Pharmacological Manipulation of Intrahepatic Arterial Blood Flow in HCC
NCT02472249 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 10
Last updated 2021-04-28
Summary
Dr Rajan is investigating a new method to improve local treatment of liver cancer. There is evidence that a drug, norepinephrine (NE), has the ability to shrink down normal liver blood vessels, but leave tumor vessels wide open. In patients with primary liver cancer, NE will be injected directly in the artery that nourishes the liver and the tumor. Real time blood flow will be measured using an advanced CT scanner to demonstrate the NE effect on blood vessels. If Dr Rajan's hypothesis is confirmed, this drug has great potential to benefit patients during local delivery of chemotherapy in the liver artery, diverting it away from normal liver and towards the tumor, resulting in less complications and improved tumor kill.
Conditions
Interventions
- RADIATION
-
CT perfusion
Two dynamic CT perfusion acquisitions of the whole liver will be performed with a 320-detectors CT, prior and after to the norepinephrine injection.
- DRUG
-
Norepinephrine intra-arteriel/hepatic
A small dose (24 ug) of norepinephrine will be injected in the hepatic artery over 10 seconds. The half-life of the drug is 90 seconds..
Sponsors & Collaborators
-
University Health Network, Toronto
lead OTHER
Principal Investigators
-
Dheeraj Rajan, MD FRCPC · University Health Network/Mount Sinai Hospital
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-01-31
- Primary Completion
- 2020-12-01
- Completion
- 2020-12-01
Countries
- Canada
Study Locations
More Related Trials
-
Sorafenib Tosylate Before and After Hepatic Arterial Chemoembolization With Doxorubicin Hydrochloride and Mitomycin C in Treating Patients With Localized Liver Cancer That Cannot Be Removed by Surgery
NCT00949182 ·Status: COMPLETED ·Phase: PHASE2
-
Correlation Between CT Perfusion and Post Y-90 TARE PET/CT Dosimetry
NCT02558205 ·Status: WITHDRAWN
-
HAI Irinotecan + IV Bevacizumab, Bevacizumab & Oxaliplatin or Bevacizumab & Cetuximab in Advanced Cancers Metastatic to Liver
NCT00980239 ·Status: COMPLETED ·Phase: PHASE1
-
Hepatic Arterial Infusion in Treating Patients With Locally Advanced, Non-Metastatic Cholangiocarcinoma
NCT01525069 ·Status: TERMINATED ·Phase: PHASE1
-
Infusion System for Hepatic Cancer
NCT04684862 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Indocyanine Green Molecular Fluorescence Imaging Technique Using in Diagnosis and Treatment of Primary Liver Cancer
NCT05160740 ·Status: RECRUITING ·Phase: NA
-
A Phase II Study of Continuous Hepatic Arterial Infusion With Floxuridine (FUDR) and Dexamethasone (DEX) in Patients With Unresectable Primary Hepatic Malignancy
NCT00587067 ·Status: COMPLETED ·Phase: PHASE2
-
Hepatic Arterial Infusion Chemotherapy With Lipiodol Embolization in Advanced Hepatocellular Carcinoma
NCT06632717 ·Status: RECRUITING ·Phase: PHASE2
-
A Study of the Application of HAIC in Advanced HCC Previously Treated With ICIs and Antiangiogenic Agents
NCT05718492 ·Status: RECRUITING ·Phase: NA
-
A Study in Cancer Patients With Hepatic Impairment to Evaluate the Pharmacokinetics and Safety of NKTR-102 (Etirinotecan Pegol)
NCT01991678 ·Status: COMPLETED ·Phase: PHASE1
-
Hepatic Arterial Infusion of Oxaliplatin and Fluorouracil Treatment of Advanced Primary Liver Cancer After TACE
NCT02557503 ·Status: UNKNOWN ·Phase: PHASE4
-
Targeted and Staged Cyber Knife Combined With Interventional Therapy in the Treatment of MHCC
NCT03243916 ·Status: UNKNOWN ·Phase: NA
-
NIR-II Fluorescence-Guided Hepatectomy Using ICG-Cisplatin Nanoprobes for HCC
NCT07295262 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Individualized Dosimetry for Holmium-166-radioembolization in Patients With Unresectable Hepatocellular Carcinoma
NCT05114148 ·Status: RECRUITING ·Phase: NA
-
CT Imaging for Guiding PA-TACE for HCC
NCT06156748 ·Status: COMPLETED
-
Intravascular Radiofrequency Ablation of Sympathetic Nerves for the Treatment of Hepatocellular Carcinoma
NCT06694636 ·Status: RECRUITING ·Phase: NA
-
On the Cyberknife Dose Fraction of Liver Cancer Treatment
NCT03295500 ·Status: COMPLETED
-
Dexmedetomidine-esketamine for Percutaneous Radiofrequency Liver Ablation
NCT06003218 ·Status: COMPLETED ·Phase: NA
-
Radioactive Holmium Microspheres for the Treatment of Liver Metastases
NCT01031784 ·Status: COMPLETED ·Phase: PHASE1
-
Safety and Pharmacokinetics of Treating Liver Cancer With Drug-Eluting Beads
NCT01336985 ·Status: TERMINATED ·Phase: PHASE1
-
Immune Checkpoint Inhibitors and Anti-vascular Endothelial Growth Factor Antibody/Tyrosine Kinase Inhibitors With or Without HAIC for Unresectable HCC With Portal Vein Tumor Thrombosis
NCT06881433 ·Status: COMPLETED
-
Endoarterial Treatment in Combination With Percutaneous Thermoablation for Medium-sized and Oligonodular Hepatocellular Carcinomas
NCT04172194 ·Status: COMPLETED
-
Radiofrequency-responsive Layered Double Hydroxides for Enhanced Arterial Embolization and Thermal Immunotherapy in Hepatocellular Carcinoma
NCT06966986 ·Status: ACTIVE_NOT_RECRUITING
-
Hepatic Arterial Infusion Chemotherapy(HAIC) for Hepatoma After Resection
NCT02767375 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
An Exploratory Clinical Study of Photodynamic Therapy Combined With Sonodynamic Therapy in Cholangiocarcinoma
NCT05580328 ·Status: UNKNOWN ·Phase: NA