N/A
Completed N=131
Prospective Study to Evaluate Safety of Deb-TACE With 100µ Beads in Patients With Non Resectable HCC
Source: ClinicalTrials.gov NCT02670122 ↗Enrolled (actual)
131
Serious AEs
6.9%
Results posted
Mar 2021
Primary outcomePrimary: Safety and Tolerability — 9; 29; 0; 12 Participants
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.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Safety and Tolerability |
9; 29; 0; 12 | — |
| SECONDARY Tumor Response |
90; 42; 27 | — |
| SECONDARY OS |
22 | — |
Eligibility Criteria
Inclusion Criteria
- 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.
Exclusion Criteria
- 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) 2,0)
- Transaminases (AST and/or ALT) > 5x upper limit of normal or >250 u/l
- Known hepatofugal portal vein flow
- A-V intrahepatic macroscopic fistula
- Pregnant or breast feeding women.
- Tumor burden involving more than 50% of the liver.
- Active bacterial or fungal infection.
- Other concomitant tumors.
- Any other condition that according to investigator criteria, contraindicates DEB-TACE.
- Patients not willing to participate and/or give their written informed consent.
Data sourced from ClinicalTrials.gov (NCT02670122). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.