Trial Outcomes & Findings for Vandetanib-eluting Radiopaque Embolic Beads in Patients With Resectable Liver Malignancies (NCT NCT03291379)

NCT ID: NCT03291379

Last Updated: 2021-07-19

Results Overview

Adverse events (AEs) related to treatment with BTG-002814 using the National Cancer Institute- Common Terminology Criteria for Adverse Events- Version 4.0 (NCI-CTCAE v4.0)

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

8 participants

Primary outcome timeframe

Continuously throughout the study totalling 9 weeks

Results posted on

2021-07-19

Participant Flow

Participant milestones

Participant milestones
Measure
BTG-002814
Single arm: BTG-002814 (vandetanib-eluting radiopaque beads) BTG-002814 (vandetanib-eluting radiopaque beads): BTG-002814 containing 100 mg vandetanib
Overall Study
STARTED
8
Overall Study
COMPLETED
8
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Vandetanib-eluting Radiopaque Embolic Beads in Patients With Resectable Liver Malignancies

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
BTG-002814
n=8 Participants
Single arm: BTG-002814 (vandetanib-eluting radiopaque beads) BTG-002814 (vandetanib-eluting radiopaque beads): BTG-002814 containing 100 mg vandetanib
Age, Continuous
62.5 years
n=99 Participants
Sex: Female, Male
Female
1 Participants
n=99 Participants
Sex: Female, Male
Male
7 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
7 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
Region of Enrollment
United Kingdom
8 participants
n=99 Participants
World Health Organisation (WHO) Performance Status
Grade 0 (asymptomatic)
8 Participants
n=99 Participants
World Health Organisation (WHO) Performance Status
Grade 1 (Symptomatic, but ambulatory)
0 Participants
n=99 Participants
World Health Organisation (WHO) Performance Status
Grade 2 (Symptomatic, <50% in bed)
0 Participants
n=99 Participants
Tumour type
Hepatocellular carcinoma (HCC)
2 Participants
n=99 Participants
Tumour type
Metastatic colorectal cancer (mCRC)
6 Participants
n=99 Participants
Number of liver lesions
1.6 Count
STANDARD_DEVIATION 1.4 • n=99 Participants

PRIMARY outcome

Timeframe: Continuously throughout the study totalling 9 weeks

Population: Safety population - all participants treated with BTG-002814

Adverse events (AEs) related to treatment with BTG-002814 using the National Cancer Institute- Common Terminology Criteria for Adverse Events- Version 4.0 (NCI-CTCAE v4.0)

Outcome measures

Outcome measures
Measure
BTG-002814
n=8 Participants
Single arm: BTG-002814 (vandetanib-eluting radiopaque beads) BTG-002814 (vandetanib-eluting radiopaque beads): BTG-002814 containing 100 mg vandetanib
To Assess the Safety and Tolerability of Treatment With BTG-002814
participants with treatment emergent Adverse Events (AEs)
8 Participants
To Assess the Safety and Tolerability of Treatment With BTG-002814
participants with treatment emergent Serious Adverse Events (SAEs)
4 Participants

PRIMARY outcome

Timeframe: pre-treatment, 2 hours post-treatment, 4 hours post treatment, 24 hours post treatment, prior to surgery, and end of study (28-32 days post-surgery)

Population: all participants treated with BTG-002814

Pharmacokinetic (PK) analysis of participants plasma samples by liquid chromatography with tandem mass spectrometry at the following timepoints: pre-treatment, post treatment (2 hours, 4 hours, 24 hours), prior to surgery, and end of study to derive Cmax.

