Using donafenib after surgery for liver cancer

Efficacy and Safety of Donafenib as Adjuvant Therapy for Postoperative Patients With High-Risk Recurrent Hepatocellular Carcinoma: A Multicenter, Randomized Controlled Study

NA · Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University · NCT06581315

This study is testing if the drug donafenib can help prevent liver cancer from coming back in patients who have just had surgery to remove their tumors.

Quick facts

PhaseNA
Study typeInterventional
Enrollment204 (estimated)
Ages18 Years to 75 Years
SexAll
SponsorSun Yat-Sen Memorial Hospital of Sun Yat-Sen University (other)
Drugs / interventionschemotherapy
Locations1 site (Guangzhou, Guangdong)
Trial IDNCT06581315 on ClinicalTrials.gov

What this trial studies

This study evaluates the efficacy and safety of donafenib as an adjuvant therapy for patients who have undergone radical resection of hepatocellular carcinoma and are at high risk for recurrence. It is a multicenter, randomized controlled trial that aims to determine if donafenib can improve outcomes in these postoperative patients. Participants must have no evidence of recurrence or metastasis at least four weeks after surgery and meet specific eligibility criteria related to their health status and tumor characteristics.

Who should consider this trial

Good fit: Ideal candidates are patients who have recently undergone surgery for hepatocellular carcinoma and are classified as high risk for recurrence.

Not a fit: Patients with recurrent hepatocellular carcinoma or those who have received prior anti-tumor therapies may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could significantly reduce the risk of recurrence in patients with hepatocellular carcinoma after surgery.

How similar studies have performed: Other studies have shown promise in using targeted therapies like donafenib for liver cancer, suggesting potential for success in this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participants underwent radical resection of hepatocellular carcinoma 4 weeks before randomization
* High Risk of recurrence as assessed by tumor characteristics
* Without any anti-tumor therapy before surgery, except preoperative TACE therapy, traditional Chinese medicine therapy and interferon therapy
* Child-Pugh Class A statu
* ECOG Performance Status of 0 or 1
* CT/MR confirmed no recurrence or metastasis at ≥4 weeks after surgery
* Expected survival time of no less than 3 months

Exclusion Criteria:

* Known fibrolamellar HCC, sarcomatoid HCC, or mixed cholangiocarcinoma and HCC
* Evidence of residual or a history of spontaneous tumor rupture
* Recurrent HCC
* Prior received Liver transplantation
* Prior anti tumor therapy for treatment of HCC (including sorafenib or any other molecular therapy, anti-PD-1 antibody and other immunotherapies, FOLFOX systemic chemotherapy) is excluded
* AFP does not return to normal 4 weeks after operation

Where this trial is running

Guangzhou, Guangdong

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Hepatocellular Carcinoma, Adjuvant Therapy

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.