CClinicalTrials.gg
RecruitingNCT04068155Updated Jun 16, 2026

Alpha Radiation Emitters Device (DaRT) for the Treatment of of Malignant Cutaneous Tumors

An interventional study of DaRT- Diffusing Alpha-emitters Radiation Therapy in Skin Cancer, Cutaneous Tumor and Cutaneous Metastasis, sponsored by Alpha Tau Medical LTD.. Recruiting at 2 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-16.

Sponsored by Alpha Tau Medical LTD. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2022; still recruiting 4 years 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

A unique approach for cancer treatment employing intratumoral diffusing alpha radiation emitter device for Malignant Cutaneous Tumors

Read the detailed description

This will be a prospective, open label, single arm, multi- center study, assessing the safety and effectiveness of diffusing alpha emitters radiation therapy (DaRT) delivered through radioactive seeds inserted into the tumor.

This approach combines the advantages of local intratumoral irradiation of the tumor, as used in conventional brachytherapy, with the power of the alpha radiation emitting atoms, that will be introduced in quantities considerably lower than radiation therapy already used in patients.

Cutaneous lesions with histopathological confirmation of malignancy will be treated using DaRT seeds.

Reduction in tumor size 9-11 weeks following DaRT insertion will be assessed. Safety will be assessed by the frequency, severity and causality of all Adverse Events (AE).

02

Conditions studied

  • Skin Cancer
  • Cutaneous Tumor
  • Cutaneous Metastasis

Keywords

  • Squamous Cell Carcinoma
  • Basal Cell Carcinoma
  • Skin Cancer
  • Skin Metastasis
  • Superficial Sarcoma
  • Alpha Radiation
  • Cutaneous Lesion
  • Brachytherapy
  • Radiotherapy
  • Lentigo maligna melanoma
  • Carcinosarcom
  • scalp cancer
  • Lip cancer
  • Eyelid cancer
  • SCC
03

In context

Skin Neoplasms

582 studies on the registry are indexed under Skin Neoplasms; 114 are open to participants now.

This study's planned enrollment of 80 is above the median of 53 across 416 interventional studies indexed under Skin Neoplasms.

Browse Skin Neoplasms studies →

Lead sponsor

Alpha Tau Medical LTD. is the lead sponsor of 28 studies on the registry; 18 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Subjects with histopathological confirmation of newly diagnosed (Cohort A) or locally recurrent (Cohort B) malignant cutaneous lesions of the following histopathologies:

    • SCC
    • BCC
    • Lentigo maligna melanoma (Dubreuilh melanoma)
    • Carcinosarcoma
  • Acceptable tumor locations include the following:

    • Skin (facial, scalp, extremities, torso)
    • Lips
    • Eyelids
  • Subjects with a tumor size ≤ 7 centimeters in the longest diameter.
  • Target lesion technically amenable for full tumor coverage with the Alpha DaRT seeds.
  • Measurable disease according to RECIST v1.1.
  • Subjects over 18 years old.
  • Subjects' ECOG Performance Status Scale is \< 2.
  • Subjects' life expectancy is more than 6 months.
  • Platelet count ≥100,000/mm3.
  • International normalized ratio of prothrombin time ≤1.8.
  • Women of childbearing potential (WOCBP) will have evidence of negative pregnancy test.
  • Subjects are willing to sign an informed consent form

Exclusion criteria

Exclusion Criteria:

  • Subject has a tumor with histology of one of the following:

    • Keratoacanthoma
    • Merkel cell carcinoma
    • Sarcoma other than carcinosarcoma
  • Metastatic disease (according to the TNM staging system - M1 patients are excluded)
  • Patients with significant comorbidities that the treating physician deems may conflict with the endpoints of the study (e.g., poorly controlled autoimmune diseases, vasculitis, etc.).
  • Patients undergoing systemic immunosuppressive therapy excepting intermittent, brief use of systemic corticosteroids.
  • Volunteers participating in another interventional study in the past 30 days which might conflict with the endpoints of this study or the evaluation of response or toxicity of DaRT.
  • High probability of protocol non-compliance (in opinion of investigator).
  • Subjects not willing to sign an informed consent.
  • Women who are pregnant or breastfeeding.
05

Study design

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

Study arms

  • Experimental
    DaRT Seeds Intratumoral Diffusing alpha-emitters

    An intratumoral insertion of securely fixed seeds loaded with Radium-224. The seeds release by recoil short-lived alpha-emitting atoms into the tumor.

    Device: DaRT- Diffusing Alpha-emitters Radiation Therapy

Interventions

  • DeviceDaRT- Diffusing Alpha-emitters Radiation Therapy

    Seed(s) loaded with Radium-224 for local intratumoral irradiation with the destructive power of alpha particles

06

What researchers measure

Primary outcomes

  1. The objective response rate to DaRT treatment

    Assessment of tumor response rate using the Response Evaluation Criteria in Solid Tumors (RECIST) (Version 1.1)

    Time frame: up to 9-11 weeks

Secondary outcomes

  1. Tumor volume

    Assessment of the reduction in tumor volume based on imaging tests

    Time frame: up to 9-11 weeks

  2. DaRT seeds placement

    Assessment of the DaRT seed placement by localization of the DaRT seed in the tumor using CT imaging

    Time frame: Day of DaRT insertion procedure

  3. Change in quality of life as assessed by the Skindex-16 questionnaire

    Assessment of patient reported health-related Quality of Life (QoL) outcomes using the Skindex-16 questionnaire

    Time frame: up to 9-11 weeks

  4. Disease-Free Survival (DFS) rate

    Assessment of Disease-Free Survival

    Time frame: up to 24 months

  5. Change in quality of life as assessed by the Skin Cancer Index (SCI) questionnaire

    Assessment of patient reported health-related Quality of Life (QoL) outcomes using the Skin Cancer Index (SCI) questionnaire.

    Time frame: up to 9-11 weeks

Other outcomes

  1. Adverse Events

    Assessment of the frequency, severity and causality of adverse events related and not related to the DaRT treatment. Adverse events will be assessed and graded according to Common Terminology and Criteria for adverse events (CTCAE) version 5.0.

    Time frame: up to 24 months

07

Study locations

2 of 2 sites recruiting
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 Jun 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04068155
Lead sponsor
Alpha Tau Medical LTD.
Responsible party
Sponsor
First posted
Aug 28, 2019
Start date
Apr 1, 2022
Primary completion
Jan 2027 (estimated)
Completion
Jan 2028 (estimated)
Last update
Jun 16, 2026

Study contacts

Liron Dimnik
Contact
LironD@alphatau.com
+972-2-373-7000
Amnon Gat
Contact
Amnong@alphatau.com
Dr Pascal POMMIER
principal investigator · Centre Leon Berard
Pr Jean Michel HANNOUN LEVI
principal investigator · Antoine Lacassagne Cancer Center
Dr Camille VERRY
principal investigator · University Hospital, Grenoble

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion