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Active, not recruitingNCT03408665STEREOLIVERUpdated Mar 30, 2026

Stereotactic Body Radiation Therapy (SBRT) Efficiency and Toxicity in Liver Cancer

An interventional study of SBRT in Liver Cancer and Liver Metastases, sponsored by Centre Oscar Lambret. Active, not recruiting at 7 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-30.

Sponsored by Centre Oscar Lambret · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
280
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Intervention research involving the human person, phase II, prospective, multicentric, non-randomized and multi-cohort study. The eligibility criteria are broad, on purpose, so every patient, able to be treated by SBRT and unable to participate in another trial (non eligible patient or non included centers), can be included in this national study, in a prospective way.

Read the detailed description

Patients will first go through an inclusion check-up consisting of:

  • a clinical exam: disease history, previous treatments, weight, height, patient's performance status (ECOG) and HCC status.
  • a biological test: biochemical (total bilirubin, ASAT-ALAT, LDH, albumin, alkaline phosphatases, GGT), hematological (if the patient is going to receive a fiducial), alphafoetoprotein (for HCC) and pregnancy test (if applicable)
  • a tumor assessment: using a CT-scan or a MRI and using RECIST or mRECIST (if HCC), plus other morphological exams if judged useful by the investigator This check-up has to be realized within 28 days before inclusion. Then, the use of fiducial is optional.

Before the beginning of the treatment, a pre-therapeutic check-up is done:

  • the inclusion check-up has to be done a second time if the treatment begins more than 28 days after the first one
  • Tracking scanner.

The SBRT treatment is done in 3 to 6 times and no specific SBRT techniques are asked for, the investigator can choose according to the center habits.

After the treatment, a follow-up will be realized at 3, 6, 9, 12, 18, 24, 30 and 36 months and then once a year until the last patient included reach their 36th month of follow-up. The follow-up check-up consists of a clinical exam, biological test, tumor assessment and tolerance assessment.

02

Conditions studied

  • Liver Cancer
  • Liver Metastases

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03

Who can participate

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

Inclusion criteria

  • Age ≥ 18 years old
  • With primary or secondary liver tumor and matching one of the following situations:
  • Liver Metastasis (LM): anatomopathologic diagnosis of the primary tumor
  • Hepatocellular Carcinoma (HCC): diagnosis achieved through biopsy or through non-invasive methods approved by AASLD criteria (Bruix, 2011)
  • Cholangiocarcinoma (CC): diagnosis achieved through biopsy
  • Other primitive hepatic tumor achieved through biopsy
  • Meet the requirements for SBRT treatment:
  • Liver Metastasis (LM): oligometastatic disease
  • Hepatocellular Carcinoma (HCC): non eligible lesion to curative surgery
  • Cholangiocarcinoma (CC): nodular lesion
  • Other primitive hepatic tumor: non eligible lesion to curative surgery
  • Able to receive a SBRT treatment according to the multidisciplinary consultation meeting
  • Tumor assessable with CT-scan or MRI according to mRECIST in HCC or Recist 1.1 in other situations
  • Affiliation to the National Social Security System
  • With informed and signed consent

Exclusion criteria

Exclusion Criteria:

  • Eligibility to a curative surgery according to the multidisciplinary consultation meeting
  • Contraindication to SBRT (especially Cirrhose Child C)
  • Pregnant or breastfeeding women
  • Patient Under guardianship or tutorship
  • Impossibility to submit at the study procedures due to geographic, social or mental reasons
04

Study design

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

Study arms

  • Experimental
    SBRT

    Stereotaxic Body Radiation Therapy administred in 3 to 6 fractions.

    Radiation: SBRT

Interventions

  • RadiationSBRT

    3 sessions at least, up to 6. Neither specifc device is imposed.

05

What researchers measure

Primary outcomes

  1. SBRT efficiency in term of L-PFS for patient who are to be treated with SBRT in patients with primitive hepatic tumor of hepatic metastatis

    Local progression-free survival (L-PFS) thanks to Kaplan-Meier method from registration date to date of local progressive disease.

