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Therabionic P1 -enhed i personer med avanceret hepatocellulært karcinom (TARGET-HCC)

9. november 2026 opdateret af: Anthony F. Shields, MD PhD, Barbara Ann Karmanos Cancer Institute

Therabionic P1 -enhed til patienter med avanceret hepatocellulært karcinom (HCC), der mislykkes første og anden linjeterapi

The goal of this clinical trial is to learn if the TheraBionic P1 device given to patients with advanced hepatocellular carcinoma (HCC) who have no standard of care options can affect patients survival. The main questions it aims to answer are:

  • will the TheraBionic P1 device affect overall survival in advance HCC
  • the long term safety and tolerability of the TheraBionic P1 device
  • assessment of how the disease responded to the TheraBionic P1 device

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

198

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

  • Forenede Stater
    • Michigan
      • Ann Arbor, Michigan, Forenede Stater, 48109
        • Rekruttering
        • University of Michigan
        • Kontakt:
      • Bay City, Michigan, Forenede Stater, 48706
        • Rekruttering
        • Karmanos Cancer Institute at McLaren Bay Region
        • Kontakt:
          • Telefonnummer: 1-989-667-2370
      • Detroit, Michigan, Forenede Stater, 48201
        • Rekruttering
        • Karmanos Cancer Institute
        • Kontakt:
      • Flint, Michigan, Forenede Stater, 48532
        • Rekruttering
        • Karmanos Cancer Institute at McLaren Flint
        • Kontakt:
          • Telefonnummer: 1-810-342-3800
      • Lansing, Michigan, Forenede Stater, 48910
        • Rekruttering
        • Karmanos Cancer Institute at McLaren Greater Lansing
        • Kontakt:
          • Telefonnummer: 1-517-975-9500
      • Lapeer, Michigan, Forenede Stater, 48446
        • Rekruttering
        • Karmanos Cancer Institute at McLaren Lapeer Region
        • Kontakt:
          • Telefonnummer: 810-667-4994
      • Mount Pleasant, Michigan, Forenede Stater, 48858
        • Rekruttering
        • Karmanos Cancer Institute at McLaren Central Michigan, Morey Cancer Center
        • Kontakt:
          • Telefonnummer: 1-989-772-6811
    • Texas
      • Houston, Texas, Forenede Stater, 77030
        • Rekruttering
        • University of Texas M.D. Anderson Cancer Center
        • Kontakt:
          • Kim Ross
          • Telefonnummer: 713-794-1623

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

22 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Patients with advanced hepatocellular carcinoma (HCC) (defined as a liver tumor not eligible for local therapies given the extent of disease or a livor tumor that recurred after local therapy)
  • Patients who have failed at least two lines of therapy* or who are no longer eligible for any line of standard therapy or who are intolerant to at least two lines of therapy.
  • Patients with evaluable disease
  • Patients must be ≥ 22 years old and must be able to understand and sign an informed consent.
  • Female patients of childbearing potential and their partners and male patients must agree to use adequate contraception during the period of study treatment.
  • Patients with a life expectancy of at least 3 months

Exclusion Criteria:

  • Patients with known active secondary malignancy, unless, in the opinion of the investigator, it is unlikely to interfere with the safety and efficacy of the endpoints
  • Patients taking any other investigational drugs
  • Patients with active oral mucosal inflammation, ulceration, or other pathology that could interfere with the use of the device
  • Patients receiving calcium channel blockers and any agent blocking L-type of T-type Voltage Gated Calcium Channels, e.g., amlodipine, nifedipine, ethosuximide, ascorbic acid (vitamin C), etc. unless their medical treatment is discontinued to prior to treatment on study. Patients must agree to abstain from using calcium channel blockers and any agent blocking L-type or T-type voltage gated calcium channels for the duration of treatment on study.
  • Patients who are breastfeeding. If a breastfeeding participant would like to be part of this study, breastfeeding must be discontinued.
  • Patients that do not agree to be followed according to the study protocol or have cognitive or physical inability to use the device for the prescribed period and frequency (three 60-minute treatments in the morning, middle of the day, and evening)
  • Patients with a known severe (e.g., anaphylactic) allergy to nickel

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: TheraBionic P1 device

Self administered Amplitude-modulated electromagnetic fields three times daily
Enhed: TheraBionic P1

Amplitude-modulated electromagnetic fields will be self-administered and given continuously to patients in three 60-minute treatments per day, administered in the morning, middle of the day, and in the evening

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Overall Survival
Tidsramme: From start of treatment until death, up to 24 months

Overall survival assessment will be recorded in days and will represent the period starting at the date of treatment initiation and finishing at the date of patient death from any cause.

