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Therasphere® for Treatment of Unresectable Primary Liver Cancer and Metastatic Liver Cancer
Expanded access is currently available for this treatment.
Verified by Leo W. Jenkins Cancer Center, June 2008
First Received: June 17, 2008   Last Updated: June 18, 2008   History of Changes
Sponsored by: Leo W. Jenkins Cancer Center
Information provided by: Leo W. Jenkins Cancer Center
ClinicalTrials.gov Identifier: NCT00701168
  Purpose

The purpose of this protocol is to provide supervised and limited access to Therasphere® treatment for patients with primary liver cancer and chemotherapy refractory liver metastasis who cannot be treated by surgical removal of the affected part of the liver. Patient response to treatment and any side effects of Therasphere® treatment will be examined.


Condition Intervention
Carcinoma, Hepatocellular
Neoplasm Metastasis
Device: yttrium Y 90 microspheres (Therasphere®)

Study Type: Expanded Access
Official Title: A Humanitarian Device Exemption Use Protocol of Therasphere® for Treatment of Unresectable Hepatocellular and Metastatic Liver Tumors - HDE #980006

Resource links provided by NLM:


Further study details as provided by Leo W. Jenkins Cancer Center:

Intervention Details:
    Device: yttrium Y 90 microspheres (Therasphere®)
    This is a local therapy for unresectable liver tumors with limited treatment options. It may be repeated under special circumstances.
  Eligibility

Ages Eligible for Study:   19 Years and older
Genders Eligible for Study:   Both
Criteria

Inclusion Criteria:

  • Confirmed diagnosis of primary or metastatic intrahepatic carcinoma
  • The cancer must be unresectable with limited established treatment options
  • ECOG Performance Status Score 0-2
  • Age 19 years or older
  • Able to comprehend and provide written informed consent

Exclusion Criteria:

  • Any pre-treatment laboratory findings within 15 days of treatment demonstrating:
  • Absolute granulocyte count ≤ 1,500/ul
  • Platelet count ≤ 75,000/ul
  • Serum creatinine > 2.0 mg/dl
  • Serum bilirubin ≥ 2.0 mg/dl
  • Any of the following contraindications to angiography and selective visceral catheterization:
  • History of severe allergy or intolerance to any contrast media, narcotics, sedatives, or atropine
  • Bleeding, diathesis, not correctable by usual forms of therapy
  • Severe peripheral vascular disease that would preclude catheterization
  • Substantial venous shunt away from the liver
  • Evidence of potential delivery of greater than 11 mCi (20 Gy absorbed dose) of radiation to the lungs on either 1) first Therasphere® administration; or 2) cumulative delivery of radiation to the lungs over multiple treatments
  • Evidence of any detectable Tc-99 MAA flow to the stomach or duodenum, application of established angiographic techniques to stop such flow
  • Significant extrahepatic disease representing an imminent life- threatening situation outcome
  • Severe liver dysfunction or pulmonary insufficiency
  • Active uncontrolled infection
  • Significant underlying medical or psychiatric illness
  • Pregnant women may not participate
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00701168

Contacts
Contact: Suzanne Russo, MD 252-744-2900 russos@ecu.edu
Contact: Michelle Sagraves, RN 252-744-3617 sagravesm@ecu.edu

Locations
United States, North Carolina
Leo W Jenkins Cancer Center at East Carolina University School of Medicine
Greenville, North Carolina, United States, 27834
Sponsors and Collaborators
Leo W. Jenkins Cancer Center
Investigators
Principal Investigator: Suzanne Russo, MD East Carolina University School of Medicine
  More Information

Publications:
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Sasaki Y, Imaoka S, Kasugai H, Fujita M, Kawamoto S, Ishiguro S, Kojima J, Ishikawa O, Ohigashi H, Furukawa H, et al. A new approach to chemoembolization therapy for hepatoma using ethiodized oil, cisplatin, and gelatin sponge. Cancer. 1987 Sep 15;60(6):1194-203.
Yamada R, Kishi K, Sato M, Sonomura T, Nishida N, Tanaka K, Shioyama Y, Terada M, Kimura M. Transcatheter arterial chemoembolization (TACE) in the treatment of unresectable liver cancer. World J Surg. 1995 Nov-Dec;19(6):795-800.
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[No authors listed] A comparison of lipiodol chemoembolization and conservative treatment for unresectable hepatocellular carcinoma. Groupe d'Etude et de Traitement du Carcinome Hépatocellulaire. N Engl J Med. 1995 May 11;332(19):1256-61.
Pelletier G, Roche A, Ink O, Anciaux ML, Derhy S, Rougier P, Lenoir C, Attali P, Etienne JP. A randomized trial of hepatic arterial chemoembolization in patients with unresectable hepatocellular carcinoma. J Hepatol. 1990 Sep;11(2):181-4.
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Berger DH, Carrasco CH, Hohn DC, Curley SA. Hepatic artery chemoembolization or embolization for primary and metastatic liver tumors: post-treatment management and complications. J Surg Oncol. 1995 Oct;60(2):116-21.
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Blanchard RJ, Morrow IM, Sutherland JB. Treatment of liver tumors with yttrium-90 microspheres alone. Can Assoc Radiol J. 1989 Aug;40(4):206-10.
Andrews JC, Walker SC, Ackermann RJ, Cotton LA, Ensminger WD, Shapiro B. Hepatic radioembolization with yttrium-90 containing glass microspheres: preliminary results and clinical follow-up. J Nucl Med. 1994 Oct;35(10):1637-44.
BLANCHARD RJ, GROTENHUIS I, LAFAVE JW, PERRY JF Jr. BLOOD SUPPLY TO HEPATIC V2 CARCINOMA IMPLANTS AS MEASURED BY RADIOACTIVE MICROSPHERES. Proc Soc Exp Biol Med. 1965 Feb;118:465-8. No abstract available.
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Responsible Party: East Carolina University School of Medicine ( Suzanne Russo, MD, Principal Investigator )
Study ID Numbers: LJCC 07-04
Study First Received: June 17, 2008
Last Updated: June 18, 2008
ClinicalTrials.gov Identifier: NCT00701168     History of Changes
Health Authority: United States: Institutional Review Board

Study placed in the following topic categories:
Liver Neoplasms
Liver Diseases
Digestive System Diseases
Digestive System Neoplasms
Carcinoma, Hepatocellular
Neoplasm Metastasis
Gastrointestinal Neoplasms
Adenocarcinoma
Neoplasms, Glandular and Epithelial
Carcinoma

Additional relevant MeSH terms:
Liver Diseases
Neoplasms by Histologic Type
Digestive System Neoplasms
Carcinoma, Hepatocellular
Carcinoma
Liver Neoplasms
Neoplasms
Neoplastic Processes
Pathologic Processes
Neoplasms by Site
Digestive System Diseases
Neoplasm Metastasis
Adenocarcinoma
Neoplasms, Glandular and Epithelial

ClinicalTrials.gov processed this record on September 11, 2009