UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000063008
Receipt number R000072134
Scientific Title A Multicenter Retrospective Observational Study of Unresectable Hepatocellular Carcinoma Treated with Lenvatinib-Pretreated Transarterial Chemoembolization (LEN-TACE): An Analysis of Efficacy and Prognostic Factors Based on Real-World Data
Date of disclosure of the study information 2026/09/21
Last modified on 2026/09/21 12:51:33

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Basic information

Public title

A Multicenter Retrospective Observational Study of Unresectable Hepatocellular Carcinoma Treated with Lenvatinib-Pretreated Transarterial Chemoembolization (LEN-TACE)

Acronym

A Multicenter Retrospective Observational Study of Unresectable Hepatocellular Carcinoma Treated with Lenvatinib-Preceded Hepatic Artery Chemotherapy Embolization

Scientific Title

A Multicenter Retrospective Observational Study of Unresectable Hepatocellular Carcinoma Treated with Lenvatinib-Pretreated Transarterial Chemoembolization (LEN-TACE): An Analysis of Efficacy and Prognostic Factors Based on Real-World Data

Scientific Title:Acronym

A Multicenter Retrospective Observational Study of Unresectable Hepatocellular Carcinoma Treated with Lenvatinib-Pretreated Transarterial Chemoembolization (LEN-TACE): An Analysis of Efficacy and Prognostic Factors Based on Real-World Data

Region

Japan


Condition

Condition

Unresectable Hepatocellular Carcinoma

Classification by specialty

Hepato-biliary-pancreatic medicine Hepato-biliary-pancreatic surgery Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To conduct a multicenter, retrospective observational study of patients with unresectable HCC who underwent LEN-TACE therapy, with the aim of elucidating its efficacy, safety, and prognostic factors in real-world clinical practice.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

ORR, objective response rate
DCR, disease control rate
OS, overall survival
TTUP, time to untreatable progression
Safety

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Patients diagnosed with histologically or clinically unresectable hepatocellular carcinoma
(2) Patients who began prior LEN administration between January 1, 2019, and December 31, 2025
(3) Patients who underwent TACE within 4 weeks of starting LEN administration
(4) Patients whose hepatocellular carcinoma meets the criteria of tumor diameter of 10 cm or less and no more than 10 tumors
(5) Patients who have not received systemic therapy (including combination immunotherapy) or transarterial chemoembolization (TACE) prior to LEN-TACE
(6) Patients who have undergone TACE no more than twice prior to LEN-TACE
(7) Patients who have provided written informed consent via the informed consent form, or who have not expressed a desire to opt out of the study via the disclosure document

Key exclusion criteria

(1) Patients who have undergone systemic drug therapy for other malignant tumors within the past 5 years
(2) Patients participating in a clinical trial involving an intervention at the time of case registration (this does not apply to observational studies without an intervention)
(3) Patients deemed ineligible for participation in this study by the principal investigator or the attending physician

Target sample size

150


Research contact person

Name of lead principal investigator

1st name Hironori
Middle name
Last name Koga

Organization

Kurume University School of Medicine

Division name

Division of Gastroenterology, Department of Medicine

Zip code

830-0011

Address

67 Asahi-machi, Kurume 830-0011, Japan

TEL

0942-31-7561

Email

hirokoga@med.kurume-u.ac.jp


Public contact

Name of contact person

1st name Hironori
Middle name
Last name Koga

Organization

Kurume University School of Medicine

Division name

Division of Gastroenterology, Department of Medicine

Zip code

830-0011

Address

67 Asahi-machi, Kurume 830-0011, Japan

TEL

0942-31-7561

Homepage URL


Email

hirokoga@med.kurume-u.ac.jp


Sponsor or person

Institute

Kurume University

Institute

Department

Personal name



Funding Source

Organization

Self-procurement

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kurume University Clinical Research Center

Address

67 Asahi-machi, Kurume 830-0011, Japan

Tel

0942-35-3311

Email

i_rinri@kurume-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

久留米大学医学部 消化器内科(福岡県)
産業医科大学 第三内科(福岡県)
九州医療センター 消化器内科(福岡県)
九州がんセンター 消化器・肝胆膵内科(福岡県)
九州大学大学院 消化器・総合外科(福岡県)
福岡大学医学部 消化器内科(福岡県)
大分大学医学部 消化器内科(大分県)
長崎大学大学院 消化器内科(長崎県)
長崎医療センター 臨床研究センター(長崎県)
熊本大学大学院 消化器内科(熊本県)
宮崎大学医学部 消化器内科(宮崎県)
佐賀大学医学部 肝臓・糖尿病・内分泌内科(佐賀県)
鹿児島大学大学院 消化器内科(鹿児島県)
琉球大学医学部 第一内科(消化器内科)(沖縄県)


Other administrative information

Date of disclosure of the study information

2026 Year 09 Month 21 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2026 Year 09 Month 01 Day

Date of IRB

2026 Year 09 Month 01 Day

Anticipated trial start date

2026 Year 09 Month 03 Day

Last follow-up date

2031 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

PFS, OS, TTUP, Estimated using the Kaplan-Meier method to calculate the median survival time and 95% confidence interval.

ORR, DCR, Calculated based on RECIST or mRECIST criteria; rates are presented along with 95% confidence intervals.

Between-group comparisons (baseline and stratified analyses): The Mann-Whitney U test is used for between-group comparisons of continuous variables.

For comparisons of categorical variables, the X^2 test or Fisher's exact test will be used.

To identify factors influencing PFS, OS, and TTUP, univariate and multivariate analyses using the Cox proportional hazards model will be performed.

Multivariate analyses will include factors considered clinically important, as well as those showing statistical significance or a trend (e.g., P<0.1) in the univariate analysis.


Management information

Registered date

2026 Year 09 Month 21 Day

Last modified on

2026 Year 09 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072134