Trial Outcomes & Findings for Study to Evaluate VORTX Rx (Theresa) (NCT NCT03741088)

NCT ID: NCT03741088

Last Updated: 2021-04-20

Results Overview

Number of Lesions that were Successfully Ablated according to technical success definition established in the protocol.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

8 participants

Primary outcome timeframe

1-day post ablation

Results posted on

2021-04-20

Participant Flow

Unit of analysis: Lesions

Participant milestones

Participant milestones
Measure
VORTX Rx Treatment
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Overall Study
STARTED
8 11
Overall Study
COMPLETED
5 6
Overall Study
NOT COMPLETED
3 5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study to Evaluate VORTX Rx (Theresa)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
VORTX Rx Treatment
n=8 Participants
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=99 Participants
Age, Categorical
>=65 years
3 Participants
n=99 Participants
Age, Continuous
63.1 years
STANDARD_DEVIATION 13.6 • n=99 Participants
Sex: Female, Male
Female
5 Participants
n=99 Participants
Sex: Female, Male
Male
3 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
8 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
Spain
8 participants
n=99 Participants
Type of live tumors
Hepatocellular carcinoma
1 Participants
n=99 Participants
Type of live tumors
Liver metastasis
7 Participants
n=99 Participants
Body Mass Index (BMI)
25.1 kg/m^2
n=99 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG 0
2 Participants
n=99 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG 1
6 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 1-day post ablation

Number of Lesions that were Successfully Ablated according to technical success definition established in the protocol.

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=11 lesions
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Acute Technical Performance of the VORTX Rx® Medical Device for the Ablation of Primary and Metastatic Liver Tumors
11 lesions

SECONDARY outcome

Timeframe: 2 months

Population: Although only 5 participants performed all protocol visits, adverse events from all patients were reported and analyzed. Any of the 55 AEs reported was device-related.

Number of Adverse Events (Serious and Non-serious) That Are Probably or Definitely Device-related

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=55 Adverse Events
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Safety Profile of the VORTX Rx. Incidence of Adverse Events (Serious and Non-serious) That Are Probably or Definitely Device-related
0 Adverse Events

SECONDARY outcome

Timeframe: 1 week, 1 month and 2 months post-procedure.

Number of patients who have indicated local tumor progression in at least one visit (1 week, 1 month, 2 months) for each tumor ablated. The ablation zone will be assessed post-procedurally to evaluate local tumor progression by contrast-enhanced MRI imaging

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=8 Participants
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Local Tumor Progression
Progression: YES
2 Participants
Local Tumor Progression
Progression: NO
5 Participants
Local Tumor Progression
Progression: No data
1 Participants

SECONDARY outcome

Timeframe: 24hours, 1 week, 1 month and 2 months, post-procedure.

The involution of the ablation zone will be assessed post-procedurally by contrast-enhanced MRI imaging at 24h, 1 week, 1 month and 2 months

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=6 lesions
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Involution of the Ablation Zone
Ablation zone volume (cm3): 24 hours
10.5500 cubic centimeters
Standard Deviation 6.34405
Involution of the Ablation Zone
Ablation zone volume (cm3): 1 week
8.5000 cubic centimeters
Standard Deviation 9.56682
Involution of the Ablation Zone
Ablation zone volume (cm3): 1 month
5.9383 cubic centimeters
Standard Deviation 10.02174
Involution of the Ablation Zone
Ablation zone volume (cm3): 2 months
4.7683 cubic centimeters
Standard Deviation 9.47795

SECONDARY outcome

Timeframe: Screening, 24 hours, 1 week, 1 month and 2 months.

Population: Only 4 patients have these parameters determined in all study points (screening, 24h, 1 day, 1 month and 2 months post-ablation)

Liver panel will be evaluated on the basis of the change of aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase, gamma glutamyl transpeptidase (GGT) from baseline to evaluation visits 24 hours, 1 week and 1 and 2 months post procedure.