Outcome measures

Outcome measures
Measure
BTG-002814
n=8 Participants
Single arm: BTG-002814 (vandetanib-eluting radiopaque beads) BTG-002814 (vandetanib-eluting radiopaque beads): BTG-002814 containing 100 mg vandetanib
Maximum Concentration (Cmax) of Vandetanib and N-desmethyl Vandetanib in Plasma Following Treatment With BTG-002814
Vandetanib Plasma Cmax
24.3 ng/mL
Standard Deviation 13.94
Maximum Concentration (Cmax) of Vandetanib and N-desmethyl Vandetanib in Plasma Following Treatment With BTG-002814
N-desmethyl Plasma Cmax
0.6 ng/mL
Standard Deviation 0.82

PRIMARY outcome

Timeframe: Following surgical resection of tumour

Population: Results were not available for 2 patients where sample was incorrectly prepared, or no sample was received. For patients with multiple tumours, only the treated tumours were sampled and analysed. The results for this outcome measure are reported by individual subject (where data was available) by each sample location (centre, middle, edge of the tumour or 1cm away from tumour) per row.

PK analysis of participants resected liver tissue samples by liquid chromatography with tandem mass spectrometry to determine vandetanib concentrations at the centre, middle, and edge of the tumour, as well as in the normal tissue surrounding the tumour (1cm away).

Outcome measures

Outcome measures
Measure
BTG-002814
n=6 Participants
Single arm: BTG-002814 (vandetanib-eluting radiopaque beads) BTG-002814 (vandetanib-eluting radiopaque beads): BTG-002814 containing 100 mg vandetanib
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 01: Vandetanib concentration centre of tumour
404000 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 01: Vandetanib concentration middle of tumour
394000 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 01: Vandetanib concentration edge of tumour
327000 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 01: Vandetanib concentration 1cm away from tumour
10800 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 03: Vandetanib concentration centre of tumour
8510 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 03: Vandetanib concentration middle of tumour
11000 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 03: Vandetanib concentration edge of tumour
18800 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 03: Vandetanib concentration 1cm away from tumour
9120 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 05: Vandetanib concentration centre of tumour
7340 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 05: Vandetanib concentration middle of tumour
7550 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 05: Vandetanib concentration edge of tumour
12500 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 05: Vandetanib concentration 1cm away from tumour
7090 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 06: Vandetanib concentration centre of tumour
160000 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 06: Vandetanib concentration middle of tumour
151000 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 06: Vandetanib concentration edge of tumour
11100 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 06: Vandetanib concentration 1cm away from tumour
1480 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 07: Vandetanib concentration centre of tumour
4570 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 07: Vandetanib concentration middle of tumour
531 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 07: Vandetanib concentration edge of tumour
441 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 07: Vandetanib concentration 1cm away from tumour
2760 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08: Vandetanib concentration centre of tumour
1140 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08 (1cm lesion): whole tumour Vandetanib concentration
93500 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08 (inferior lesion): Vandetanib concentration centre of tumour
6180 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08: Vandetanib concentration middle of tumour
1240 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08 (inferior lesion): Vandetanib concentration middle of tumour
1440 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08: Vandetanib concentration edge of tumour
2840 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08 (inferior lesion): Vandetanib concentration edge of tumour
2710 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08: Vandetanib concentration 1cm away from tumour
29100 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08 (1 cm lesion): Vandetanib concentration 1cm away from tumour
5350 ng/mL
Concentration of Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08 (inferior lesion): Vandetanib concentration 1cm away from tumour
6010 ng/mL

PRIMARY outcome

Timeframe: pre-treatment, 2 hours post-treatment, 4 hours post treatment, 24 hours post treatment, prior to surgery, and end of study (28-32 days post-surgery)

Population: all participants treated with BTG-002814

PK analysis of participants plasma samples by liquid chromatography with tandem mass spectrometry at the following timepoints: pre-treatment, post treatment (2 hours, 4 hours, 24 hours), prior to surgery, and end of study to derive Tmax

Outcome measures

Outcome measures
Measure
BTG-002814
n=8 Participants
Single arm: BTG-002814 (vandetanib-eluting radiopaque beads) BTG-002814 (vandetanib-eluting radiopaque beads): BTG-002814 containing 100 mg vandetanib
Time Taken to Reach the Maximum Concentration (Tmax) of Vandetanib and N-desmethyl Vandetanib in Plasma Following Treatment With BTG-002814
Vandetanib Plasma Tmax
26.0 hours
Standard Deviation 67.08
Time Taken to Reach the Maximum Concentration (Tmax) of Vandetanib and N-desmethyl Vandetanib in Plasma Following Treatment With BTG-002814
N-desmethyl Plasma Tmax
0.8 hours
Standard Deviation 1.04

