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CompletedNCT03259581Updated Mar 21, 2022

Safety of Transarterial Chemoembolization (TACE) in the Setting of an Elevated Bilirubin

A Phase 1 interventional study of Transarterial chemoembolization in Hepatocellular Carcinoma and Bilirubinemia, sponsored by University of Minnesota. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-03-21.

Sponsored by University of Minnesota · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this study is to evaluate the safety of selective transarterial chemoembolization (TACE) of hepatocellular carcinoma (HCC) in the setting of an elevated total bilirubin, but relatively normal direct bilirubin.

02

Conditions studied

  • Hepatocellular Carcinoma
  • Bilirubinemia

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Keywords

  • transarterial chemoembolization
03

Who can participate

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

Inclusion criteria

  • hepatocellular carcinoma (HCC)
  • Direct or conjugated bilirubin \< 3 mg/dl
  • Total bilirubin > 3 mg/dl
  • Willing and able to provide informed consent
  • >18 years of age

Exclusion criteria

Exclusion Criteria:

  • Currently pregnant
  • Patients who are surgical or ablation candidates as determined by multidisciplinary hepatobiliary tumor conference.
  • Arterial anatomy which would preclude selective transarterial chemoembolization
  • Patients who have a INR or platelet count which are not correctable to \<1.8 and >35,000 respectively
  • Patients with extrahepatic metastases
  • Patients with portal vein invasion
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Transarterial chemoembolization

    Transarterial chemoembolization

    Combination Product: Transarterial chemoembolization

Interventions

  • Combination productTransarterial chemoembolization

    Delivery of lipiodol, chemotherapy (Deoxyrubicin), and particles (embosphere particles) to the arteries feeding hepatocellular carcinoma. While both chemotherapy and particles are delivered this is a single procedure in which the chemotherapy is delivered followed immediately by particles.

05

What researchers measure

Primary outcomes

  1. Procedure related adverse events

    Percentage of adverse events following TACE

    Time frame: 1 month

Secondary outcomes

  1. Radiologic Response

    mRECIST response after TACE

    Time frame: 1 month

  2. Progression free survival

    Liver PFS and overall PFS

    Time frame: 1, 3, 6, 12, 18, and 24 months

  3. Overall survival

    Overall survival

    Time frame: 24 months

  4. Change in Model for end stage liver disease (MELD)

    Change in MELD (MELD = 3.78×ln\[serum bilirubin (mg/dL)\] + 11.2×ln\[INR\] + 9.57×ln\[serum creatinine (mg/dL)\] + 6.43) score at 7 and 30 days post TACE

    Time frame: 7 and 30 days

  5. Change in Child Pugh score

    Change in Child Pugh score at 7 and 30 days post TACE

    Time frame: 7 and 30 days

06

Study locations

1 site
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
07

Registry details

Key details

Study ID
NCT03259581
Lead sponsor
University of Minnesota
Responsible party
Sponsor
First posted
Aug 23, 2017
Start date
Jan 2, 2018
Primary completion
Dec 31, 2021
Completion
Feb 1, 2022
Last update
Mar 21, 2022

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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