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=4 ablation procedures
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Assessment of Liver panel_Part 1
AST Screening
60.7500 U/L
Standard Deviation 33.83662
Assessment of Liver panel_Part 1
AST 24 hours
183.5000 U/L
Standard Deviation 80.71555
Assessment of Liver panel_Part 1
AST 1 week
47.0000 U/L
Standard Deviation 25.17936
Assessment of Liver panel_Part 1
AST 1 month
40.7500 U/L
Standard Deviation 10.68878
Assessment of Liver panel_Part 1
AST 2 months
40.5000 U/L
Standard Deviation 19.94158
Assessment of Liver panel_Part 1
ALT Screening
44.0000 U/L
Standard Deviation 22.13594
Assessment of Liver panel_Part 1
ALT 24 hours
139.0000 U/L
Standard Deviation 56.12486
Assessment of Liver panel_Part 1
ALT 1 week
58.5000 U/L
Standard Deviation 30.27100
Assessment of Liver panel_Part 1
ALT 1 month
27.5000 U/L
Standard Deviation 12.60952
Assessment of Liver panel_Part 1
ALT 2 months
30.0000 U/L
Standard Deviation 15.55635
Assessment of Liver panel_Part 1
GGT Screening
127.2500 U/L
Standard Deviation 105.05673
Assessment of Liver panel_Part 1
GGT 24 hours
118.0000 U/L
Standard Deviation 111.48692
Assessment of Liver panel_Part 1
GGT 1 week
159.7500 U/L
Standard Deviation 176.57364
Assessment of Liver panel_Part 1
GGT 1 month
162.5000 U/L
Standard Deviation 139.50986
Assessment of Liver panel_Part 1
GGT 2 months
102.5000 U/L
Standard Deviation 43.23964
Assessment of Liver panel_Part 1
Alkaline Phosphatase Screening
156.5000 U/L
Standard Deviation 139.89639
Assessment of Liver panel_Part 1
Alkaline Phosphatase 24 hours
127.2500 U/L
Standard Deviation 67.14847
Assessment of Liver panel_Part 1
Alkaline Phosphatase 1 week
165.0000 U/L
Standard Deviation 88.67168
Assessment of Liver panel_Part 1
Alkaline Phosphatase 1 month
146.7500 U/L
Standard Deviation 66.33941
Assessment of Liver panel_Part 1
Alkaline Phosphatase 2 months
130.2500 U/L
Standard Deviation 74.44629

SECONDARY outcome

Timeframe: 24 hours, 1 week and 1 month and 2 months

Population: Only 4 patients have these parameters determined in all study points (screening, 24h, 1 day, 1 month and 2 months post-ablation)

Liver panel will be evaluated on the basis of the change of albumin from baseline to evaluation visits 24 hours, 1 week and 1 and 2 months post procedure.

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=4 ablation procedures
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Assessment of Liver Panel_Part 2
Albumin 1 month
39.3750 g/L
Standard Deviation 0.63966
Assessment of Liver Panel_Part 2
Albumin Screening
40.0250 g/L
Standard Deviation 2.88603
Assessment of Liver Panel_Part 2
Albumin 24 hours
34.7500 g/L
Standard Deviation 1.13284
Assessment of Liver Panel_Part 2
Albumin 1 week
37.5250 g/L
Standard Deviation 1.95683
Assessment of Liver Panel_Part 2
Albumin 2 months
40.1750 g/L
Standard Deviation 1.65806

SECONDARY outcome

Timeframe: 24 hours, 1 week and 1month and 2 months

Liver panel will be evaluated on the basis of the change of bilirubin from baseline to evaluation visits 24 hours, 1 week and 1 and 2 months post procedure

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=4 ablation procedures
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Assessment of Liver Panel_Part 3
Total Bilirrubin Screening
0.7525 mg/dL
Standard Deviation 0.42578
Assessment of Liver Panel_Part 3
Total Bilirrubin 24 hours
0.6425 mg/dL
Standard Deviation 0.20549
Assessment of Liver Panel_Part 3
Total Bilirrubin 1 week
0.7600 mg/dL
Standard Deviation 0.32934
Assessment of Liver Panel_Part 3
Total Bilirrubin 1 month
0.5250 mg/dL
Standard Deviation 0.11561
Assessment of Liver Panel_Part 3
Total Bilirrubin 2 months
0.7050 mg/dL
Standard Deviation 0.31268

SECONDARY outcome

Timeframe: 24 hours, 1 week and 1month and 2 months

Population: Only 4 patients have these parameters determined in all study points (screening, 24h, 1 day, 1 month and 2 months post-ablation)

Liver panel will be evaluated on the basis of the change of prothrombin time (PT) from baseline to evaluation visits 24 hours, 1 week and 1 and 2 months post procedure

