Efficacy and safety of cisplatin versus miriplatin in transcatheter arterial chemoembolization and transarterial infusion chemotherapy for hepatocellular carcinoma: A randomized controlled trial

作者: Kentarou Otsuji , Koji Takai , Yoichi Nishigaki , Shougo Shimizu , Hideki Hayashi

DOI: 10.1111/HEPR.12376

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摘要: AIM Transcatheter arterial chemoembolization (TACE) and transarterial infusion chemotherapy (TAI) are the main therapeutic strategies for treatment of advanced hepatocellular carcinoma (HCC). We conducted a randomized controlled trial to compare efficacy safety cisplatin miriplatin in TACE TAI. METHODS Patients with HCC indication or TAI were randomly assigned receive either (49 patients per group) between April 2010 May 2013. The primary end-point was effect (TE) 3 months after initial treatment, secondary overall survival. RESULTS TE could be evaluated 26 group 20 group. In group, 11 (42.3%) 15 (57.7%) classified as showing TE3 + 4 TE1 + 2, respectively, while each number nine (45.0%) (55.0%) (P = 0.8551). Furthermore, no significant difference survival found two groups all (P = 0.905) those treated only (10 eight group; P = 0.695). showed better than TE1 + 2 (P = 0.0263). Grade 4 higher adverse event did not occur Creatinine levels rose 3 days (P = 0.0397). CONCLUSION Cisplatin had equal TAI, but should avoided renal dysfunction inadequate hydration. Good improved

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