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. 2012 Nov 26;1(3-4):201–215. doi: 10.1159/000343835

Table 1.

Overview of the reported trials of TACE combined with sorafenib therapy for unresectable HCC

Study N Clinicaltrials. gov ID Study type Patient selection TACE drugs TACE schedule Sorafenib schedule Outcome
Kudo et al 2011 [20] 458 NCT00494299 Multiple centers, randomized, controlled, double-blind, phase III
  • ECOG 0–1

  • Child-Pugh ≤7

  • PVT: no

  • EHS: no

  • Size: <7 cm

Epirubicin (n = 219), cisplatin (n = 89), doxorubicin (n = 49), combinations (n = 103) No TACE after sorafenib initiation Sequential, Start: 9.3 weeks following TACE
  • TTP (sor): 5.4 months

  • OS: 29.7 months

Sansonno et al 2012 [21] 62 N/A Single-center, randomized, controlled
  • ECOG 0–1

  • Child-Pugh A

  • PVT: no

  • EHS: no

Doxorubicin 30 mg, mitomycin C 10 mg Repeated q 4–6 weeks on demand Sequential, Start: 30 days after TACE TTP: 9.2 months
Dufour et al 2010 [22] 14 NCT00478374 Single-center, single-arm, phase I
  • ECOG 0–1

  • Child Pugh ≤7

  • PVT: yes

  • EHS: no

  • Size: <10 cm

Doxorubicin 50 mg Repeated q 4–6 weeks on demand Continuous, Start: 1 week before TACE OS, TTP, OR: N/A
Sieghart et al (SORATACE-1 Trial) 2012 [32] 15 NCT00768937 Single-center, single-arm, phase I/II
  • ECOG 0–2

  • Child Pugh ≤9

  • PVT: yes

  • EHS: yes

According to tbili 25–75 mg/m2 (most 75 mg) Repeated q4 weeks Continuous, Start: 2 weeks before 1st TACE
  • OS: 10.6 months

  • TTP: NA

  • OR: 80% (RECIST)

Pawlik et al 2011 [24] 35 NCT00844883 Single-center, single-arm, Phase II
  • ECOG 0–1

  • Child-Pugh ≤ 7

  • PVT: yes

  • EHS: yes

DEB-TACE Repeated q 4–6 weeks on demand Continuous, Start: 1 week before TACE DC: 92% (EASL) and 100% (EASL)
Erhardt et al (SOCRATES Trial) 2011 [26] 45 NCT00618384 Multiple centers, single-arm, phase II
  • ECOG 0–2

  • Child-Pugh ≥8

  • PVT: no

  • EHS: no

Doxorubicin 50 mg Repeated q 6 weeks on demand Interrupted, Start ≤14 days before TACE, interrupted 3 days before and 1 day after TACE
  • OS: 562 days

  • TTP: 526 days

  • OR: 78% (RECIST)

Cabrera et al 2011 [56] 47 N/A
  • ECOG 0–1

  • Child-Pugh A

  • PVT: yes

  • EHS: no

DEB-TACE with doxorubicin (85% patients) Y90 (15%, with PVT) Repeated q 1–2 months on demand Continuous, Start: 2–4 weeks before TACE DC: 68% at 6 months
Chao Y et al (START trial) 2011 [27] 166 NCT00990860 Multiple centers, single-arm, phase II
  • BCLC B

  • ECOG 0–1 Child-Pugh ≤ 7

  • PVT: yes

  • EHS: no

Doxorubicin 30–60 mg Repeated q 6–8 weeks on demand Interrupted, Start: on day 4 after 1st TACE and interrupted 4 days before next TACE cycle restarted on day 4
  • OS: N/A

  • TTP: 9 months

  • OR: 53.8%

Park HJ et al (COTSUN Korea Trial) 2012 [28] 50 NCT00919009 Single-center, single-arm, phase II
  • ECOG 0–1

  • Child-Pugh ≤7

  • PVT: yes

  • EHS: yes

Doxorubicin 30–60 mg Repeated q 4–6 weeks on demand Interrupted, Start: on day 3 after 1st TACE and stopped 1 day before next TACE
  • OS: N/A

  • TTP: 5.1 months

  • OR: 84% (RECIST)