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=4 ablation procedures
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Assessment of Liver Panel_part 4
Prothrombin time 1 month
98.7500 percentage of activity
Standard Deviation 2.50000
Assessment of Liver Panel_part 4
Prothrombin time Screening
95.2500 percentage of activity
Standard Deviation 5.50000
Assessment of Liver Panel_part 4
Prothrombin time 24 hours
92.5000 percentage of activity
Standard Deviation 9.94987
Assessment of Liver Panel_part 4
Prothrombin time 1 week
92.7500 percentage of activity
Standard Deviation 8.38153
Assessment of Liver Panel_part 4
Prothrombin time 2 months
91.2500 percentage of activity
Standard Deviation 17.50000

SECONDARY outcome

Timeframe: 24 hours, 1 week and 1 month and 2 months

Liver panel will be evaluated on the basis of the change of International normalized ratio (INR = A system established by the World Health Organization (WHO) and the International Committee on Thrombosis and Hemostasis for reporting the results of blood coagulation (clotting) tests) from baseline to evaluation visits 24 hours, 1 week and 1 and 2 months post procedure. The INR is derived from prothrombin time (PT) which is calculated as a ratio of the patient's PT to a control PT standardized for the potency of the thromboplastin reagent developed by the World Health Organization (WHO) using the following formula: INR = Patient PT ÷ Control PT. Normal values for INR: 0.9-1.3.

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=4 ablation procedures
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Assessment of Liver Panel_Part 5
INR Screening
1.0500 ratio
Standard Deviation 0.5774
Assessment of Liver Panel_Part 5
INR 24 hours
1.0750 ratio
Standard Deviation 0.09574
Assessment of Liver Panel_Part 5
INR 1 week
1.0500 ratio
Standard Deviation 0.05774
Assessment of Liver Panel_Part 5
INR 1 month
1.0250 ratio
Standard Deviation 0.05000
Assessment of Liver Panel_Part 5
INR 2 months
1.0750 ratio
Standard Deviation 0.15000

SECONDARY outcome

Timeframe: Baseline/Screening, 1-day post ablation, 1 week and 1 and 2 months post procedure

Immunological response of ablation will be evaluated on the basis of immune tests conducted and tumor biomarker assessments (including, but not limited to, immune tests: CD3+, CD4+, CD8+, CD45+, CD16+, CD56+ and CD19+ from Baseline/Screening to 1-day post ablation, 1 week and 1 and 2 months post procedureprocedure.

