to HCC;
5. The characteristic of tumor should be:Barcelona Clinic Liver Cancer(BCLC): 0,A,B
6. Child-Pugh scores:A
7. Agree to participate in the study and sign the patient informed consent form.

Exclusion criteria

1. Patients that have been treated by live transplantation、chemoembolization、radiotherapy、chemotherapy、molecular targeted therapy and biotherapy before the resection;
2. Patients that are treated by hepatotoxicity drugs 、immunosuppressant or adjuvant chemotherapy after the resection;
3. Patients who be treated by transcatheter arterial chemoembolization(TACE) after resection;
4. BCLC(Barcelona Clinic Liver Cancer):C、D before the resection;
5. History or other evidence of malignant tumor: except by basal cell carcinoma or squamous cell carcinoma which are cured 、carcinoma in situs of cervix
6. Allergic history to interferon;
7. Co-infection with active hepatitis A, hepatitis C, hepatitis D and/or human immunodeficiency virus (HIV);
8. History or other evidence of a medical condition associated with chronic liver disease other than viral hepatitis (e.g., hemochromatosis, autoimmune hepatitis, metabolic liver disease, alcoholic liver disease, toxin exposures, thalassemia);
9. absolute neutrophil count(ANC)<1.5x 10^9/L or platelet count(PLT)<70x 10^9/L
10. Creatinine over upper limit of normal;
11. History of severe psychiatric disease, especially depression. Severe psychiatric disease is defined as major depression or psychosis that treated with antidepressant medication or a major tranquilizer at therapeutic doses respectively at any time prior to 3 months or any history of the following: a suicidal attempt hospitalization for psychiatric disease, or a period of disability due to a psychiatric disease;
12. History of severe cardiac disease (e.g., New York Heart Association Functional Class III or IV, myocardial infarction within 6 months, ventricular tachyarrhythmias requiring ongoing treatment, unstable angina or other significant cardiovascular diseases);
13. History of thyroid disease poorly controlled on prescribed medications;
14. Evidence of severe retinopathy or clinically relevant ophthalmologic disorder;
15. History of other severe disease or evidence of other severe disease or any other illness or conditions that the investigator believe that patients are not suitable to join in the study;
16. Evidence of postoperative complications: infectious、bleeding, etc,. at baseline; or evidence of recurrence or metastasis at baseline;
17. Child-Pugh scores :B、C
18. Patients included in another trial or having been given investigational drugs within 12 weeks prior to screening;
19. Other disease should exclusive considered by the investigator.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

432 participants in 2 patient groups

Group A

Active Comparator group

Description:

The subjects will be treated by NAs (ETV, 0.5mg，qd；TDF，300mg，qd；ADV，10mg，qd）for 96 weeks

Treatment:

Drug: ETV；TDF；ADV

Group B

Experimental group

Description:

The subjects will be treated by peginterferon alfa-2a （135μg/week）combination with NAs(ETV\\TDF\\ADV) for 96 weeks.

Treatment:

Drug: ETV；TDF；ADV

Drug: Peginterferon Alfa-2a