PRIMARY outcome

Timeframe: pre-treatment, 2 hours post-treatment, 4 hours post treatment, 24 hours post treatment, prior to surgery, and end of study (28-32 days post-surgery)

Population: all participants treated with BTG-002814

PK analysis of participants plasma samples by liquid chromatography with tandem mass spectrometry at the following timepoints: pre-treatment, post treatment (2 hours, 4 hours, 24 hours), prior to surgery, and end of study to derive AUCEoS (area under the curve at end of study).

Outcome measures

Outcome measures
Measure
BTG-002814
n=8 Participants
Single arm: BTG-002814 (vandetanib-eluting radiopaque beads) BTG-002814 (vandetanib-eluting radiopaque beads): BTG-002814 containing 100 mg vandetanib
Concentration of Vandetanib and N-desmethyl Vandetanib in Plasma Over Time Until End of Study Following Treatment With BTG-002814
Vandetanib Plasma AUCEoS
6979.3 ng*h/mL
Standard Deviation 3188.21
Concentration of Vandetanib and N-desmethyl Vandetanib in Plasma Over Time Until End of Study Following Treatment With BTG-002814
N-desmethyl Plasma AUCEoS
81.1 ng*h/mL
Standard Deviation 169.40

PRIMARY outcome

Timeframe: Following surgical resection of tumour

Population: Results were not available for 2 patients where sample was incorrectly prepared, or no sample was received. For patients with multiple tumours, only the treated tumours were sampled and analysed. The results for this outcome measure are reported by individual subject (where data was available), by each sample location (centre, middle, edge of the tumour, 1cm away from tumour) per row.

PK analysis of participants resected liver tissue samples by liquid chromatography with tandem mass spectrometry to determine N-desmethyl vandetanib concentrations at the centre, middle, and edge of the tumour, as well as in the normal tissue surrounding the tumour (1cm away).

Outcome measures

Outcome measures
Measure
BTG-002814
n=6 Participants
Single arm: BTG-002814 (vandetanib-eluting radiopaque beads) BTG-002814 (vandetanib-eluting radiopaque beads): BTG-002814 containing 100 mg vandetanib
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08 (inferior lesion): N-desmethyl Vandetanib concentration edge of tumour
171 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 01: N-desmethyl Vandetanib concentration centre of tumour
4620 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 01: N-desmethyl Vandetanib concentration middle of tumour
4740 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 01: N-desmethyl Vandetanib concentration edge of tumour
3680 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 01: N-desmethyl Vandetanib concentration 1cm away from tumour
280 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 03: N-desmethyl concentration centre of tumour
69.6 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 03: N-desmethyl Vandetanib concentration middle of tumour
59.8 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 03: N-desmethyl Vandetanib concentration edge of tumour
69.2 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 03: N-desmethyl Vandetanib concentration 1cm away from tumour
831 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 05: N-desmethyl concentration centre of tumour
421 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 05: N-desmethyl Vandetanib concentration middle of tumour
418 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 05: N-desmethyl Vandetanib concentration edge of tumour
469 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 05: N-desmethyl Vandetanib concentration 1cm away from tumour
544 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 06: N-desmethyl concentration centre of tumour
113 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 06: N-desmethyl Vandetanib concentration middle of tumour
93.9 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 06: N-desmethyl Vandetanib concentration edge of tumour
11.4 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 06: N-desmethyl Vandetanib concentration 1cm away from tumour
55.6 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 07: N-desmethyl concentration centre of tumour
21 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 07: N-desmethyl Vandetanib concentration middle of tumour
15.7 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 07: N-desmethyl Vandetanib concentration edge of tumour
28.7 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 07: N-desmethyl Vandetanib concentration 1cm away from tumour
84 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08: N-desmethyl concentration centre of tumour
39.3 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08 (1cm lesion): whole tumour N-desmethyl concentration
208 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08 (inferior lesion): N-desmethyl concentration centre of tumour
80.2 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08: N-desmethyl Vandetanib concentration middle of tumour
57.1 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08 (inferior lesion): N-desmethyl Vandetanib concentration middle of tumour
101 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08: N-desmethyl Vandetanib concentration edge of tumour
145 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08: N-desmethyl Vandetanib concentration 1cm away from tumour
389 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08 (1 cm lesion): N-desmethyl Vandetanib concentration 1cm away from tumour
342 ng/mL
Concentration of N-desmethyl Vandetanib in Resected Liver Tissue Following Treatment With BTG-002814
Subject 08 (inferior lesion): N-desmethyl Vandetanib concentration 1cm away from tumour
405 ng/mL

