ThinkRadial: A Prospective Study of Transradial deTACE in HCC Patients

NCT ID: NCT07160374

Last Updated: 2025-09-08

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

Total Enrollment

38 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-08-21

Study Completion Date

2025-08-04

Brief Summary

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This study is a prospective, observational clinical trial designed to evaluate the feasibility, safety, and effectiveness of performing transarterial chemoembolization (TACE) for hepatocellular carcinoma (HCC) using a transradial arterial approach. Traditionally, TACE procedures are performed through the femoral artery in the groin, but using the radial artery in the wrist may reduce complications, improve patient comfort, and allow for faster recovery.

In this study, eligible patients with unresectable HCC who meet the inclusion criteria-such as preserved liver function (Child-Pugh A), good performance status, and tumors of a certain size and number-will undergo TACE using HepaSphere drug-eluting embolic materials via radial access. No randomization or drug intervention will be assigned by protocol, as the treatment will follow standard clinical practice.

The study will follow participants for 12 months to assess technical success, tumor response using imaging criteria (mRECIST), safety outcomes including adverse events, and overall survival. The study is being conducted at Asan Medical Center in Seoul, Korea, and has received Institutional Review Board approval.

Detailed Description

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This is a prospective observational study to evaluate the feasibility, safety, and tumor response of transarterial chemoembolization (TACE) using a transradial approach in patients with hepatocellular carcinoma (HCC). Eligible patients will undergo drug-eluting beads TACE via radial access and be followed for up to 12 months. The primary outcome is the technical success rate of the procedure. Secondary outcomes include survival rate, tumor response by mRECIST, and adverse events.

Conditions

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Hepatocellular Carcinoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Transradial drug-eluting beadsTransarterial Chemoembolization (DEB-TACE) group

Patients with hepatocellular carcinoma (HCC) who undergo transarterial chemoembolization (TACE) using a transradial arterial approach with HepaSphere microspheres. Participants will be observed prospectively to evaluate the technical success, safety, and tumor response following treatment.

Transradial drug-eluting beadsTransarterial Chemoembolization (DEB-TACE)

Intervention Type PROCEDURE

Transarterial chemoembolization performed through the radial artery using HepaSphere drug-eluting microspheres in patients with hepatocellular carcinoma.

Interventions

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Transradial drug-eluting beadsTransarterial Chemoembolization (DEB-TACE)

Transarterial chemoembolization performed through the radial artery using HepaSphere drug-eluting microspheres in patients with hepatocellular carcinoma.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

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* Age between 19 and 80 years
* Diagnosed with hepatocellular carcinoma (HCC)
* Child-Pugh class A
* ECOG performance status 0 or 1
* Tumor size between 3 and 10 cm, with 1 to 7 nodules
* Ability to provide written informed consent

Exclusion Criteria

* Child-Pugh class B or C
* Presence of other malignancies
* CKD stage 4 or 5 (eGFR \< 30 mL/min/1.73m²)
* Known allergy or contraindication to contrast media
* Pregnancy or breastfeeding
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Asan Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Jihoon Kim

Professor, Department of Radiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ji Hoon Shin, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Asan Medical Center

Locations

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Asan Medical Center

Seoul, Songpa-gu, South Korea

Site Status

Countries

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South Korea

References

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Fischman AM, Swinburne NC, Patel RS. A Technical Guide Describing the Use of Transradial Access Technique for Endovascular Interventions. Tech Vasc Interv Radiol. 2015 Jun;18(2):58-65. doi: 10.1053/j.tvir.2015.04.002. Epub 2015 Apr 11.

Reference Type BACKGROUND
PMID: 26070616 (View on PubMed)

Other Identifiers

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2017-1433

Identifier Type: -

Identifier Source: org_study_id

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