NCT02670122

Brief Summary

This is an observational, multicenter, single arm, prospective study to evaluate safety and tolerability of selective and ultraselective drug eluting beads transcatheter intraarterial chemoembolization (DEB-TACE) with up to 3 ml of well calibrated 100 µ microspheres and up to 150 mg of doxorubicin, for the treatment of non resectable hepatocellular carcinoma (HCC). The hypothesis is that 100 µ beads penetrate deeper into the tumor than those eluting beads with larger volumes without increasing the risk and complications of DEB-TACE.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
131

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Mar 2015

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
completed

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

March 1, 2015

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

January 28, 2016

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 1, 2016

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 30, 2018

Completed
2.3 years until next milestone

Results Posted

Study results publicly available

March 30, 2021

Completed
Last Updated

March 30, 2021

Status Verified

March 1, 2021

Enrollment Period

3.8 years

First QC Date

January 28, 2016

Results QC Date

February 10, 2020

Last Update Submit

March 27, 2021

Conditions

Keywords

Hepatocellular CarcinomaTACE

Outcome Measures

Primary Outcomes (1)

  • Safety and Tolerability

    Major and minor complications, procedure related mortality and post-embolisation syndrome after DEB-TACE of non-resectable HCC, using 100-µm doxorubicin-loaded microspheres

    30 days

Secondary Outcomes (2)

  • Tumor Response

    6 months, 1 year, 2 year

  • OS

    2 years

Study Arms (1)

Patients with non resectable HCC

DEB-TACE with doxorubicin eluting 100 µ microspheres

Device: DEB-TACE

Interventions

DEB-TACEDEVICE

Selective and ultraselective transcatheter intraarterial administration up to 3ml of well calibrated 100µ drug eluting microspheres with up to 150 mg of doxorubicin.

Patients with non resectable HCC

Eligibility Criteria

Age18 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Target population includes: * Patients with stage B HCC carcinoma according to Barcelona Clinic Liver Cancer classification (BCLC). * Patients with stage A HCC according to BCLC if they are not candidates or not willing to go through surgery or radiofrecuency.

You may qualify if:

  • Patients with a diagnosis of HCC according to European Association for the Study of the Liver (EASL) and American Association for the Study of Liver Diseases (AASLD) criteria and staged by BCLC criteria
  • Indication for receiving transarterial chemoembolization DEB-TACE with 100 µ microspheres according to usual clinical practice.
  • Able and willing to participate and give their written informed consent.
  • Both genders and ≥ 18 years old.
  • Eastern Cooperative Oncology Group (ECOG) 0
  • Preserved hepatic function (Child-Pugh ≤ B7).
  • No evidence of tumoral invasion in portal vein or main biliary ducts.
  • Able to go through image diagnostic techniques such as CT or MRI.
  • Preserved cardiac and renal function.
  • No concomitant active infections that require antibiotic treatment.
  • Measurable disease according to mRECIST criteria.
  • Life expectancy over 6 months.

You may not qualify if:

  • ECOG ≥ 1
  • Child-Pugh ≥B8.
  • Presence of ascitis or encephalopathy
  • Extrahepatic tumoral disease.
  • Tumoral vascular invasion
  • Serum bilirubin\>3 mg/dl.
  • Cr Clearance ≤ 60 ml/min
  • If any of the following is contraindicated:
  • Administration of doxorubicin
  • Iodated contrasts
  • CT or MRI procedures
  • Transarterial embolization procedures
  • White blood cells (WBC) \< 2000 /mm3
  • Neutrophil count \< 1500 /mm3
  • Ejection fraction \< 50 %
  • +10 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital Ramón y Cajal

Madrid, 28034, Spain

Location

Related Publications (1)

  • Urbano J, Echevarria-Uraga JJ, Ciampi-Dopazo JJ, Sanchez-Corral JA, Cobos Alonso J, Anton-Ladislao A, Pena-Baranda B, Nacarino-Mejias V, Gonzalez-Costero R, Munoz Ruiz-Canela JJ, Perez-Cuesta J, Lanciego C, de Gregorio MA. Multicentre prospective study of drug-eluting bead chemoembolisation safety using tightly calibrated small microspheres in non-resectable hepatocellular carcinoma. Eur J Radiol. 2020 May;126:108966. doi: 10.1016/j.ejrad.2020.108966. Epub 2020 Mar 19.

MeSH Terms

Conditions

Carcinoma, Hepatocellular

Condition Hierarchy (Ancestors)

AdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsLiver NeoplasmsDigestive System NeoplasmsNeoplasms by SiteDigestive System DiseasesLiver Diseases

Limitations and Caveats

1. Lack of a comparative arm using larger or smaller DEBs or a cTACE group. 2. Intratumor doxorubicin doses were calculated according to the mL of injected mirospheres

Results Point of Contact

Title
Jose Urbano Garcia, MD, PhD, EBIR, FCIRSE
Organization
Ramon y Cajal University Hospital. Vascular and Interventional Radiology Service

Study Officials

  • Jose Urbano, MD, PhD,EBIR

    HRyC

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes
Restrictive Agreement
No

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, PhD, EBIR

Study Record Dates

First Submitted

January 28, 2016

First Posted

February 1, 2016

Study Start

March 1, 2015

Primary Completion

November 30, 2018

Study Completion

November 30, 2018

Last Updated

March 30, 2021

Results First Posted

March 30, 2021

Record last verified: 2021-03

Data Sharing

IPD Sharing
Will not share

Locations