SECONDARY outcome

Timeframe: 1 day after treatment

Population: All 8 subjects treated with BTG-002814 were analysed, however, not all subjects have sampling of all regions (liver, registered sample, tumour, tumour dilated 1cm, tumour dilated 2cm) due to some samples not being able to be accurately processed and registered. The data for this outcome measure is reported by individual subject, for each sample region (where data is available) per row.

An automated thresholding and filtering algorithm was designed to allow the volume of delivered beads to be quantitatively determined for regions of interest (liver, registered sample, tumour, tumour dilated 1cm, tumour dilated 2cm) from the pre-surgical non-contrast CT scan and the PET/CT of the explanted liver samples following surgery.

Outcome measures

Outcome measures
Measure
BTG-002814
n=8 Participants
Single arm: BTG-002814 (vandetanib-eluting radiopaque beads) BTG-002814 (vandetanib-eluting radiopaque beads): BTG-002814 containing 100 mg vandetanib
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 02: Tumour
596.78 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 02: Tumour dilated 1cm
617.72 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 01: Liver
928.83 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 01: Registered sample
399.27 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 01: Tumour
361.14 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 01: tumour dilated 1cm
393.79 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 01: Tumour dilated 2cm
479.28 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 02: Liver
764.69 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 02: Tumour dilated 2cm
649.97 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 03: Liver
594.79 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 03: Registered sample
116.54 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 03: Tumour
0.32 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 03: Tumour dilated 1cm
36.26 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 03: Tumour dilated 2cm
108.85 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 04: Liver
852.03 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 05: Liver
849.29 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 05: Registered sample
751.62 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 05: Tumour
0 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 5: Tumour dilated 1cm
15.26 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 05: Tumour dilated 2cm
86.28 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 06: Liver
202.56 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 06: Registered sample
148.09 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 06: Tumour
51.14 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
ubject 06: Tumour dilated 1cm
115.39 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 06: Tumour dilated 2cm
166.80 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 07: Liver
720.78 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 07: Registered sample
103.82 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 07: Tumour
4.32 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 07: Tumour dilated 1cm
75.43 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 07: Tumour dilated 2cm
133.26 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 08: Liver
693.73 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 08: Registered sample
422.37 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 08: Tumour
21.87 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 08: Tumour dilated 1cm
264.90 µL
Evaluate the Anatomical Distribution of BTG-002814 on Non-contrast Enhanced Imaging Using 4D CT
Subject 08: Tumour dilated 2cm
378.15 µL

SECONDARY outcome

Timeframe: Post-surgery (tumour resection)

Population: all participants treated with BTG-002814

An evaluation of histopathological features in both malignant and non-malignant liver tissue from the surgical specimen was performed by microscopic examination. Sections of resected liver tissue was paraffin-embedded and Hematoxylin and Eosin (H\&E) slides were produced. The H\&E slides were scanned to produce 3D pathology models of tumour volume and compared to the 3D models generated from clinical imaging. This allowed the extent of tumour necrosis and viable tumour to be determined.

