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. 2022 Jan 4;2022(1):CD013345. doi: 10.1002/14651858.CD013345.pub2

ChiCTR‐IOR‐16007915.

Study name Transarterial chemoembolization (TACE) with or without sequential cryoablation in hepatocellular carcinoma of BCLC B: a multicentral randomised controlled trial
Methods Interventional study
Participants Inclusion criteria:
1. CT, MRI, and AFP combined with clinical or pathological diagnosis of hepatocellular carcinoma
2. Prior informed consent; be able to follow the visit/treatment rules according to the research programmes
3. Generally in good condition, adequate bone marrow, liver and renal function
4. ECOG Performance Status of 0‐2
5. Advanced stage HCC/BCLC B stage
6. Hepatitis B history or HBsAg positive
7. Patients without previous surgery, local‐regional therapies (radiofrequency ablation, etc.), or liver transplantation
8. Aged 18 to 65 years
9. Child Pugh class A/B (=< 7)
10. Baseline laboratory tests meeting the following criteria: platelet count >= 100 * 10 ^ 9/L; ALT and AST < 3 * upper limit of normal; BUN and creatinine < 1.5 * upper limit of normal; INR < 1.5, or PT < 4 seconds above control. ALB >= 30g/L; total bilirubin =< 34 mmol/L
Exclusion criteria:
1. Pregnant or lactating women
2. Extrahepatic metastasis, or tumour thrombosis invasive venous system
3. Any contraindications for hepatic embolisation procedures (known renal failure/insufficiency requiring hemo‐or peritoneal dialysis)
4. Patients with prior malignancy were ineligible for the study, with the exception of those who had been disease‐free for longer than 5 years
5. Patients with liver transplantation
Interventions Group A: Transarterial chemoembolisation
Group B: Transarterial chemoembolisation (TACE) with sequential cryoablation
Outcomes 3‐year overall survival rate
Postoperative complication
Time to progression
Distant metastasis rate
Starting date 2016‐04‐01
Contact information  
Notes