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=4 ablation procedures
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Immunologic Assessment_Part 1
CD4+ (T helper cells) 1 week
445.2500 cells/uL
Standard Deviation 121.94637
Immunologic Assessment_Part 1
CD4+ (T helper cells) 1 month
357.0000 cells/uL
Standard Deviation 159.34240
Immunologic Assessment_Part 1
CD4+ (T helper cells) 2 months
382.2500 cells/uL
Standard Deviation 77.24150
Immunologic Assessment_Part 1
CD3+ (T cells) 2 months
632.0000 cells/uL
Standard Deviation 150.53017
Immunologic Assessment_Part 1
CD56+ (NKT cells) 1 month
63.2500 cells/uL
Standard Deviation 68.07533
Immunologic Assessment_Part 1
CD56+ (NKT cells) 2 months
60.7500 cells/uL
Standard Deviation 50.12900
Immunologic Assessment_Part 1
CD19+ (B-lymphocyte antigen) Screening
85.0000 cells/uL
Standard Deviation 58.66856
Immunologic Assessment_Part 1
CD19+ (B-lymphocyte antigen) 24 hours
83.5000 cells/uL
Standard Deviation 58.31238
Immunologic Assessment_Part 1
CD19+ (B-lymphocyte antigen) 1 week
86.5000 cells/uL
Standard Deviation 53.10053
Immunologic Assessment_Part 1
CD3+ (T cells) Screening
801.7500 cells/uL
Standard Deviation 374.33708
Immunologic Assessment_Part 1
CD3+ (T cells) 24 hours
618.2500 cells/uL
Standard Deviation 365.48814
Immunologic Assessment_Part 1
CD3+ (T cells) 1 week
713.7500 cells/uL
Standard Deviation 234.09596
Immunologic Assessment_Part 1
CD3+ (T cells) 1 month
587.7500 cells/uL
Standard Deviation 253.11575
Immunologic Assessment_Part 1
CD4+ (T helper cells) Screening
469.2500 cells/uL
Standard Deviation 146.20619
Immunologic Assessment_Part 1
CD4+ (T helper cells) 24 hours
374.7500 cells/uL
Standard Deviation 128.99709
Immunologic Assessment_Part 1
CD8+ (T suppressor/cytotoxic cells) Screening
262.7500 cells/uL
Standard Deviation 223.82638
Immunologic Assessment_Part 1
CD8+ (T suppressor/cytotoxic cells) 24 hours
220.5000 cells/uL
Standard Deviation 204.31593
Immunologic Assessment_Part 1
CD8+ (T suppressor/cytotoxic cells) 1 week
230.5000 cells/uL
Standard Deviation 139.01679
Immunologic Assessment_Part 1
CD8+ (T suppressor/cytotoxic cells) 1 month
186.7500 cells/uL
Standard Deviation 136.19196
Immunologic Assessment_Part 1
CD8+ (T suppressor/cytotoxic cells) 2 months
177.2500 cells/uL
Standard Deviation 85.47660
Immunologic Assessment_Part 1
CD45+ (leucocyte common antigen) Screening
1054.1425 cells/uL
Standard Deviation 384.46746
Immunologic Assessment_Part 1
CD45+ (leucocyte common antigen) 24 hours
843.0350 cells/uL
Standard Deviation 349.94733
Immunologic Assessment_Part 1
CD45+ (leucocyte common antigen) 1 week
938.3700 cells/uL
Standard Deviation 251.60549
Immunologic Assessment_Part 1
CD45+ (leucocyte common antigen) 1 month
788.4275 cells/uL
Standard Deviation 257.71702
Immunologic Assessment_Part 1
CD45+ (leucocyte common antigen) 2 months
831.2675 cells/uL
Standard Deviation 194.76464
Immunologic Assessment_Part 1
CD16+ Screening
134.3000 cells/uL
Standard Deviation 69.78811
Immunologic Assessment_Part 1
CD16+ 24 hours
78.4750 cells/uL
Standard Deviation 50.40353
Immunologic Assessment_Part 1
CD16+ 1 week
116.1750 cells/uL
Standard Deviation 65.72460
Immunologic Assessment_Part 1
CD16+ 1 month
109.7500 cells/uL
Standard Deviation 53.11230
Immunologic Assessment_Part 1
CD16+ 2 months
100.5000 cells/uL
Standard Deviation 47.59202
Immunologic Assessment_Part 1
CD56+ (NKT cells) Screening
85.4500 cells/uL
Standard Deviation 85.14507
Immunologic Assessment_Part 1
CD56+ (NKT cells) 24 hours
56.5000 cells/uL
Standard Deviation 61.00213
Immunologic Assessment_Part 1
CD56+ (NKT cells) 1 week
73.9500 cells/uL
Standard Deviation 69.58934
Immunologic Assessment_Part 1
CD19+ (B-lymphocyte antigen) 1 month
70.0000 cells/uL
Standard Deviation 50.51732
Immunologic Assessment_Part 1
CD19+ (B-lymphocyte antigen) 2 months
87.0000 cells/uL
Standard Deviation 51.71718

SECONDARY outcome

Timeframe: Screening, 24 hours, 1 week and 1 and 2 months post procedure.

Immunological response of ablation will be evaluated on the basis of immune tests conducted and tumor biomarker assessments: C-reactive protein \[CRP\], from baseline to evaluation visits 1 day, 1 week and 1 and 2 months post procedure.

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=4 ablation procedures
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Immunologic Assessment_Part 2
C reactive protein Screening
5.9750 mg/L
Standard Deviation 5.67355
Immunologic Assessment_Part 2
C reactive protein 24 hours
6.0250 mg/L
Standard Deviation 7.06323
Immunologic Assessment_Part 2
C reactive protein 1 week
30.8250 mg/L
Standard Deviation 53.05735
Immunologic Assessment_Part 2
C reactive protein 1 month
4.7750 mg/L
Standard Deviation 3.57713
Immunologic Assessment_Part 2
C reactive protein 2 months
11.9500 mg/L
Standard Deviation 8.85795

SECONDARY outcome

Timeframe: Screening, 24 hours post ablation, 1 week and 1 and 2 months post procedure.

Immunological response of ablation will be evaluated on the basis of immune tests conducted and tumor biomarker assessments (including, but not limited to, immune tests): complement C3 and C4, immunoglobulins \[IgG, IgM, IgA\] from baseline to evaluation visits 1 day, 1 week and 1 and 2 months post procedure.

