TIPS Combined With Lenvatinib and PD-1 Inhibitor for Advanced HCC With Main Trunk PVTT

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorSun Yat-sen University

About this trial

Hepatocellular carcinoma (HCC) with main trunk portal vein tumor thrombus (PVTT) has poor prognosis. The main lethiferous factor is the upper gastrointestinal hemorrhage by PVTT-related portal hypertension, then the second is the tumor-caused death. It is vital to prevent the portal hypertension by PVTT.

Eligibility criteria

Qualifiers

diagnosis of primary HCC, confirmed histologically or clinically according to the criteria of the American Association for the Study of Liver Diseases;

presence of PVTT with III-IV grade by Cheng's criteria;

having PVTT induced portal hypertension;

with or without PVTT induced acute variceal bleeding;

Disqualifiers

recurrent HCC;

PVTT at I-II grade by Cheng's criteria;

age < 18 years or > 75 years;

advanced HCC with more than five metastases;

Trial design

Treatments tested in this trial

  • Transjugular intrahepatic portosystemic shunt
  • Lenvatinib
  • PD-1 inhibitor

Treatment groups

42 Participants
are divided into 1 treatment group

Sponsors and collaborators

Sun Yat-sen University

Lead sponsor

Chinese PLA General Hospital

Collaborator