    Time frame: From baseline to 36 months following up.

Secondary outcomes

  1. Estimate the SBRT efficiency in a prospective way, in term of local progression-free survival (L-PFS) for patient treated with SBRT in the 4 considered clinical situations.

    Local progression-free survival (L-PFS) thanks to Kaplan-Meier method from registration date to date of local progressive disease.

    Time frame: From baseline to 36 months following up.

  2. Describe the different SBRT techniques used in the study for liver tumor.

    Description of SBRT techniques used.

    Time frame: From baseline to 36 months following up.

  3. Determine the SBRT feasibility by comparison of planned SBRT to performed SBRT.

    Description of reasons leading to SBRT scheme modification or interruption.

    Time frame: From baseline to 36 months following up.

  4. Estimate the SBRT efficiency in a prospective way, in term of overall survival (OS) in the 4 considered clinical situations.

    Overall survivall thanks to Kaplan-meier method, from registration date to date of death.

    Time frame: From baseline to 36 months following up.

  5. Estimate the SBRT efficiency in a prospective way, in term of progression-free survival (PFS) in the 4 considered clinical situations.

    Progression-free survival (PFS) thanks to Kaplan-Meier method from registration date to date of progressive disease.

    Time frame: From baseline to 36 months following up.

  6. Assess the immediate and delayed toxicity.

    Description of toxicity associated to SBRT or the fiducial use thanks to NCI-CTCAE v4.0.

    Time frame: From baseline to 36 months following up.

  7. Estimate the quality-adjusted survival (Q-TWiST) for patients in each of the 4 considered clinical situations.

    Q-TWIST consists in 3 clinical states: time in toxicity before progressive disease, time in progressive disease, time without toxicity nor progressive disease.

    Time frame: From baseline to 36 months following up.

  8. Estimate the proportion of patients for whom an hospitalization is required.

    during the treatment and until 3 months after and the cumulative duration of the hospitalization over those 3 months.

    Time frame: From baseline to 36 months following up.

  9. Estimate the impact of the different SBRT techniques on SBRT efficacy according to L-PFS.

    Estimation of impact of SBRT technique used on SBRT efficacy according to L-PFS.

    Time frame: From baseline to 36 months following up.

  10. Estimate the impact of the different SBRT techniques on SBRT efficacy according to PFS.

    Estimation of impact of SBRT technique used on SBRT efficacy according to PFS.

    Time frame: From baseline to 36 months following up.

  11. Estimate the impact of the different SBRT techniques on SBRT efficacy according to OS.

    Estimation of impact of SBRT technique used on SBRT efficacy according to OS.

    Time frame: From baseline to 36 months following up.

  12. Quality of life according to QLQ-C30 questionnaire

    QLQ-C30 will be filled at baseline, at the 3-months follow-up and at the 6-months follow-up.

    Time frame: From Baseline to the 6-months follow-up

06

Study locations

7 sites
  • Centre Oscar Lambret
    Lille, Nord 59020, France
  • Centre Léonard de Vinci
    Dechy, France
  • Institut Régional du Cancer de Montpellier
    Montpellier, France
  • Institut de Cancérologie Paris Nord
    Sarcelles, 95200, France
  • Centre Paul Strauss
    Strasbourg, France
  • Institut de Cancérologie de Lorraine
    Vandœuvre-lès-Nancy, 54519, France
  • Institut Gustave Roussy
    Villejuif, 94800, France
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03408665
Lead sponsor
Centre Oscar Lambret
Collaborators
Canceropôle Nord Ouest
Responsible party
Sponsor
First posted
Jan 24, 2018
Start date
Mar 13, 2019
Primary completion
Dec 1, 2026 (estimated)
Completion
Jan 2027 (estimated)
Last update
Mar 30, 2026

Study contacts

Xavier MIRABEL, MD
principal investigator · Centre Oscar Lambret

Oversight

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

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This study is active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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