Contrast-Enhanced Ultrasound in Diagnosing Patients With Liver Cancer Undergoing Yttrium-90 Radioembolization

NCT ID: NCT03300401

Last Updated: 2019-05-16

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-07

Study Completion Date

2020-11-07

Brief Summary

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This pilot clinical trial studies how well contrast-enhanced ultrasound in diagnosing patients with liver cancer who are undergoing Yttrium-90 radioembolization. Contrast-enhanced ultrasound may provide detailed imaging of the tumor arteries after the injection of a contrast-agent consisting of microbubbles, and may predict how much Yttrium-90 will deposit in the tumor.

Detailed Description

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PRIMARY OBJECTIVES:

I. Investigate the relationship between hepatocellular carcinoma (HCC) tumor perfusion on pre-procedural contrast-enhanced ultrasound (CEUS) time intensity curve (TIC) and post-procedural Yttrium-90 (90Y) microsphere distribution after 90Y radioembolization (RE).

SECONDARY OBJECTIVES:

I. Study the potential of serial CEUS TIC examinations as a marker of tumor treatment response as assessed at 20 - 24 week computed tomography (CT) follow-up.

OUTLINE:

Patients receive perflutren or sulfur hexafluoride lipid microspheres and undergo CEUS at baseline, 2 and 4 weeks, and 3 and 6 months. Patients also undergo positron emission tomography/computed tomography (PET/CT) after standard of care 90Y radioembolization at baseline.

Conditions

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Hepatocellular Carcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Diagnostic (CEUS)

Patients receive perflutren or sulfur hexafluoride lipid microspheres and undergo CEUS at baseline, 2 and 4 weeks, and 3 and 6 months. Patients also undergo PET/CT after standard of care 90Y radioembolization at baseline.

Group Type EXPERIMENTAL

Perflutren Lipid Microspheres

Intervention Type DRUG

Receive intravenous injection just prior to ultrasound

Sulfur Hexafluoride Lipid Microspheres

Intervention Type DRUG

Receive intravenous injection just prior to ultrasound

Dynamic Contrast-Enhanced Ultrasound Imaging

Intervention Type DEVICE

Undergo Contrast-Enhanced Ultrasound Imaging

Positron Emission Tomography

Intervention Type DEVICE

Undergo PET/CT

Computed Tomography

Intervention Type DEVICE

Undergo CT scan

Yttrium-90 (90Y)

Intervention Type BIOLOGICAL

Given IV

Interventions

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Perflutren Lipid Microspheres

Receive intravenous injection just prior to ultrasound

Intervention Type DRUG

Sulfur Hexafluoride Lipid Microspheres

Receive intravenous injection just prior to ultrasound

Intervention Type DRUG

Dynamic Contrast-Enhanced Ultrasound Imaging

Undergo Contrast-Enhanced Ultrasound Imaging

Intervention Type DEVICE

Positron Emission Tomography

Undergo PET/CT

Intervention Type DEVICE

Computed Tomography

Undergo CT scan

Intervention Type DEVICE

Yttrium-90 (90Y)

Given IV

Intervention Type BIOLOGICAL

Other Intervention Names

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Definity Lumason Contrast-Enhanced Ultrasound Imaging Computerized Axial Tomography 90Y microsphere

Eligibility Criteria

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Inclusion Criteria

* Patients scheduled for 90Y radioembolization for HCC as part of their standard of care

Exclusion Criteria

* Patients who have already received tumor treatment (either systemic or loco-regional such as previous Y90RE, microwave or radiofrequency \[RF\] ablation or transarterial chemoembolization \[TACE\])
* Pregnant or nursing
* Known cardiac shunt
* Known pulmonary hypertension
* History of hypersensitivity to Definity (perflutren lipid microsphere) or Lumason
* History of hypersensitivity to iodinated contrast agent
* Cannot consent for himself or herself
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

University of Southern California

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Harshawn Malhi, MD

Role: PRINCIPAL_INVESTIGATOR

University of Southern California

Locations

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USC/Norris Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-2017-01422

Identifier Type: REGISTRY

Identifier Source: secondary_id

3L-17-3

Identifier Type: OTHER

Identifier Source: secondary_id

P30CA014089

Identifier Type: NIH

Identifier Source: secondary_id

View Link

3L-17-3

Identifier Type: -

Identifier Source: org_study_id

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