NCT04182386

Brief Summary

Several aspects on the use of portal vein embolization (PVE) are poorly studied and todays recommendations are based on low-grade evidence. In this Scandinavian multicenter cohort study we will study some of the controversial aspects on the use of PVE to try to provide clearer answers on its optimal use. Six tertiary university hospital hepatobiliary units in Sweden, Norway and Denmark participate and contribute with all PVE procedures performed at their units during the study period. We will then study several aspects PVE technique in relation to induced hypertrophy and surgical outcome.

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
300

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Aug 2012

Longer than P75 for all trials

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

August 1, 2012

Completed
7.3 years until next milestone

First Submitted

Initial submission to the registry

November 22, 2019

Completed
10 days until next milestone

First Posted

Study publicly available on registry

December 2, 2019

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2021

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2022

Completed
Last Updated

March 31, 2022

Status Verified

March 1, 2022

Enrollment Period

9.4 years

First QC Date

November 22, 2019

Last Update Submit

March 29, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Future liver remnant hypertrophy

    Increase in future liver remnant, (%)

    Based on radiology around 4 weeks before and after intervention

Secondary Outcomes (3)

  • Effect of segment 4 embolization on hypertrophy

    Based on radiology around 4 weeks before and after intervention

  • Effect of hyperbilirubinemia on hypertrophy

    Based on radiology around 4 weeks before and after intervention

  • Effect of sarcopenia on hypertrophy

    Based on radiology around 4 weeks before and after intervention

Study Arms (2)

rPVE

Right portal vein embolization. All patients subjected to selective right portal vein embolization prior to planned hepatobiliary surgery.

Procedure: Portal vein embolization

rPVE+S4

Right portal vein embolization including segment 4 portal vein branches. All patients subjected to selective right portal vein embolization including segment 4 portal vein branches prior to planned hepatobiliary surgery.

Procedure: Portal vein embolization

Interventions

Selective preoperative portal vein embolization

rPVErPVE+S4

Eligibility Criteria

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

Scandinavian patients subjected to PVE at 6 hepatobiliary centers during the study period.

You may qualify if:

  • Right-sided PVE

You may not qualify if:

  • Left-sided PVE

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Karolinska University Hospital

Stockholm, Sweden

RECRUITING

MeSH Terms

Conditions

Liver Neoplasms

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesLiver Diseases

Study Officials

  • Ernesto Sparrelid, MD PhD

    Karolinska University Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Ernesto Sparrelid, MD PhD

CONTACT

Stefan Gilg, MD PhD

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Acting Head of HPB Surgery, MD PhD

Study Record Dates

First Submitted

November 22, 2019

First Posted

December 2, 2019

Study Start

August 1, 2012

Primary Completion

December 31, 2021

Study Completion

December 31, 2022

Last Updated

March 31, 2022

Record last verified: 2022-03

Data Sharing

IPD Sharing
Will share

Data will be made available to other researchers on demand.

Shared Documents
STUDY PROTOCOL, SAP, ANALYTIC CODE
Time Frame
Data will be made available to other researchers on demand.
Access Criteria
Data will be made available to other researchers on demand.

Locations