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=4 ablation procedures
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Immunologic Assessment_Part 3
Complement C3 Screening
144.0000 mg/dL
Standard Deviation 53.61592
Immunologic Assessment_Part 3
Complement C3 24 hours
123.2000 mg/dL
Standard Deviation 25.76354
Immunologic Assessment_Part 3
Complement C3 1 week
150.5000 mg/dL
Standard Deviation 22.75229
Immunologic Assessment_Part 3
Complement C3 1 month
143.9000 mg/dL
Standard Deviation 44.60239
Immunologic Assessment_Part 3
Complement C3 2 months
134.7500 mg/dL
Standard Deviation 26.88711
Immunologic Assessment_Part 3
Complement C4 Screening
30.7750 mg/dL
Standard Deviation 20.29949
Immunologic Assessment_Part 3
Complement C4 24 hours
23.7750 mg/dL
Standard Deviation 6.58401
Immunologic Assessment_Part 3
Complement C4 1 week
29.8250 mg/dL
Standard Deviation 9.00717
Immunologic Assessment_Part 3
Complement C4 1 month
26.9500 mg/dL
Standard Deviation 11.01348
Immunologic Assessment_Part 3
Complement C4 2 months
28.0750 mg/dL
Standard Deviation 14.47236
Immunologic Assessment_Part 3
IgG Screening
867.2500 mg/dL
Standard Deviation 326.38359
Immunologic Assessment_Part 3
IgG 24 hours
792.9000 mg/dL
Standard Deviation 354.83048
Immunologic Assessment_Part 3
IgG 1 week
856.0000 mg/dL
Standard Deviation 335.22430
Immunologic Assessment_Part 3
IgG 1 month
916.7500 mg/dL
Standard Deviation 338.63784
Immunologic Assessment_Part 3
IgG 2 months
899.0000 mg/dL
Standard Deviation 334.19655
Immunologic Assessment_Part 3
IgM Screening
132.6250 mg/dL
Standard Deviation 59.75139
Immunologic Assessment_Part 3
IgM 24 hours
120.9000 mg/dL
Standard Deviation 51.44745
Immunologic Assessment_Part 3
IgM 1 week
132.3500 mg/dL
Standard Deviation 45.62846
Immunologic Assessment_Part 3
IgM 1 month
140.7500 mg/dL
Standard Deviation 43.69115
Immunologic Assessment_Part 3
IgM 2 months
141.2500 mg/dL
Standard Deviation 52.94075
Immunologic Assessment_Part 3
IgA Screening
147.5000 mg/dL
Standard Deviation 133.49871
Immunologic Assessment_Part 3
IgA 24 hours
130.0000 mg/dL
Standard Deviation 119.05766
Immunologic Assessment_Part 3
IgA 1 week
142.8000 mg/dL
Standard Deviation 131.15955
Immunologic Assessment_Part 3
IgA 1 month
145.9500 mg/dL
Standard Deviation 116.11530
Immunologic Assessment_Part 3
IgA 2 months
129.3750 mg/dL
Standard Deviation 84.51147

SECONDARY outcome

Timeframe: Screening, 24 hours post ablation, 1 week and 1 and 2 months post procedure.

Immunological response of ablation will be evaluated on the basis of immune tests conducted and tumor biomarker assessments (including, but not limited to, immune tests: complement CH50, alfa-fetoprotein \[AFP\], Cancer Antigens CA15-3 \[Breast Cancer\] and CA 19-9 \[Pancreatic Cancer\]) from baseline to evaluation visits 1 day, 1 week and 1 and 2 months post procedure.

