Yttrium-90 Radioembolization With Glass Microspheres (TheraSphere) for Patients With Hepatocellular Carcinoma

Not Applicable

Terminated

• Conditions: Hepatocellular Carcinoma
• Interventions: Device: Selective internal radiation therapy of the liver with Yttrium-90 glass microspheres (TheraSphere)

• Registration Number: NCT01290523
• Lead Sponsor: University of California, San Francisco

Brief Summary

This is a prospective pilot study that will document the clinical experience of 30 patients with unresectable hepatocellular carcinoma undergoing liver-directed therapy with Yttrium-90 glass microspheres (TheraSphere®).

Detailed Description

Not available

Study Timeline

• Study Start: 2010-05
• Study First Submitted: 2011-02-01
• Study First Submitted QC: 2011-02-03
• Study First Posted: 2011-02-07
• Primary Completion: 2014-05
• Study Completion: 2014-05
• Results First Submitted: 2015-07-28
• Results First Submitted QC: 2015-07-28
• Results First Posted: 2015-08-25
• Status Verified: 2019-04
• Last Update Submitted: 2019-04-18
• Last Update Posted: 2019-05-13

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 14

Inclusion Criteria

• Diagnosis of hepatocellular carcinoma with liver-dominant disease. Diagnosis may be made by histo- or cyto-pathology, or by clinical and imaging criteria.
• The cancer is unresectable.
• All patients must be off all chemotherapeutic regimens for 30 days prior to and 30 days after TheraSphere treatment.
• Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
• Age 18 years or older.
• Able to understand informed consent.

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Exclusion Criteria

• Evidence of potential delivery of greater than 16.5 mCi (30 Gy absorbed dose) of radiation to the lungs on either:

  • single TheraSphere administration; or
  • cumulative delivery of radiation to the lungs greater than 50 Gy over multiple treatments.

• Evidence of any detectable Tc-99m macroaggregated albumin flow to the stomach or duodenum, after application of established angiographic techniques to stop such flow.

• Previous radiation therapy to the lungs and/or to the upper abdomen

• Pregnancy

• Symptomatic lung disease.

• Significant extrahepatic disease representing an imminent life-threatening outcome.

• Active uncontrolled infection

• Any pre-treatment laboratory findings within 30 days of treatment demonstrating:

  • Aspartate or alanine aminotransferase level greater than 5 times upper normal limit.
  • Serum bilirubin greater than 2 mg/dl
  • Infiltrative tumor on imaging
  • Tumor volume greater than 70% of liver volume
  • Tumor volume greater than 50% of liver volume and serum albumin level less than 3 mg/dL

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Yttrium-90 liver radioembolization	Selective internal radiation therapy of the liver with Yttrium-90 glass microspheres (TheraSphere)	Patients who receive liver-directed therapy with Yttrium-90 glass microspheres (TheraSphere)

Primary Outcome Measures

Name	Time	Method
Number of Participants With Adverse Events	6 months	Adverse events of treatment with TheraSphere Yttrium-90 glass microspheres will be assessed within 6 months of treatment administration. Anticipated adverse events may include liver dysfunction, gastrointestinal ulcer formation, cholecystitis, pneumonitis, fatigue, nausea/vomiting, abdominal pain

Secondary Outcome Measures

Name	Time	Method
Radiographic Response by Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1	6 months	Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) as assessed by MRI or CT: up to 5 lesions at baseline and sum longest diameters (SLD).; * Complete Response (CR), -Target Lesions: Disappearance of all target lesions.; -Non-target Lesions: disappearance of all non-target lesions and normalization of tumor marker level.; * Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; * Stable Disease (SD) \< %30 decrease in the sum of the longest diameter of target lesions.; * Progressive Disease (PD) -Target Lesions: \> 20% increase in the SLD taking as reference the smallest SLD recorded since the treatment started (nadir) and minimum 5 mm increase over the nadir; non-target lesions: Overall level of substantial worsening in non-target disease such that, even in presence of SD or PR in target disease, the overall tumor burden has increased sufficiently to merit discontinuation of therapy

Trial Locations

Locations (1)

University of California San Francisco; 🇺🇸 San Francisco, California, United States