Liver Transplant Combined With Neoadjuvant Chemo-radiotherapy in the Treatment of Unresectable Hilar Cholangiocarcinoma. A Prospective Multicenter Study.
-
- STATUS
- Recruiting
-
- days left to enroll
- 50
-
- participants needed
- 34
-
- sponsor
- Hospital Vall d'Hebron
Summary
A prospective multicentre pilot study which includes patients 70 years-old diagnosed of
unresectable
The primary endpoint will be overall survival at 1, 3, and 5 years post-transplant. The
secondary endpoints will be: 1) recurrence free survival at 1, 3 and 5 years post-transplant;
2) intention-to-treat survival of overall patients included in the study at 1,3 and 5 year;
3) the rate of patients included in the study who are finally
Description
A prospective multicentre pilot study which includes patients 70 years-old diagnosed of
unresectable
The number of subjects necessary is 34 patients to achieve a power of 82% with a significance
level of 0.05 to detect a 40% difference between the estimated 50% survival of those patients
who are
RADIOLOGICAL
It will be considered unresectable those lesions
- Bilateral extension to second order biliary
- Unilateral extension to second-order biliary radicals AND contralateral portal vein
involvement OR contralateral hepatic
lobar atrophy - Main or bilateral portal vein involvement
- Insufficient future
liver remnant even after portal embolization
It will be performed the tumoral marker (CA 19.9), multiphase chest-abdomen
NEOADJUVANT TREATMENT
Patients will receive neoadjuvant
A staging
A score exception will be allowed to optimized the treatment received and to be
Regarding
The patient will be monitored post-operatively at the clinical, biological and morphological levels every 3 months during the first 2 years and every 6 months thereafter in order to detect any recurrence and in the context of standard clinical care.
Details
Condition |
Unresectable |
---|---|
Age | 18years - 70years |
Treatment |
Neoadjuvant Chemo-radiotherapy,
|
Clinical Study Identifier | NCT04378023 |
Sponsor | Hospital Vall d'Hebron |
Last Modified on | 19 February 2024 |
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