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=4 ablation procedures
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Immunologic Assessment_Part 4
CA 19-9 (pancreatic cancer) 2 months
256.9525 U/ml
Standard Deviation 475.14915
Immunologic Assessment_Part 4
Complement CH50 Screening
72.7500 U/ml
Standard Deviation 26.87471
Immunologic Assessment_Part 4
Complement CH50 24 hours
61.5000 U/ml
Standard Deviation 37.59876
Immunologic Assessment_Part 4
Complement CH50 1 week
61.0000 U/ml
Standard Deviation 34.02940
Immunologic Assessment_Part 4
Complement CH50 1 month
52.2500 U/ml
Standard Deviation 24.18505
Immunologic Assessment_Part 4
Complement CH50 2 months
60.2500 U/ml
Standard Deviation 36.59121
Immunologic Assessment_Part 4
AFP Screening
544.8050 U/ml
Standard Deviation 1084.79682
Immunologic Assessment_Part 4
AFP 24 hours
417.8550 U/ml
Standard Deviation 831.43014
Immunologic Assessment_Part 4
AFP 1 week
502.2350 U/ml
Standard Deviation 999.84372
Immunologic Assessment_Part 4
AFP 1 month
264.1675 U/ml
Standard Deviation 523.22173
Immunologic Assessment_Part 4
AFP 2 months
224.5900 U/ml
Standard Deviation 441.61247
Immunologic Assessment_Part 4
CA 15-3 (breast cancer) Screening
15.8500 U/ml
Standard Deviation 9.02940
Immunologic Assessment_Part 4
CA 15-3 (breast cancer) 24 hours
14.0000 U/ml
Standard Deviation 6.66433
Immunologic Assessment_Part 4
CA 15-3 (breast cancer) 1 week
14.3750 U/ml
Standard Deviation 7.20804
Immunologic Assessment_Part 4
CA 15-3 (breast cancer) 1 month
16.2250 U/ml
Standard Deviation 9.31786
Immunologic Assessment_Part 4
CA 15-3 (breast cancer) 2months
15.4250 U/ml
Standard Deviation 7.08396
Immunologic Assessment_Part 4
CA 19-9 (pancreatic cancer) Screening
167.8175 U/ml
Standard Deviation 300.24702
Immunologic Assessment_Part 4
CA 19-9 (pancreatic cancer) 24 hours
174.8450 U/ml
Standard Deviation 312.86710
Immunologic Assessment_Part 4
CA 19-9 (pancreatic cancer) 1 week
169.1675 U/ml
Standard Deviation 290.56204
Immunologic Assessment_Part 4
CA 19-9 (pancreatic cancer) 1 month
168.1200 U/ml
Standard Deviation 285.77017

SECONDARY outcome

Timeframe: Screening, 24 hours post ablation, 1 week and 1 and 2 months post procedure.

Immunological response of ablation will be evaluated on the basis of immune tests conducted and tumor biomarker assessments (including, but not limited to, immune tests): interleukin-6 \[IL-6\] from baseline to evaluation visits 1 day, 1 week and 1 and 2 months post procedure.

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=4 ablation procedures
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Immunologic Assessment_Part 5
Interleukin-6 Screening
4.2225 pg/dl
Standard Deviation 2.88648
Immunologic Assessment_Part 5
Interleukin-6 24 hours
3.4575 pg/dl
Standard Deviation 1.97481
Immunologic Assessment_Part 5
Interleukin-6 1 week
14.7850 pg/dl
Standard Deviation 14.05719
Immunologic Assessment_Part 5
Interleukin-6 1 month
3.8750 pg/dl
Standard Deviation 2.37905
Immunologic Assessment_Part 5
Interleukin-6 2 months
5.8125 pg/dl
Standard Deviation 2.84372

SECONDARY outcome

Timeframe: Screening, 24 hours post ablation, 1 week and 1 and 2 months post procedure.

Immunological response of ablation will be evaluated on the basis of immune tests conducted and tumor biomarker assessments (including, but not limited to, immune tests): carcinoembryonic antigen \[CEA\] from baseline to evaluation visits 1 day, 1 week and 1 and 2 months post procedure.

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=4 ablation procedures
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Immunologic Assessment_Part 6
CEA Screening
46.9300 ng/ml
Standard Deviation 50.75086
Immunologic Assessment_Part 6
CEA 24 hours
50.4200 ng/ml
Standard Deviation 55.16530
Immunologic Assessment_Part 6
CEA 1 week
37.7925 ng/ml
Standard Deviation 45.10227
Immunologic Assessment_Part 6
CEA 1 month
44.6150 ng/ml
Standard Deviation 64.11322
Immunologic Assessment_Part 6
CEA 2 months
54.0225 ng/ml
Standard Deviation 97.45371

SECONDARY outcome

Timeframe: Screening, 1 and 2 months post procedure.

The EORTC QLQ-C30 is a 30-item generic health-related QoL instrument designed to assess cancer patients' physical, psychological and social functioning. It is composed of 9 multi-item scales (5 functional scales \[physical, role, cognitive, emotional, and social\], a global QoL scale \[GQoL\], and 3 symptom scales \[fatigue, pain, and nausea and vomiting\]), 5 single-item symptom scales assessing additional symptoms commonly reported by cancer patients (dyspnoea, loss of appetite, insomnia, constipation and diarrhea), and an item on the perceived financial impact of the disease. All of the scales and single-item measures range in score from 0-100. A high scale score represents a higher response level. Thus, a high score for a functional scale represents a high/healthy level of functioning. A high score for the global health status/QoL represents a high QoL. However, a high score for a symptom scale/item represents a high level of symptomatology/problems.