Living patients at the time of analysis will have the date of last contact (consultation visit or phone contact) used to define overall survival
From start of treatment until death, up to 24 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
PROMIS Measures of Pain Interference
Tidsramme: From Start of Treatment to the end of treatment up to 12 months

National Institutes of Health Patient Reported Outcome Measurement Information System (PROMIS) measures of Pain Interference short form 4a. PROMIS scores can range from 0 to 100; scales are calibrated using a T-score metric with a mean of 50 and standard deviation of 10. A higher score indicates more pain interference (poorer health). 4 items
From Start of Treatment to the end of treatment up to 12 months
Patient-reported outcomes (PRO)
Tidsramme: From Start of Treatment to the end of treatment up to 12 months

Patient-reported outcomes (PRO) measures will assess the trajectory of patient rated tolerability of treatment (Functional Assessment of Cancer Therapy items regarding bother of side effects, one item), patient-rated symptomatic adverse events (11 Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events item library items)
From Start of Treatment to the end of treatment up to 12 months
PROMIS Measures of Pain Intensity
Tidsramme: From Start of Treatment to the end of treatment up to 12 months

NIH Patient Reported Outcome Measurement Information System (PROMIS) measures of Pain Intensity short form 1a. PROMIS scores can range from 0 to 100; scales are calibrated using a T-score metric with a mean of 50 and standard deviation of 10. A higher score indicates more pain intensity (poorer health). 1 item
From Start of Treatment to the end of treatment up to 12 months
ECOG Performance Status
Tidsramme: From Start of Treatment to the end of treatment up to 12 months

(ECOG)Eastern Cooperative Oncology Group performance status scale to measure functional status and ability to carry out activities of daily living. A system used to assess how a patient's cancer or other serious illness affects their daily living abilities. It's a 6-point scale (0-5) where lower scores indicate better function and higher scores indicate more limitations
From Start of Treatment to the end of treatment up to 12 months
Disease Control Rate
Tidsramme: From enrollment up to 6 months

Disease control will be defined as the percentage of patients who are alive and have documented response status of complete response (CR), partial response (PR) or stable disease (SD) at 4 months and 6 months from the date of enrollment.
From enrollment up to 6 months
Duration of overall response
Tidsramme: From start of treatment up to 24 months

Measured from the time measurement criteria are first met for CR/PR (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented (taking as reference for progressive disease the smallest measurements recorded on study).

The duration of overall complete response is measured from the time measurement criteria are first met for CR until the first date that recurrent disease is objectively documented. Duration of stable disease: Stable disease is measured from the start of the treatment until the criteria for progression are met, taking as reference the smallest measurements recorded since the treatment started
From start of treatment up to 24 months
Time to Progression (TTP)
Tidsramme: Start of treatment to death from any cause up to 24 months

Time-to-radiological progression assessment will be recorded in days and will represent the period starting at the date of treatment initiation and finishing at the date of radiological assessment documenting tumor progression. Patients who initiate post-study anticancer therapy or die without documented progression will be censored at that time point.
Start of treatment to death from any cause up to 24 months
Progression-free survival (PFS)
Tidsramme: Start of treatment to progression of disease, last follow-up on study or death, whichever comes first up to 24 months

Progression-free survival assessment will be recorded in days and will represent the period starting at the date of treatment initiation and finishing at the later of the date of documentation of radiologic tumor progression, date of last follow-up on study treatment or death, whichever comes first. Patients who initiate post-study antitumor therapy prior to radiologic progression will be censored for PFS at that date.
Start of treatment to progression of disease, last follow-up on study or death, whichever comes first up to 24 months
PROMIS Measures of Physical Function
Tidsramme: From Start of Treatment to the end of treatment up to 12 months

National Institutes of Health Patient Reported Outcome Measurement Information System (PROMIS) measures of physical function short form 4a. PROMIS scores can range from 0 to 100; scales are calibrated using a T-score metric with a mean of 50 and standard deviation of 10. A higher score indicates less physical function (poorer health). 4 items
From Start of Treatment to the end of treatment up to 12 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Barbara Ann Karmanos Cancer Institute

Samarbejdspartnere

THERABIONIC INC.

Efterforskere

  • Ledende efterforsker: Anthony F Shields, M.D., Wayne State University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

20. oktober 2025

Primær færdiggørelse (Anslået)

31. august 2028

Studieafslutning (Anslået)

31. august 2028

Datoer for studieregistrering

Først indsendt

5. august 2025

Først indsendt, der opfyldte QC-kriterier

5. august 2025

Først opslået (Faktiske)

12. august 2025

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

12. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

9. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 2024-074
  • TR79005KCI00019 (Andet bevillings-/finansieringsnummer: U Can-Cer Vive)
  • AM-001 (Anden identifikator: TheraBionic)

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ja

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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