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CompletedNCT02683538Updated Apr 5, 2016

Radiofrequency Ablation Using Octopus Electrodes for Treatment of Focal Liver Malignancies

A Phase 2 interventional study of Separable cluster electrode (Octopus®) in Hepatocellular Carcinoma, Metastasis and Cholangiocarcinoma, sponsored by Seoul National University Hospital. Completed at 1 site in Korea, Republic of. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2016-04-05.

Sponsored by Seoul National University Hospital · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
196
Allocation
Not applicable
Ages
20 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the clinical feasibility and short-term outcome of switching monopolar RFA using a separable cluster electrode in patients with primary and secondary liver malignancies.

Read the detailed description

Radiofrequency ablation (RFA) is one of minimal invasive treatment methods and it has been showing comparable overall survival with surgery in early or small hepatocellular carcinomas (HCCs) and better cost-effectiveness. However, it is suffering from high local tumor progression (LTP) rate. To reduce LTP rate, creation of large ablative zone has been attempted in various strategies. A separable cluster electrode is a new type of RFA electrode. It consists of three individual applicators and the applicators can be incorporated as a single handle such as a cluster electrode, and can be separated as three electrodes, depending on operators' needs. It allows high flexibility to operators and the preclinical results were promising. Herein, we want to evaluate the clinical feasibility of the electrodes by observing major complication rates, technical success rate and 12-months LTP rate.

02

Conditions studied

  • Hepatocellular Carcinoma
  • Metastasis
  • Cholangiocarcinoma

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Keywords

  • RFA
03

In context

Cholangiocarcinoma

914 studies on the registry are indexed under Cholangiocarcinoma; 286 are open to participants now.

This study's enrollment of 196 is above the median of 50 across 687 interventional studies indexed under Cholangiocarcinoma.

Browse Cholangiocarcinoma studies →

Lead sponsor

Seoul National University Hospital is the lead sponsor of 1,860 studies on the registry; 275 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 2 (17%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Hepatic malignancies diagnosed on biopsy OR
  • Typical imaging features of hepatocellular carcinoma (HCC) on computed tomography (CT) or magnetic resonance imaging (MRI) according to AASLD guideline
  • Typical imaging feature of metastasis on CT or MRI AND
  • 1\~5 tumors equal to or smaller than 5cm in the liver
  • no direct contact with or invasion into the hepatic hilar structures or inferior vena cava (IVC)
  • Eastern Cooperative Oncology Group performance status of 0
  • Patients who signed informed consent

Exclusion Criteria: Patients with any of followings are excluded.

  • Patients with uncontrolled coagulopathy
  • Patients with Child-Pugh classification C
  • Patients with tumor invasion in major portal vein or hepatic vein branch
  • Extrahepatic metastasis
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
196 participants (actual)

Study arms

  • Experimental
    Separable cluster electrode

    radiofrequency ablation (RFA) using separable cluster electrode in switching monopolar mode.

    Device: Separable cluster electrode (Octopus®)

Interventions

  • DeviceSeparable cluster electrode (Octopus®)

    Patients undergo RFA under ultrasound guidance, and separable cluster electrodes are used for RFA in monopolar switching mode, using multiple overlapping technique to create larger ablative zones.

06

What researchers measure

Primary outcomes

  1. Major complication rate after Radiofrequency ablation (RFA)

    Rates of major complication according to Society of Interventional Radiology (SIR) grading system, which refers to an event that leads to substantial morbidity and disability (SIR classification C-E).

    Time frame: 30 days after RFA

Secondary outcomes

  1. Technical success

    Technical success addresses that the tumor was treated according to protocol and completely covered by ablative zone on pre-RFA image and post-RFA image side-by-side comparison.

    Time frame: 1 day after RFA

  2. Local control rate

    Rate of local tumor progression after RFA

    Time frame: 12 months after RFA

Other outcomes

  1. total procedure time

    total procedure time per patients was recorded.

    Time frame: 1 day after RFA

  2. Ablative zone volume

    ablative zone volume measurement for each tumor on post-RFA cross sectional imaging

    Time frame: 1 day after RFA

07

Study locations

1 site
  • Seoul National University Hospital
    Seoul, Korea, Republic of
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 5, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02683538
Lead sponsor
Seoul National University Hospital
Responsible party
Jeong Min Lee (Professor, Seoul National University Hospital) — Principal investigator
First posted
Feb 17, 2016
Start date
Nov 2011
Primary completion
Jul 2013
Completion
Jul 2014
Last update
Apr 5, 2016

Study contacts

Jeong Min Lee, MD
principal investigator · Seoul National University Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2016. You cannot join it, but the record below documents what was studied.

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