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OncoMatch/Clinical Trials/NCT04595864

Neo-adjuvant Transarterial Chemoinfusion (TAI) for Patients With Hepatocellular Carcinoma Beyond Milan/UCSF Criteria Who Underwent Liver Transplantation

Is NCT04595864 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies non-drug interventions for hepatocellular carcinoma.

Phase 3RecruitingThe Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical SchoolNCT04595864Data as of May 2026

Hepatocellular carcinoma (HCC) is the second commonest cause of cancer death worldwide. Liver transplantation (LT) is the best curative treatment of HCC meeting Milan/UCSF criteria. Milan (solitary tumour \<5cm, or up to 3 tumours, each \<3cm) and University of California San Francisco (UCSF) criteria (solitary tumour ≤6.5cm, up to 3 tumours with none \>4.5cm, and total tumour diameter ≤8cm) provide the benchmark requirements for LT, at which a 5-year survival of \>70% and recurrence rate ranging from 5-15% can be achieved. Recently, FOLFOX (Oxaliplatin and 5-fluorouracil) based hepatic artery infusion chemotherapy (HAIC) exhibited high response rate for advanced HCC. Neo-adjuvant TAI for the HCC patients with beyond criteria serving as a down-staging method for the advanced HCC to meet Milan/UCSF criteria,and qualify for LT. This study is to compare the impact on survival of neo-adjuvant TAI for patients with beyond Milan/UCSF Criteria HCC who underwent LT.

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Extracted eligibility criteria

Cancer type

Hepatocellular Carcinoma

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: any prior treatment (including interferon)

Not previous treated for tumor; Be treated before (interferon included)

Lab requirements

Blood counts

Neutrophil count ≥2.0×10^9/L; Hemoglobin ≥100g/L; Platelet count ≥75×10^9/L

Kidney function

Serum creatine <1.5x ULN

Liver function

Child-Pugh Stage A or B; Total bilirubin <2x ULN; ALT <3x ULN; AST <3x ULN; Serum albumin ≥35g/L; PT ≤ ULN + 4s; INR ≤2.2

The lab test could meet: Neutrophil count≥2.0×10^9/L; Hemoglobin≥100g/L; Platelet count≥75×10^9/L; Serum albumin≥35g/L; Total bilirubin<2-times upper limit of normal; ALT<3-times upper limit of normal; AST<3-times upper limit of normal; Serum creatine<1.5-times upper limit of normal; PT≤upper limit of normal plus 4 seconds; INR≤2.2

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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