New bead therapy may improve liver cancer treatment after shunt procedure
NCT ID NCT07322848
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 3 trial tests whether drug-eluting bead chemoembolization (DEB-TACE) works better than conventional chemoembolization (cTACE) for liver cancer patients who have had a TIPS procedure to manage complications of cirrhosis. The study will enroll 206 participants and track survival, tumor response, and quality of life over 24 months. The goal is to find a safer and more effective treatment option for this challenging patient group.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- drug-eluting beads loaded with epirubicin or doxorubicin
- What this could lead to
- If DEB-TACE proves better, it could become the preferred treatment for liver cancer patients who have had a TIPS procedure, offering better survival and fewer side effects.
- What could go wrong
- This is a mid-stage trial with 206 participants, so results may not apply to all patients. The altered blood flow after TIPS could still cause liver toxicity or limit effectiveness.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
About 206 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Dec 2025
- Expected to finish
-
Dec 2029
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 75 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. histologically or clinically confirmed primary hepatocellular carcinoma, beyond Milan criteria (single lesion \>5 cm OR ≥3 lesions with at least one ≥3 cm). At least one intrahepatic measurable lesion with tumor burden ≤50%, no distant metastasis. No prior antitumor therapy within 12 months before enrollment. 2. underwent TIPS procedure for secondary prevention of variceal bleeding or refractory ascites. Confirmed patent TIPS at 1-month follow-up with portosystemic blood flow visible throughout the shunt and Doppler velocity \> 60 cm/s. 3. child-Pugh class A or B. 4. estimated survival ≥3 months. 5. adequate organ function:Neutrophils ≥1.5 × 10⁹/L; Platelets ≥50 × 10⁹/L; Hemoglobin ≥90 g/L; Serum albumin ≥30 g/L; Bilirubin ≤50 μmol/L; AST/ALT ≤5 × upper limit of normal (ULN), ALP ≤4 × ULN; INR ≤2.3; Creatinine ≤1.5 × ULN. Exclusion Criteria: 1. diffuse hepatic infiltration, unassessable lesions on imaging, or tumor burden \>50%. 2. simultaneous portal vein branch tumor thrombus or main portal vein tumor thrombus. 3. underwent liver transplantation or antitumor therapy after TIPS placement. 4. contraindications to TACE (e.g., portosystemic shunt, hepatofugal blood flow, significant atherosclerosis). 5. presence of brain metastases. 6. Allergy to contrast agents. 7. pregnancy, breastfeeding, or planning pregnancy within 2 years. 8. co-infection with HIV or syphilis. 9. concurrent other malignancy or history of other malignancy within the past 5 years. 10. severe cardiac, renal, or other organ dysfunction. 11. active clinically severe infection \> Grade 2 (per NCI-CTC v5.0). 12. psychiatric/psychological conditions that may impair informed consent. 13. participation in other drug clinical trials within 12 months prior to enrollment.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for CTACE are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
The First Affiiated Hospital of Sun Yat-sen University
RECRUITINGGuangzhou, Guangdong, 510080, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can two immunotherapy drugs make liver tumors more vulnerable to surgery?
- Saline barrier lets heat target liver tumors near the diaphragm
- Can a new PET tracer spot liver cancer more clearly?
- Can a smart drug starve liver tumors without harming healthy tissue?
- Liver size may hold key to immunotherapy response
- Can a new model forecast liver cancer in hepatitis b?