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=4 ablation procedures
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Role functioning screening
87.5000 score on a scale
Standard Deviation 15.95712
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Global health status/QoL Screening
70.8333 score on a scale
Standard Deviation 15.95712
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Global health status/QoL 1 month
58.3333 score on a scale
Standard Deviation 28.05418
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Global health status/QoL 2 months
70.8333 score on a scale
Standard Deviation 25.00000
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Physical functioning Screening
81.6667 score on a scale
Standard Deviation 12.61980
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Physical functioning 1 month
83.3333 score on a scale
Standard Deviation 13.87777
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Physical functioning 2 months
81.6667 score on a scale
Standard Deviation 18.35857
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Role functioning 1 month
70.8333 score on a scale
Standard Deviation 28.46375
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Role functioning 2 months
83.3333 score on a scale
Standard Deviation 13.60828
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Emotional functioning Screening
87.5000 score on a scale
Standard Deviation 8.33333
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Emotional functioning 1 month
87.5000 score on a scale
Standard Deviation 19.83730
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Emotional functioning 2 months
83.3333 score on a scale
Standard Deviation 18.00206
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Cognitive functioning Screening
79.1667 score on a scale
Standard Deviation 20.97176
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Cognitive functioning 1 month
75.0000 score on a scale
Standard Deviation 21.51657
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Cognitive functioning 2 months
79.1667 score on a scale
Standard Deviation 31.54949
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Social functioning Screening
95.8333 score on a scale
Standard Deviation 8.33333
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Social functioning 1 month
83.3333 score on a scale
Standard Deviation 13.60828
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Social functioning 2 months
95.8333 score on a scale
Standard Deviation 8.33333
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Fatigue Screening
30.5556 score on a scale
Standard Deviation 13.98117
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Fatigue 1 month
41.6667 score on a scale
Standard Deviation 27.77778
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Fatigue 2 months
25.0000 score on a scale
Standard Deviation 24.63729
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Nausea and vomiting Screening
0 score on a scale
Standard Deviation 0
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Nausea and vomiting 1 month
0 score on a scale
Standard Deviation 0
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Nausea and vomiting 1 months
0 score on a scale
Standard Deviation 0
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Pain Screening
16.6667 score on a scale
Standard Deviation 23.57023
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Pain 1 month
20.8333 score on a scale
Standard Deviation 31.54949
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Pain 2 months
41.6667 score on a scale
Standard Deviation 34.69443
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Dyspnea Screening
0 score on a scale
Standard Deviation 0
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Dyspnea 1 month
0 score on a scale
Standard Deviation 0
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Dyspnea 2 months
0 score on a scale
Standard Deviation 0
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Insomnia Screening
41.6667 score on a scale
Standard Deviation 41.94352
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Insomnia 1 month
33.3333 score on a scale
Standard Deviation 47.14045
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Insomnia 2 months
25.0000 score on a scale
Standard Deviation 31.91424
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Appetite loss Screening
25.0000 score on a scale
Standard Deviation 50.00000
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Appetite loss 1 month
50.0000 score on a scale
Standard Deviation 43.03315
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Appetite loss 2 months
8.3333 score on a scale
Standard Deviation 16.66667
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Constipation Screening
8.3333 score on a scale
Standard Deviation 16.66667
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Constipation 1 month
0 score on a scale
Standard Deviation 0
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Constipation 2 months
0 score on a scale
Standard Deviation 0
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Diarrhea Screening
33.3333 score on a scale
Standard Deviation 47.14045
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Diarrhea 1 month
16.6667 score on a scale
Standard Deviation 19.24501
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Diarrhea 2 months
16.6667 score on a scale
Standard Deviation 19.24501
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Financial difficulties Screening
16.6667 score on a scale
Standard Deviation 19.24501
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Financial difficulties 1 month
8.3333 score on a scale
Standard Deviation 16.66667
Assesment of Quality of Life by Using Patient Questtionaires EORTC QLQ-C30. (European Organization for Research and Treatment of Cancer)
Financial difficulties 2 months
8.3333 score on a scale
Standard Deviation 16.66667

SECONDARY outcome

Timeframe: 1-day post ablation and 1 week post procedure.

Perform pain assessment by a 100 mm visual analog scale (VAS) where 0 is "no pain" and 100 is "the maximum pain possible" at 1-day and 1-week post-procedure.

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=7 ablation procedures
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Pain Assessment by VAS Scale
VAS score: 24 hours
4.3 score on a scale
Standard Deviation 7.9
Pain Assessment by VAS Scale
VAS score: 1 week
25.0 score on a scale
Standard Deviation 18.9

SECONDARY outcome

Timeframe: in the 24-hour period post-procedure and during the one week period post-procedure

Population: Number of patients with at least one drug due to Post-procedure pain (concomitant medication form).

