Accurate Dosimetry and Biomarkers Improve Survival in HCC Patients Treated With Resin 90 Yttrium (90Y)-Microspheres
NCT05227482 · Status: UNKNOWN · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 150
Last updated 2022-02-07
Summary
This trial involves patients with hepatocellular carcinoma (HCC) diagnosis treated with transarterial radioembolization (TARE) with resin microspheres loaded with 90Y. Patients will be divided in two groups based on prescription method to calculate the therapeutic radionuclide activity to be injected. In arm A, standard dosimetric approach such as Body Surface Area (BSA) method and Medical Internal Radiation Dosimetry (MIRD) monocompartmental method will be used. In arm B, novel voxel-based dosimetry, based on pre-treatment simulation with 99m-Technetium (99mTc)-Macro Aggregated Albumin (MAA) injection and SPECT/CT image acquisition, will be used. The primary outcome will be the overall survival of patients included in arm A and arm B. Secondary outcomes will be adverse events, tumor response, biomarkers assessed from blood samples prior and after the treatment and voxel-based dosimetry obtained from post-treatment PET/CT images acquisitions.
Conditions
Interventions
- RADIATION
-
Personalized dosimetry approach
The radionuclide activity to administer is calculated using personalized voxel-based dosimetry approach
- RADIATION
-
Standard dosimetry approach
The radionuclide activity to administer is calculated using standard (BSA or MIRD) dosimetry approach
Sponsors & Collaborators
-
Regina Elena Cancer Institute
collaborator OTHER -
IRCCS Azienda Ospedaliero-Universitaria di Bologna
lead OTHER
Principal Investigators
-
lidia strigari, PhD MSc · IRCCS Azienda Ospedaliero-Universitaria di Bologna
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-04-10
- Primary Completion
- 2023-12-31
- Completion
- 2023-12-31
Countries
- Italy
Study Locations
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