Outcome measures

Outcome measures
Measure
BTG-002814
n=8 Participants
Single arm: BTG-002814 (vandetanib-eluting radiopaque beads) BTG-002814 (vandetanib-eluting radiopaque beads): BTG-002814 containing 100 mg vandetanib
Evaluation of Histopathological Features in the Surgical Specimen (Malignant and Non-malignant Liver Tissue) by Analysing Percentage of Tumour Necrosis and Viability
Tumour necrosis
92.5 percentage of surgical specimen
Interval 5.0 to 100.0
Evaluation of Histopathological Features in the Surgical Specimen (Malignant and Non-malignant Liver Tissue) by Analysing Percentage of Tumour Necrosis and Viability
Viable tumour
7.5 percentage of surgical specimen
Interval 0.0 to 95.0

SECONDARY outcome

Timeframe: Post-surgery (tumour resection)

An evaluation of histopathological features in both malignant and non-malignant liver tissue from the surgical specimen was performed by microscopic examination. Sections of resected liver tissue was paraffin-embedded and Hematoxylin and Eosin (H\&E) slides were produced. The H\&E slides were scanned to produce 3D pathology models of tumour volume and compared to the 3D models generated from clinical imaging. This allowed any vascular changes to be determined.

Outcome measures

Outcome measures
Measure
BTG-002814
n=8 Participants
Single arm: BTG-002814 (vandetanib-eluting radiopaque beads) BTG-002814 (vandetanib-eluting radiopaque beads): BTG-002814 containing 100 mg vandetanib
Evaluation of Histopathological Features in the Surgical Specimen (Malignant and Non-malignant Liver Tissue) by Assessing Number of Participants With Any Vascular Changes.
Vascular changes absent
8 Count of Participants
Evaluation of Histopathological Features in the Surgical Specimen (Malignant and Non-malignant Liver Tissue) by Assessing Number of Participants With Any Vascular Changes.
Vascular changes present
0 Count of Participants

SECONDARY outcome

Timeframe: Baseline, pre-treatment, up to 3 days prior to surgical resection of tumour

After acquisition of DCE-MRI liver sequences, tumour signal intensity curves were used to calculate tissue parameters describing tumour perfusion, blood flow and vascularity, before and following treatment with BTG 002814. Bland Altman analysis showed the variability between baseline and pre-treatment readings to be too high, so an interpretation of the changes in blood flow prior to surgery is unreliable.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, pre-treatment, 1 day after treatment, Up to 3 days prior to surgical resection, end of study (28-32 days post-surgery).

The following serum biomarkers were measured at Baseline, pre-treatment, 1 day after treatment, Up to 3 days prior to surgical resection, end of study ; cytokines, chemokines and growth factors relevant to cancer and inflammation.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, pre-treatment, Up to 3 days prior to surgical resection.

The following tissue biomarkers were measured at Baseline, pre-treatment, Up to 3 days prior to surgical resection; Levels of serum alpha-fetoprotein (AFP) in patients with HCC. Levels of serum Carcinoembryonic Antigen (CEA), Cancer Antigen (CA)19-9 and CA-125 in patients with metastatic colorectal cancer (mCRC).

Outcome measures

Outcome data not reported

Adverse Events

BTG-002814

Serious events: 4 serious events
Other events: 8 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
BTG-002814
n=8 participants at risk
Single arm: BTG-002814 (vandetanib-eluting radiopaque beads) BTG-002814 (vandetanib-eluting radiopaque beads): BTG-002814 containing 100 mg vandetanib
Gastrointestinal disorders
Ileus
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Gastrointestinal disorders
Upper gastrointestinal hemorrhage
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Hepatobiliary disorders
Ascites
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Hepatobiliary disorders
Post procedural bile leak
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Infections and infestations
Lung infection
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Infections and infestations
Postoperative wound infection
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Infections and infestations
Sepsis
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Injury, poisoning and procedural complications
Abdominal wound dehiscence
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Renal and urinary disorders
Renal failure acute
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)

