Overview
The objective of this clinical trial is to compare the effects of yttrium-90 (SIRT) treatment and hepatic arterial perfusion chemotherapy (HAIC) on progression-free survival (PFS) in patients with potentially resectable HCC in the HCC population. The main questions it aims to answer are:
- Whether yttrium-90 (SIRT) therapy is more effective than hepatic arterial infusion chemotherapy (HAIC) in treating patients with potentially resectable liver cancer
- Whether yttrium-90 (SIRT) therapy is safer than hepatic arterial perfusion chemotherapy (HAIC) in patients with potentially resectable liver cancer The researchers compared yttrium-90 (SIRT) treatment to hepatic arterial perfusion chemotherapy (HAIC) to see if yttrium-90 (SIRT) was more effective in treating potentially resectable liver cancer.
Participants will:
- Patients will receive yttrium-90 (SIRT) therapy or 1 of them hepatic arterial perfusion chemotherapy (HAIC).
- Follow-up at 1, 3, and 6 months after surgery
- Keep a record of their symptoms and test results
Eligibility
Inclusion Criteria:
- Age ≥ 18 years and ≤ 75 years.
- Good general condition, with an ECOG Performance Status (PS) of 0-1.
- Classified as China Liver Cancer Staging (CNLC) stage Ib (PS 0-2, Child-Pugh class A/B liver function, single tumor >5 cm in diameter, without radiologically visible vascular tumor thrombus and extrahepatic metastasis), IIa (PS 0-2, Child-Pugh class A/B liver function, 2-3 tumors with the largest diameter >3 cm, without radiologically visible vascular tumor thrombus and extrahepatic metastasis), IIb (PS 0-2, Child-Pugh class A/B liver function, ≥4 tumors regardless of diameter, without radiologically visible vascular tumor thrombus and extrahepatic metastasis), or IIIa (PS 0-2, Child-Pugh class A/B liver function, any tumor status with radiologically visible vascular tumor thrombus but without extrahepatic metastasis).
- No prior treatment for liver cancer.
- Absence of distant metastasis, with the tumor anticipated to be completely resectable.
- Patient provides written informed consent after being fully informed about the study.
Exclusion Criteria:
- Presence of severe impairment of heart, brain, lung, kidney, or other major organ function, severe concurrent infection, or other serious comorbid conditions (> Grade 2 adverse events per CTCAE Version 4.03), rendering the patient unable to tolerate the treatment.
- History of other malignancies.
- History of allergy to related drugs.
- History of organ transplantation.
- Prior treatment for the tumor (including interferon).
- Concurrent HIV infection.
- History of drug or substance abuse.
- Occurrence of gastrointestinal bleeding or cardiovascular/cerebrovascular events within approximately 30 days prior to treatment.
- Pregnant or lactating women, or women of childbearing potential unwilling to use contraception.
- Concurrent psychiatric disorders that prevent the patient from providing informed consent or interfere with receiving treatment.
- Any other factors deemed by the investigator as likely to affect patient enrollment or the evaluation of results.