- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02582034
Internal Radiation Therapy for Hepatocellular Carcinomas With Therasphere: Optimized Dosimetry Versus Standard Dosimetry
Selective Internal Radiation Therapy for Hepatocellular Carcinomas With Yttrium-90 Loaded Microspheres: Optimized Dosimetry Versus Standard Dosimetry
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Créteil, France, 94000
- CHU Henri Mondor
-
Montpellier, France, 34925
- Chu Saint Eloi
-
Rennes, France, 35042
- Centre Eugène Marquis
-
Villejuif, France
- Gustave Roussy
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age ≥ 18,
- Written free and informed consent,
- Histologically demonstrated Hepatocellular Carcinoma (HCC), not a candidate for surgery or local ablative treatment (radio frequency, etc.)
- Barcelona Clinic Liver Cancer (BCLC) classification A, B or C,
- At least one lesion ≥ 7 cm,
- Hepatic reserve (hepatic parenchyma not treated) after the first SIRT ≥ 30%,
- Unilateral involvement, minimal bilateral involvement allowed only with a hepatic reserve ≥ 30% after SIRT
- Child A classification only, or B but with bilirubinemia <35 micromol/L,
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1,
Patients whose biological parameters meet the following criteria:
- Hemoglobin ≥ 8.5 g/dL,
- Granulocytes ≥ 1500/mm3,
- Platelets ≥ 50,000/mm3,
- Bilirubinemia <35 micromol per liter,
- Transaminases ≤ five times the upper limit of normal,
- Creatininemia ≤ 1.5 times the normal upper limit,
- Expected survival over 12 weeks,
- Negative pregnancy test for women of childbearing age,
- If sorafenib has been taken the diagnostic angiogram must follow it by at least four weeks after its stop.
Exclusion Criteria:
- HCC operable or accessible to a local ablative treatment (radio frequency),
- Hepatectomy history unless a segmental treatment is considered, with a hepatic reserve ≥ 30% after SIRT,
- Prior treatment with sorafenib unless stopped at least four weeks earlier,
- History of chemo-embolization of the principal lesion, except in case of nodular residual lesion measuring at least 7 cm or in case of progression after initial response,
- Bilateral disease requiring a whole liver injection or with a hepatic reserve < 30% after SIRT
- Treatment of another cancer less than one year earlier,
- Extra-hepatic metastases other than adenopathies of the hilum smaller than 2 cm,
- >70% tumor invasion of the liver,
- Bilirubinemia ≥ 35 µmol/L,
- A Severe underlying biliary pathology:
- Bile duct anomaly (stent, dilation) Cirrhosis of biliary origin,
- Women of childbearing age without contraception
- Pregnant or nursing women
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Standard dosimetry
Standard Internal Radiation Therapy : Dose of radiation delivered to the tumoral volume is fixed : 120 Gray (GY)
|
Injection of yttrium-90 microspheres (TheraSphere®) is performed during the therapeutic angiogram, directly into the hepatic artery (left or right, or even segmental).Standard dosimetry arm: the activity to be administered is calculated so as predictive dosimetry:
|
Experimental: Optimized dosimetry
Optimized Internal Radiation Therapy : Dose of radiation absorbed by the tumor is > 205 GY, if possible 250 or 300 Gy.
|
Injection of yttrium-90 microspheres (TheraSphere®) is performed during the therapeutic angiogram, directly into the hepatic artery (left or right, or even segmental). Optimized dosimetry arm: the activity to be administered is calculated so as to deliver predictive dosimetry:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The primary endpoint is to compare the response rate of the treated lesion at the first radioembolization, evaluated using European Association for the Study of the Liver (EASL) criteria of yttrium-90 marked glass microspheres SIRT
Time Frame: 3 months after treatment administration
|
3 months after treatment administration
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression Free Survival
Time Frame: Up to 12 months
|
Up to 12 months
|
|
Overall survival
Time Frame: Up to 30 months after inclusion of the 1st patient
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Up to 30 months after inclusion of the 1st patient
|
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Related Adverse Events in both arms as assessed by National Cancer Institute criteria (National Cancer Institute Common Terminology Criteria for Adverse Events, (NCI CTCAE) version 4).
Time Frame: Up to 12 months
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Up to 12 months
|
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Progression free survival not accessible to SIRT
Time Frame: Up to 12 months after treatment administration
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Up to 12 months after treatment administration
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Post-therapeutic dosimetry measured by Positron emission tomography-computed tomography PET / CT
Time Frame: Day one of treatment administration
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Dose delivered to the treated liver, the tumors, healthy liver and lings
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Day one of treatment administration
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Etienne GARIN, Pr, Centre Eugène Marquis
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- DOSISPHERES-01
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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