Lipiodol Deposition Using Endhole vs. Pressure-Modulated Delivery

NCT ID: NCT06204159

Last Updated: 2025-05-20

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-01

Study Completion Date

2026-06-30

Brief Summary

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The goal of this clinical trial is to compare CT scan of the coverage of tumors treated with TACE using End Hole catheters to those treated with the TriNav catheter that alters tissue pressure. Both catheters are FDA approved for delivery of TACE.

• Is there a difference in CT appearance with delivery in the type of catheter used during the TACE procedure?

Participants will be asked to undergo a TACE procedure, a CT scan and review of their medical record to compare End Hole and TriNav catheters during TACE procedures.

Detailed Description

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Hepatocellular (HCC) and neuroendocrine (NET) liver metastases undergoing Lipiodol transarterial chemoembolization (TACE) will be randomized to endhole vs. pressure-modulated catheter delivery. Lipiodol deposition will be quantified and correlated with volumetric necrosis, response, and local progression.

Conditions

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Hepatocellular Carcinoma Neuroendocrine Tumors

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Exploratory
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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End Hole Catheter followed by TriNav Catheter

FDA approved catheter

Randomization End Hole catheter then TriNav catheter

Group Type EXPERIMENTAL

TACE Catheters

Intervention Type DEVICE

End Hole and TriNav catheters are FDA approved. This study is comparing the two for chemotherapy delivery during the TACE procedure.

This study will randomize which catheter is used for the first TACE procedure and the other catheter will be used for the second TACE procedure

TriNav Catheter followed by End Hole Catheter

FDA approved catheter

Randomization TriNav catheter then End Hold catheter

Group Type EXPERIMENTAL

TACE Catheters

Intervention Type DEVICE

End Hole and TriNav catheters are FDA approved. This study is comparing the two for chemotherapy delivery during the TACE procedure.

This study will randomize which catheter is used for the first TACE procedure and the other catheter will be used for the second TACE procedure

Interventions

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TACE Catheters

End Hole and TriNav catheters are FDA approved. This study is comparing the two for chemotherapy delivery during the TACE procedure.

This study will randomize which catheter is used for the first TACE procedure and the other catheter will be used for the second TACE procedure

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Male or female, aged \>18 years.
* Plan to undergo lipiodol TACE for HCC or NET liver metastases
* Bilobar disease or distribution for which staged therapy (more than one TACE) for distinct target tumors is planned
* Liver tumor burden does not exceed 50% of the liver volume
* Patent main portal vein
* Life expectancy of greater than 6 months
* ECOG performance status 0-2
* Adequate liver function as measured by: Total bilirubin ≤ 2.0mg/dl, ALT, AST ≤5 times ULN, albumin ≥2.5g/dl
* Adequate marrow and renal function as defined as:
* Platelets \>75,000/mcL (may be corrected by transfusion)
* Serum creatinine \< 2.0 mg/dl
* For females of reproductive potential: use of highly effective contraception for at least 1 month prior to screening and agreement to use such contraception from beginning of study treatment until 1 month following last TACE treatment, as recommended for TACE treatments not conducted within the trial.
* For males of reproductive potential: use of condoms or other methods to ensure effective contraception with partner from first study treatment until 1 month following last TACE treatment.
* Provision of signed and dated informed consent form and ability to consent for oneself.
* Stated willingness to comply with all study procedures and availability for the study duration.

Exclusion Criteria

* Absolute contraindication to contrast-enhanced MRI
* Absolute contraindication to intravenous iodinated contrast, including history of previous severe contrast reaction or moderate reaction not mitigated by appropriate pre-medication
* Pregnancy or lactation
* Choledochoenteric anastomosis, transpapillary stent or sphincterotomy of duodenal papilla
* Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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TriSalus Life Sciences, Inc.

INDUSTRY

Sponsor Role collaborator

Abramson Cancer Center at Penn Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Abramson Cancer Center of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

University of Pennsylvania, Department of Radiology, Interventional Radiology Division

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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853163

Identifier Type: OTHER

Identifier Source: secondary_id

UPCC 01223

Identifier Type: -

Identifier Source: org_study_id

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