Computed Tomography (CT) - Guided Brachytherapy Versus Transarterial Chemoembolization in Patients With Unresectable Hepatocellular Carcinoma

NCT ID: NCT00807300

Last Updated: 2015-12-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

77 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-10-31

Study Completion Date

2015-12-31

Brief Summary

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Percutaneous, image-guided tumor ablation has evolved as a genuine alternative for the treatment of unresectable hepatocellular carcinoma. Published data exploring stereotactic or proton beam percutaneous irradiation have revealed,that hepatocellular carcinoma (HCC) is radiosensitive to certain protocols. In Phase I and II studies, the investigators investigated the potential role of local irradiation in primary and secondary liver tumors employing a Iridium192 source. The promising results of previous studies indicate that CT-guided brachytherapy might play a role in the treatment of unresectable HCC.

Therefore, the investigators started a randomized, controlled, clinical Phase-II study to evaluate the efficacy and survival-benefits of brachytherapy versus transarterial chemoembolization in patients with unresectable HCC.

Detailed Description

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Conditions

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Hepatocellular Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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brachytherapy

Group Type ACTIVE_COMPARATOR

CT-guided brachytherapy

Intervention Type RADIATION

catheter placed into the tumor by CT-guidance, radiation with iridium 192

TACE

transarterial chemoembolization

Group Type OTHER

transarterial chemoembolization

Intervention Type PROCEDURE

application of doxorubicin and cisplatin in lipiodol into the tumor-feeding artery

Interventions

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CT-guided brachytherapy

catheter placed into the tumor by CT-guidance, radiation with iridium 192

Intervention Type RADIATION

transarterial chemoembolization

application of doxorubicin and cisplatin in lipiodol into the tumor-feeding artery

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* diagnosis of HCC by histopathology or according to the criteria of the Consensus Conference of the European Association for the Study of Liver Disease
* unresectable HCC
* Karnofsky-Index \> 70
* estimated life expectancy \> 16 weeks
* adequate bone marrow function
* adequate contraception for female patients
* informed consent

Exclusion Criteria

* portal vein thrombosis on the tumor side
* extrahepatic spread
* Child C
* other untreated malignant disease
* general contraindication for chemotherapy
* active infectious disease
* neuropathy, platin-allergy
* pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Magdeburg

OTHER

Sponsor Role lead

Responsible Party

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Jens Ricke

Prof. Jens Ricke

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jens Ricke, M.D.

Role: PRINCIPAL_INVESTIGATOR

Clinic of Diagnostic Radiology and Nuclear Medicine, University Magdeburg

Locations

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Clinic of Diagnostic Radiology and Nuclear Medicine, Medical Faculty, University Magdeburg

Magdeburg, Saxony-Anhalt, Germany

Site Status

Countries

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Germany

Other Identifiers

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2005-000569-21

Identifier Type: -

Identifier Source: org_study_id