NCT01798147

Brief Summary

Selective Internal Radiotherapy is superior to Transarterial Chemoembolisation for the treatment of intrahepatic cholangiocellular carcinoma (CCC).

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
24

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Feb 2011

Longer than P75 for phase_2

Geographic Reach
1 country

1 active site

Status
unknown

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

February 1, 2011

Completed
2 years until next milestone

First Submitted

Initial submission to the registry

February 16, 2013

Completed
9 days until next milestone

First Posted

Study publicly available on registry

February 25, 2013

Completed
5.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2018

Completed
Last Updated

May 23, 2017

Status Verified

May 1, 2017

Enrollment Period

7.3 years

First QC Date

February 16, 2013

Last Update Submit

May 21, 2017

Conditions

Keywords

Cholangiocellular CarcinomaTACESIRT

Outcome Measures

Primary Outcomes (1)

  • Progression-free survival (PFS)

    at the end of study

Secondary Outcomes (2)

  • Overall survival (OS)

    at the end of study

  • Time to progression (TTP)

    at the end of study

Study Arms (2)

DEB TACE

ACTIVE COMPARATOR

Drug eluting Beads (DC Beads) loaded with Doxorubicin

Procedure: DEB TACE

SIRT

EXPERIMENTAL

Selective Internal Radiotherapy using Yttrium 90 loaded resin beads (Sir Spheres)

Procedure: SIRT

Interventions

DEB TACEPROCEDURE

DEB TACE every 6 weeks until either no viable tumor or endpoint reached.

Also known as: Chemoembolisation
DEB TACE
SIRTPROCEDURE

Selective Internal Radiotherapy once at the beginning of the study. Follow up until endpoint.

Also known as: Radioembolisation
SIRT

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • ≥18 years
  • Intrahepatic CCC, proven by histology or by typical morphology in cross sectional imaging and elevated tumor markers (CEA or CA 19-9)
  • Tumor confined to the liver
  • At least one measurable lesion in magnetic resonance imaging (MRI)
  • Tumor load ≤ 50%
  • Preserved liver function (Child Pugh A and B)
  • ECOG performance status ≤2

You may not qualify if:

  • Patients feasible for curative treatment (e.g. resection or local ablation)
  • Previous TACE or SIRT
  • Prior Chemotherapy
  • Child Pugh stage C
  • ECOG Performance Status \>1
  • Tumor involvement \>50% of the liver
  • Extrahepatic tumor
  • Serum Bilirubin \>2.0 mg/dl; Serum Albumin 2.8 g/dl, Serum Creatinine \>2 mg/dl; Leukocytes \<3000/ml; Thrombocytes \<50000/ml
  • Esophageal bleeding during the last 3 months
  • Hepatic encephalopathy
  • Transjugular intrahepatic portosystemic shunt (TIPS)
  • Infiltration or occlusion of the main portal vein
  • Hepatofugal blood flow in the portal vein
  • Hepatopulmonary shunt ≥ 20% in the macroaggregated albumin scan (MAA-scan)
  • Contraindications against angiography
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Diagnostic and Interventional Radiology

Mainz, 55131, Germany

RECRUITING

Related Publications (1)

  • Kloeckner R, Ruckes C, Kronfeld K, Worns MA, Weinmann A, Galle PR, Lang H, Otto G, Eichhorn W, Schreckenberger M, Dueber C, Pitton MB. Selective internal radiotherapy (SIRT) versus transarterial chemoembolization (TACE) for the treatment of intrahepatic cholangiocellular carcinoma (CCC): study protocol for a randomized controlled trial. Trials. 2014 Aug 6;15:311. doi: 10.1186/1745-6215-15-311.

MeSH Terms

Conditions

Cholangiocarcinoma

Interventions

Sirtuins

Condition Hierarchy (Ancestors)

AdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasms

Intervention Hierarchy (Ancestors)

Group III Histone DeacetylasesHistone DeacetylasesAmidohydrolasesHydrolasesEnzymesEnzymes and CoenzymesADP Ribose TransferasesPentosyltransferasesGlycosyltransferasesTransferasesIntracellular Signaling Peptides and ProteinsProteinsAmino Acids, Peptides, and Proteins

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Consultant

Study Record Dates

First Submitted

February 16, 2013

First Posted

February 25, 2013

Study Start

February 1, 2011

Primary Completion

June 1, 2018

Study Completion

June 1, 2018

Last Updated

May 23, 2017

Record last verified: 2017-05

Locations