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临床试验/DRKS00014139
DRKS00014139进行中(未招募)4 期

Safety and Efficacy of Ho-166-Radioembolisation by SPECT- and MR-Image guidance optimized substrate application - a comparative Study to Y-90-Radioembolisation - HOLOGRAMM I

niversitätsklinikum Magdeburg0 个研究点目标入组 11 人开始时间: 2018年3月1日最近更新:
适应症

试验速览

阶段
4 期
状态
进行中(未招募)
发起方
入组人数
11

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Randomized controlled study
盲法
Open (masking not used)

入排标准

年龄范围
18 Years 至 90 Years(—)
性别
All

入选标准

  • Patients with histopathological and cytological validated non-resectable and/or non-ablative intrahepatic mCRC od Mamma-CA with a liver-only or liver-predominant intra-hepatic spread after exhausted treatment compliant with standards,
  • - ECOG performance status of 0 - 1,
  • - Estimated life expectancy of at least 3 months without any active intervention/treatment, ?
  • - Patients have to be eligible for both treatment options (arm A: SIR-Spheres or arm B: QuiremSpheres) according to the clinical assessment of the treating observer/physician (considering labor-chemical evaluation, results from Tc-99m-MAA evaluation plus further results from clinically available imaging e.g. whole-body F-18-FDG PET/CT)

排除标准

  • - Liver-lung-shunt > 20 % or lung exposure >= 25 Gy from application of the radioembolisate,
  • - Preceding external radio therapy of the liver,
  • - Presence of a clinically liver insufficiency,
  • - Anormal vessel anatomy from pre-therapeutic angiogram, with possibility of a significant back flow of hepatic arterial blood into stomach, pancreas or bowel (extra-hepatic-abdominal accumulation from Tc-99m-MAA liver perfusion scintigraphy) which was unremedied by a re-evaluation (Dudeck et al 2012 CVIR),
  • - Treatment with Capecitabin during the last two months before therapy or a planned treatment with Capecitabin early after therapy with QuiremSpheres® or SIR-Spheres®,
  • - Conventional chemotherapy within the last two weeks. (CTx associated hepatotoxicity has to be decreased to < CTCAE grad 2),
  • - Kidney insufficiency restricting contrast-media enhanced imaging (e.g. angiography),
  • - Existence of a contraindication for contrast-media enhanced MRI (e.g. incompatible cardiac pacemaker, limiting kidney insufficiency),
  • - Intra-hepatic lesion immeasurable by RECIST criteria,
  • - Non-liver predominant tumor disease,
  • - Suspicion of untreated metastasis/metastases of the CNS from clinically or imaging examinations,
  • - Pregnancy or nursing,
  • - Within 28 days before randomization participation in an active part of another clinical study, potentially affecting any endpoint of the current study,
  • - Verification of a persisting active infection, affecting execution of treatment or outcome.

研究者

发起方
niversitätsklinikum Magdeburg

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