Other adverse events

Other adverse events
Measure
BTG-002814
n=8 participants at risk
Single arm: BTG-002814 (vandetanib-eluting radiopaque beads) BTG-002814 (vandetanib-eluting radiopaque beads): BTG-002814 containing 100 mg vandetanib
Cardiac disorders
Bradycardia
37.5%
3/8 • Number of events 5 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Cardiac disorders
Cardiac signs and symptoms NEC
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Cardiac disorders
Sinus bradycardia
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Ear and labyrinth disorders
Tinnitus
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Gastrointestinal disorders
Abdominal distension
12.5%
1/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Gastrointestinal disorders
Abdominal pain
100.0%
8/8 • Number of events 19 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Gastrointestinal disorders
Constipation
62.5%
5/8 • Number of events 6 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Gastrointestinal disorders
Diarrhoea
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Gastrointestinal disorders
Dry mouth
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Gastrointestinal disorders
Dyspepsia
62.5%
5/8 • Number of events 8 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Gastrointestinal disorders
Gastritis
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Gastrointestinal disorders
Gastrooesophageal reflux disease
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Gastrointestinal disorders
Nausea
62.5%
5/8 • Number of events 8 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Gastrointestinal disorders
Vomiting
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
General disorders
Fatigue
87.5%
7/8 • Number of events 23 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
General disorders
Influenza like illness
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
General disorders
Non-cardiac chest pain
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
General disorders
Pain
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
General disorders
Pyrexia
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Infections and infestations
Lung infection
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Infections and infestations
Postoperative wound infection
25.0%
2/8 • Number of events 3 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Alanine aminotransferase
62.5%
5/8 • Number of events 8 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Aspartate aminotransferase
62.5%
5/8 • Number of events 7 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Blood albumin
37.5%
3/8 • Number of events 25 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Blood alkaline phosphatase
62.5%
5/8 • Number of events 5 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Blood bilirubin
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Blood calcium
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Blood creatinine
25.0%
2/8 • Number of events 7 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Blood glucose
62.5%
5/8 • Number of events 8 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Blood lactic acid
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Blood magnesium
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Blood sodium
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Blood thyroid stimulating hormone
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Blood urea
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Blood uric acid
50.0%
4/8 • Number of events 6 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
C-reactive protein
12.5%
1/8 • Number of events 14 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Electrocardiogram QT prolonged
25.0%
2/8 • Number of events 4 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Gamma-glutamyl transferase
62.5%
5/8 • Number of events 8 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Glomerular filtration rate
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Haemoglobin
100.0%
8/8 • Number of events 15 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
International normalized ratio
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Neutrophil count
12.5%
1/8 • Number of events 11 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Neutrophil count decreased
50.0%
4/8 • Number of events 6 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Platelet count
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
Weight decreased
37.5%
3/8 • Number of events 3 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Investigations
White blood cell count
25.0%
2/8 • Number of events 14 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Metabolism and nutrition disorders
Decreased appetite
62.5%
5/8 • Number of events 7 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Metabolism and nutrition disorders
Dehydration
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Musculoskeletal and connective tissue disorders
Arthralgia
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Musculoskeletal and connective tissue disorders
Back pain
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Musculoskeletal and connective tissue disorders
Groin pain
12.5%
1/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Musculoskeletal and connective tissue disorders
Myalgia
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Nervous system disorders
Paraesthesia
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Psychiatric disorders
Delirium
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Psychiatric disorders
Insomnia
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Respiratory, thoracic and mediastinal disorders
Cough
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Respiratory, thoracic and mediastinal disorders
Dysphonia
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Respiratory, thoracic and mediastinal disorders
Dyspnoea
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Respiratory, thoracic and mediastinal disorders
Hiccups
25.0%
2/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Respiratory, thoracic and mediastinal disorders
Laryngeal inflammation
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Skin and subcutaneous tissue disorders
Dermatitis acneiform
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Skin and subcutaneous tissue disorders
Pruritus
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Skin and subcutaneous tissue disorders
Rash
12.5%
1/8 • Number of events 1 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Vascular disorders
Haematoma
12.5%
1/8 • Number of events 2 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Vascular disorders
Hypertension
87.5%
7/8 • Number of events 12 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)
Vascular disorders
Hypotension
37.5%
3/8 • Number of events 4 • From date participant signed Informed Consent until the patient's last visit (up to 9 weeks) (or after this date if the site Investigator feels the event is related to study treatment)

Additional Information

Sarah Cooper

Biocompatibles UK Ltd

Phone: 07805354224

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60