NCT00019604

Brief Summary

RATIONALE: Radiofrequency ablation is a procedure that heats tumors to several degrees above body temperature and may kill tumor cells. PURPOSE: Phase II trial to study the effectiveness of radiofrequency ablation in treating patients who have unresectable primary or metastatic liver cancer.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
44

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Aug 1998

Longer than P75 for phase_2

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 1998

Completed
2.9 years until next milestone

First Submitted

Initial submission to the registry

July 11, 2001

Completed
1.5 years until next milestone

First Posted

Study publicly available on registry

January 27, 2003

Completed
5.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2009

Completed
5.4 years until next milestone

Results Posted

Study results publicly available

June 12, 2014

Completed
Last Updated

February 3, 2017

Status Verified

December 1, 2016

Enrollment Period

10.4 years

First QC Date

July 11, 2001

Results QC Date

April 1, 2014

Last Update Submit

December 7, 2016

Conditions

Keywords

localized unresectable adult primary liver cancerrecurrent adult primary liver cancerliver metastasesunspecified adult solid tumor, protocol specific

Outcome Measures

Primary Outcomes (1)

  • Response

    Standard response criteria will be used to assess the CT (computed tomography) scan images on a lesion per lesion basis. Complete response is complete disappearance of the index lesion on followup scan when compared to the pretreatment images. Partial response is a decrease of 50% or greater in the product of the perpendicular diameters of the measured lesion following treatment compared to the pretreatment images. Minor response is a decrease between 25% and 49% in the product of the perpendicular diameters of the measured lesion following treatment compared to the pretreatment images. Stable disease is no change in the size of the treated lesion. Progressive disease is an increase of greater than 25% in the product of the perpendicular diameters of the measured lesion following treatment compared to the pretreatment images.

Secondary Outcomes (9)

  • Number of Participants With Adverse Events

    9 years, 9 months

  • Tumor Blood Flow

    Baseline, 3 months, and 6 months following treatment

  • Tumor Vascular Density

    Baseline, 3 months, and 6 months following treatment

  • Percentage of Participants With a Response Using Fludeoxyglucose (18F) - Positron Emission Tomography (FDG-PET) Following Radiofrequency Ablation (RFA)

    Baseline, 6 weeks, 3 months, and 6 months following treatment

  • Compare Fludeoxyglucose (18F) Positron-Emission Tomography (FDG-PET) Results With Computed Tomography (CT)

    Baseline, 6 weeks, 3 months, and 6 months following treatment

  • +4 more secondary outcomes

Study Arms (1)

Radiofrequency ablation in liver cancer

EXPERIMENTAL

This trial is designed to gain experience with the use of ablation devices with liver tumors. Radiofrequency ablation is a procedure that heats tumors to several degrees above body temperature and may kill tumor cells.

Procedure: computed tomographyProcedure: magnetic resonance imagingProcedure: positron emission tomographyProcedure: radiofrequency ablationProcedure: radionuclide imagingProcedure: ultrasound imagingRadiation: fludeoxyglucose F 18 (FDG-PET)Radiation: gadopentetate dimeglumine

Interventions

Scan to assess the effects of ablation.

Radiofrequency ablation in liver cancer

Imaging used to assess the effects of this ablative therapy on tumor vascular density.

Radiofrequency ablation in liver cancer

Physiology based method of imaging disease based on uptake and metabolism of radiopharmaceutical by the tissues.

Radiofrequency ablation in liver cancer

Radiofrequency ablation uses saline infusion into and out of needle/electrode through a closed system. More energy may be deposited without tissue-charring or gas vaporization.

Radiofrequency ablation in liver cancer

Imaging following injection of a radioactive material.

Radiofrequency ablation in liver cancer

An ultrasound (e.g. sound waves) is used to identify the lesion and needle placement.

Radiofrequency ablation in liver cancer

FDG PET scans rely on metabolic changes to evaluate response to therapy.

Radiofrequency ablation in liver cancer

Food and Drug Administration approved contrast agent.

Radiofrequency ablation in liver cancer

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
DISEASE CHARACTERISTICS: * Histologically confirmed primary or metastatic liver lesions * Not a candidate for surgical resection * Must have six or fewer lesions and no single lesion greater than 7 cm in diameter * Extrahepatic disease allowed PATIENT CHARACTERISTICS: Age: * 18 and over Performance status: * Eastern Cooperative Oncology Group (ECOG) 0-2 Life expectancy: * At least 3 months Hematopoietic: * Platelet count at least 50,000/mm\^3 * Prothrombin time (PT) or partial thromboplastin time (PTT) no greater than 1.5 times control (except for therapeutically anticoagulated nonrelated medical conditions \[e.g., atrial fibrillation\]) Hepatic: * Bilirubin no greater than 3.0 mg/dL Renal: * Creatinine no greater than 2.5 mg/dL Other: * Not pregnant or nursing * Negative pregnancy test * No pacemakers, cerebral aneurysm clips, shrapnel injury, or implantable electronic devices * No known uncontrollable serious reactions (e.g., anaphylaxis) to contrast agents used in this study * Weight less than 136 kg PRIOR CONCURRENT THERAPY: Biologic therapy: * Not specified Chemotherapy: * Not specified Endocrine therapy: * Not specified Radiotherapy: * Not specified Surgery: * Not specified Other: * Concurrent systemic therapy for extrahepatic disease is allowed only if begun prior to radiofrequency ablation

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

Study Sites (1)

Warren Grant Magnuson Clinical Center - NCI Clinical Trials Referral Office

Bethesda, Maryland, 20892-1182, United States

Location

MeSH Terms

Conditions

Liver NeoplasmsNeoplasm MetastasisCarcinoma, Hepatocellular

Interventions

Magnetic Resonance SpectroscopyRadiofrequency AblationHigh-Energy Shock WavesFluorodeoxyglucose F18Gadolinium DTPA

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesLiver DiseasesNeoplastic ProcessesPathologic ProcessesPathological Conditions, Signs and SymptomsAdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic Type

Intervention Hierarchy (Ancestors)

Spectrum AnalysisChemistry Techniques, AnalyticalInvestigative TechniquesRadiofrequency TherapyTherapeuticsAblation TechniquesSurgical Procedures, OperativeUltrasonic WavesSoundRadiation, NonionizingRadiationPhysical PhenomenaDeoxyglucoseDeoxy SugarsCarbohydratesPentetic AcidPolyaminesAminesOrganic ChemicalsAcetatesAcids, AcyclicCarboxylic AcidsCoordination Complexes

Limitations and Caveats

Adverse event data is available but the format is uninterpretable.

Results Point of Contact

Title
Caryn Steakley
Organization
National Cancer Institute, National Institutes of Health

Study Officials

  • Steven A Libutti, MD

    National Cancer Institute, National Institutes of Health

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
NIH
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

July 11, 2001

First Posted

January 27, 2003

Study Start

August 1, 1998

Primary Completion

January 1, 2009

Study Completion

January 1, 2009

Last Updated

February 3, 2017

Results First Posted

June 12, 2014

Record last verified: 2016-12

Data Sharing

IPD Sharing
Will not share

Locations