Evaluate analgesic treatment prescription in the 24-hour period post-procedure and during the one week period post-procedure.

Outcome measures

Outcome measures
Measure
VORTX Rx Treatment
n=8 Participants
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Analgesic Requirements After the Ablation Procedure
At least one drug due to post-procedure pain: YES
5 Participants
Analgesic Requirements After the Ablation Procedure
At least one drug due to post-procedure pain: NO
3 Participants

Adverse Events

VORTX Rx Treatment

Serious events: 2 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
VORTX Rx Treatment
n=8 participants at risk
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
General disorders
FEVER
12.5%
1/8 • Number of events 1 • 2 months
Metabolism and nutrition disorders
HYPOCALCEMIA
12.5%
1/8 • Number of events 1 • 2 months

Other adverse events

Other adverse events
Measure
VORTX Rx Treatment
n=8 participants at risk
Focused ultrasound ablation of liver tumors. VORTX Rx treatment: Cavitation-based cellular destruction using focused ultrasound
Hepatobiliary disorders
Transaminase elevation
12.5%
1/8 • 2 months
General disorders
Abdominal discomfort
12.5%
1/8 • 2 months
General disorders
Abdominal pain
12.5%
1/8 • 2 months
Nervous system disorders
Adverse reaction to analeptics and opioid receptor antagonists
12.5%
1/8 • 2 months
Hepatobiliary disorders
Alkaline phosphatase increase
12.5%
1/8 • 2 months
Hepatobiliary disorders
ALT increase
50.0%
4/8 • 2 months
Metabolism and nutrition disorders
Anemia
12.5%
1/8 • 2 months
Metabolism and nutrition disorders
Anorexia
25.0%
2/8 • 2 months
Metabolism and nutrition disorders
Appetite increase
12.5%
1/8 • 2 months
Hepatobiliary disorders
Ascites
12.5%
1/8 • 2 months
Hepatobiliary disorders
AST increase
50.0%
4/8 • 2 months
Respiratory, thoracic and mediastinal disorders
Chest punctures
12.5%
1/8 • 2 months
Renal and urinary disorders
Choluria
12.5%
1/8 • 2 months
Musculoskeletal and connective tissue disorders
Coccyx pain
12.5%
1/8 • 2 months
Gastrointestinal disorders
Constipation
25.0%
2/8 • 2 months
Skin and subcutaneous tissue disorders
Desquamative lesions
12.5%
1/8 • 2 months
General disorders
Fatigue
50.0%
4/8 • 2 months
General disorders
Fever
12.5%
1/8 • 2 months
Gastrointestinal disorders
Gastrointestinal pain
12.5%
1/8 • 2 months
General disorders
General pain
12.5%
1/8 • 2 months
Hepatobiliary disorders
GGT increase
25.0%
2/8 • 2 months
Skin and subcutaneous tissue disorders
Itchy skin
12.5%
1/8 • 2 months
Hepatobiliary disorders
Jaundice
12.5%
1/8 • 2 months
Musculoskeletal and connective tissue disorders
Left leg pain
12.5%
1/8 • 2 months
Nervous system disorders
Lipotomy
12.5%
1/8 • 2 months
Musculoskeletal and connective tissue disorders
Malleolar edema with fovea
12.5%
1/8 • 2 months
Gastrointestinal disorders
Nausea
25.0%
2/8 • 2 months
General disorders
Occasional fever
12.5%
1/8 • 2 months
Musculoskeletal and connective tissue disorders
Pain in right shoulder
12.5%
1/8 • 2 months
Musculoskeletal and connective tissue disorders
Pain in right side
12.5%
1/8 • 2 months
Respiratory, thoracic and mediastinal disorders
Right basal pneumonia
12.5%
1/8 • 2 months
Nervous system disorders
Sciatic pain
37.5%
3/8 • 2 months
Vascular disorders
Swollen ankles
12.5%
1/8 • 2 months
Nervous system disorders
Tingling in feet and hands
12.5%
1/8 • 2 months

Additional Information

Clinical Affairs Manager

HistoSonics, Inc.

Phone: 651.398.7586

Results disclosure agreements

  • Principal investigator is a sponsor employee The results or conclusions of this study will be reported at scientific congresses and published in scientific journals. The investigator agrees to maintain this information in strict confidence, and will not use it for any other purpose without the written authorization of the sponsor.
  • Publication restrictions are in place

Restriction type: OTHER