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Brief Title: Cabozantinib toLERANCE Study in HepatoCellular Carcinoma (CLERANCE)
Official Title: CLERANCE HCC, Cabozantinib toLERANCE Study in HepatoCellular Carcinoma
Study ID: NCT03963206
Brief Summary: Hepatocellular carcinoma (HCC) is a common tumor (the 8th leading cause of cancer in France) and has a poor prognosis. It is the 3rd leading cause of cancer deaths in the world. In the early stages (low tumor mass), HCC can be treated for curative purposes by surgical resection, percutaneous ablation or liver transplantation. When the tumor mass is larger (\> 3 nodules) but remains confined to the liver, the standard treatment is hepatic intra-arterial chemoembolization (TACE). In the event of failure of the latter or if the tumor dissemination progresses in the portal venous system or in the form of metastases, the systemic treatments are then indicated. In 1st line, the reference treatment is a tyrosine kinase inhibitor (ITK) Sorafenib. Cabozantinib obtained the European and French authorization (AMM) in November 2018 for its use in case of failure of Sorafenib in patients with HCC. The main objective is the evaluation of the safety of Cabozantinib administered to patients with intermediate HCC ineligible for chemoembolization or advanced HCC after failure of Sorafenib and possibly another systemic anticancer line.
Detailed Description:
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
CHU Amiens Picardie - Hôpital Sud, Amiens, , France
CHU Jean Minjoz, Besançon, , France
Hôpital Avicenne, Bobigny, , France
Centre Hospitalier de Boulogne sur mer, Boulogne-sur-Mer, , France
Centre hospitalier universitaire Côte de nacre, Caen, , France
Hôpital Beaujon, Clichy, , France
CHRU de Lille-Hôpital Claude Huriez, Lille, , France
CHU Dupuytren, Limoges, , France
Hospices Civils de Lyon - Hôpital de la Croix Rousse, Lyon, , France
APHM - Timone, Marseille, , France
Centre Hospitalier Universitaire de Montpellier, Montpellier, , France
APHP - Hôpital St Antoine, Paris, , France
Hôpital haut- lévêque, Pessac, , France
Hôpital Robert Debré - CHU de Reims, Reims, , France
CHRU Rennes site pontchaillou, Rennes, , France
CHU de St Etienne, Saint Priest en Jarez, , France
CHU Toulouse PURPAN, Toulouse, , France
Hôpital Brabois adulte - CHU de Nancy, Vandoeuvre-les-Nancy, , France