Microwave ablation combined with lenvatinib for recurrent liver cancer
Official title: Microwave Ablation Simultaneously Combined With Lenavatinib for Recurrent Hepatocellular Carcinoma: a Prospective Randomized Controlled Study
Run by Sun Yat-sen University · NCT05444478 · Data updated 2026-11-12
This study is testing whether combining microwave ablation with the drug lenvatinib can help people with recurrent liver cancer feel better and live longer.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 274 (estimated) |
| Sponsor | Sun Yat-sen University Academic / other |
| Drugs / interventions | immunotherapy, lenvatinib |
| Locations | 1 site (Changsha, Hunan) |
| Status | Recruiting |
| Started | July 1, 2022 |
| Main results expected | July 1, 2025 |
| Study ends | July 1, 2027 |
| Registry record updated | November 7, 2023 |
| Trial ID | NCT05444478 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults aged 18-75 with recurrent HCC, limited tumor burden, and good performance status.
✕Probably not a fit
Patients with macrovascular invasion, extrahepatic metastasis, or those who have received prior systemic or local therapies may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates the efficacy and safety of combining microwave ablation with lenvatinib for patients with recurrent hepatocellular carcinoma (HCC). Microwave ablation is a curative treatment for early-stage recurrent HCC, while lenvatinib has shown promise in improving overall survival in advanced HCC. This randomized, multicenter, prospective trial aims to explore the potential benefits of this combination therapy, which has not been previously studied. The trial will assess patient outcomes and safety profiles associated with this innovative treatment approach.
Why it matters
Potential benefit: If successful, this combination therapy could provide a new effective treatment option for patients with recurrent hepatocellular carcinoma.
How similar studies have gone: While microwave ablation and lenvatinib have been studied separately, this specific combination approach is novel and has not been previously tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Primary HCC (BCLC 0-B), and the pathological results is hepatocellular carcinoma; 2. recurrent HCC without any tumor related therapy; 3. Tumor number ≤3; 4. Tumor size ≤5cm; 5. Good performance, KPS≥90; 6. Age:18-75 7. Child-Pugh A or B(score of the B level is no more than 7) 8. Baseline laboratory examinations meet the Criteria: Leukocyte ≥3.0×109/L; Blood platelet ≥75×109/L; Hemoglobin ≥100g/L; ALT、AST ≤ 3 x limit of normal(ULN); Serum creatinine ≤ 1.5 x ULN; Prothrombin time \< ULN+4 s;INR \< 1.5, Albumin ≥30g/L ; Total bilirubin ≤34mmol/L; Exclusion Criteria: 1. disagreeing to receive follow-up observation and participate the clinical study; 2. Accompanying with a history of other malignancies; 3. Accompanying with macrovascular invasion such as portal vain tumor thrombus, hepatic vein tumor thrombus; 4. with extrahepatic metastasis or lymph metastasis; 5. receiving system therapy such as targeted therapy or immunotherapy; 6. receiving local therapy such as ablation or TACE; 7. Any of the following occurred within 12 months of the study: myocardial infarction, severe / unstable angina, coronary artery bypass grafting, congestive heart failure, cerebrovascular accident (including transient ischemic attack), pulmonary embolism; ongoing arrhythmia by NCI-CTCA standard ≥ 2, prolonged QTc interval (450 ms for males, and\> 470 ms for females; 8. other serious acute, chronic physiological or mental disorders or abnormal laboratory examination may increase the risk of participation in study treatment or may interfere with the interpretation of study findings or whom the investigator considers not fit;
Where it's running
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Hunan Provincial People's Hospital
Changsha, Hunan, China Recruiting
Study contacts
- Study coordinator: Qunfnag Zhou, MD
- Email: zhouqun988509@163.com
- Phone: 86 19868000115
Similar studies
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This study is testing if adding a low dose of donafenib after thermal ablation can help people with early recurrent liver cancer do better than just having the ablation alone.
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Tracking immune and genomic changes in liver cancer during immunotherapy
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This study is testing if using special MRI scans and blood tests can help doctors keep track of liver health in patients with liver cancer who are getting radiation therapy.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.