TheraSphere Japan Pre-Market Study
INDIGO
A Prospective Single-arm Study of BSJ019T in Japanese Patients With Unresectable Hepatic Malignancy Who Have Failed or Are Not Eligible for Standard Treatment
1 other identifier
interventional
51
1 country
4
Brief Summary
To investigate the safety and effectiveness of BSJ019T in Japanese patients with primary or secondary liver who are not candidate for standard treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2026
Typical duration for not_applicable
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 24, 2025
CompletedStudy Start
First participant enrolled
January 22, 2026
CompletedFirst Posted
Study publicly available on registry
January 30, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2027
April 27, 2026
April 1, 2026
1.4 years
September 24, 2025
April 23, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Rate of hepatic disease control (DCR = complete response [CR], partial response [PR] or stable disease [SD]) at 3 months using the localized RECIST 1.1 criteria.
3-months post index procedure
Secondary Outcomes (9)
Rate of objective response (ORR = complete response [CR] or partial response [PR]) at 3 months using the localized RECIST 1.1 criteria and localized mRECIST
3-months post index procedure
Rate of hepatic disease control (DCR) and objective response (ORR) at 6 months using localized RECIST 1.1 and localized mRECIST criteria
6-months post index procedure
Best response using localized RECIST 1.1 and localized mRECIST criteria.
Through 6-months post index procedure
Proportion of patient receiving concomitant and post BSJ019T treatment, including subsequent local and systemic anticancer treatment, surgery, intervention and best supportive care.
Through 6-months post index procedure
Safety assessment: rate of treatment emergent adverse events (TEAEs) of any grade, rate of grade 3 or above TEAEs, rate of SAEs of any causality and rate of SAEs related to treatment with TheraSphere.
Through 6-months post index procedure
- +4 more secondary outcomes
Study Arms (1)
TheraSphere
EXPERIMENTALInterventions
TheraSphere Y-90 glass microsphere therapy administered through the hepatic artery at index procedure.
Eligibility Criteria
You may qualify if:
- Patient aged \>18 years at time of consent
- Patient is able and willing to participate in the study and has provided written informed consent
- Patient who is determined to have failed or not be eligible for standard treatment by the multidisciplinary board
- Primary or secondary liver cancer (by histology or imaging)
- Measurable disease defined as at least one uni-dimensional measurable liver lesion by CT/MRI (according to RECIST 1.1)
- Liver dominant disease (patient prognosis is driven by liver tumor)
- Tumor replacement \<50% of total liver volume based on visual estimation by the investigator
- Expected life expectancy ≥ 3 months or more from the index procedure
- ECOG Performance Status score of 0 or 1
- Negative pregnancy test in women of child-bearing potential
- Adequate contraception for the patient and his/her sexual partner when applicable.
- Adequate liver function, as defined by:
- Child Pugh A or to B7 (HCC)
- Must have bilirubin ≤ 2 mg/dL
- ALT and AST must be \<5 x ULN
- +10 more criteria
You may not qualify if:
- Vp4 according to the Liver Cancer Study Group of Japan (LCSGJ) portal vein tumor thrombosis classification1
- History of severe allergy or intolerance to contrast agents, narcotics sedatives or atropine that cannot be managed medically.
- Contraindications to angiography and selective visceral catheterization
- Received any prior external beam radiation treatment to the liver
- Received any prior yttrium-90 microsphere treatment to the liver
- Received previous peptide receptor radionuclide therapy (PRRT)
- Plan to start systemic anticancer treatment in the next 3 month after the index procedure.
- Presence of ongoing adverse event due to prior therapy as judged by the principal investigator or sub-investigator to affect the safety evaluation of the study device.
- Evidence of pulmonary insufficiency or clinically evident chronic obstructive pulmonary disease
- Undergone any intervention for, or compromise of, the Ampulla of Vater within that last 3 months or patient with biliodigestive anastomosis.
- Presence of ascites, clinical or radiological, "trace" of ascites is acceptable.
- Presence of Hepatic encephalopathy (Grade ≥2)
- Previous liver function decompensation within the last 6 months (ascites, encephalopathy, jaundice)
- Patient with infiltrative disease presentation (not suitable for repeated measurement)
- Patients who are pregnant or breast-feeding and does not want to stop.
- +7 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
Hyogo College of Medicine Hospital
Nishinomiya, Hyōgo, 663-8501, Japan
Kanazawa University Hospital
Kanazawa, Ishikawa-ken, 920-8641, Japan
Kindai University Hospital
Sayama, Osaka, 589-8511, Japan
National Cancer Center Hospital
Chuo Ku, Tokyo, 104-0045, Japan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Koichiro Yamakado, MD, PhD
Hyogo Medical University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 24, 2025
First Posted
January 30, 2026
Study Start
January 22, 2026
Primary Completion (Estimated)
June 30, 2027
Study Completion (Estimated)
December 31, 2027
Last Updated
April 27, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share