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CompletedNCT05183776CONTROLUpdated Nov 18, 2023

Clinical Validation of a Fractional Administration Device for Holmium-166 SIRT

An interventional study of Fractional administration device in Liver Cancer, Liver Metastasis Colon Cancer and Primary Liver Cancer, sponsored by Radboud University Medical Center. Completed at 1 site in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-11-18.

Sponsored by Radboud University Medical Center · Not applicable, Interventional, and Treatment

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

Study summary

To investigate the in vivo performance and safety of a novel medical device for the injection of holmium-166 microspheres during radioembolization. The main potential advantage of this device is that it allows for injection of a during treatment determined dose, which is not possible with the current administration tool.

02

Conditions studied

  • Liver Cancer
  • Liver Metastasis Colon Cancer
  • Primary Liver Cancer

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03

In context

Liver Neoplasms

1,391 studies on the registry are indexed under Liver Neoplasms; 345 are open to participants now.

This study's enrollment of 5 is below the median of 47 across 968 interventional studies indexed under Liver Neoplasms.

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Lead sponsor

Radboud University Medical Center is the lead sponsor of 959 studies on the registry; 134 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

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Who can participate

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

Inclusion criteria

  1. Diagnosis of hepatocellular carcinoma or liver metastases originating from colorectal cancer.
  2. At least one lesion of ≥10 mm in the longest diameter on contrast-enhanced MRI or contrast-enhanced CT
  3. Patient is eligible for SIRT as determined by the tumour board (in Dutch: MDO)
  4. Patient has a life expectancy of 12 weeks or longer
  5. Patient has a WHO performance score of 0-2

Exclusion criteria

Exclusion Criteria:

  1. Significant extrahepatic disease (2x sum of diameters of lesions outside the liver > sum of lesions inside the liver)
  2. Radiation therapy, chemotherapy or major surgery within 4 weeks before treatment
  3. Serum bilirubin > 2.0 x the upper limit of normal
  4. ALAT, ASAT, alkaline phosphatase (AF) > 5x the upper limit of normal
  5. Glomerular filtration rate (GFR-MDRD) \<35 ml/min
  6. Leukocytes \<4.0 * 109/L or platelet count \<60 * 109/L
  7. Significant heart disease that in the opinion of the physician increases the risk of ventricular arrhythmia.
  8. Pregnancy or breast feeding
  9. Disease with increased chance of liver toxicity, such as primary biliary cirrhosis or xeroderma pigmentosum
  10. Patients ineligible to undergo MR-imaging (claustrophobia, metal implants, etc)
  11. Portal vein thrombosis of the main branch (more distal branches are allowed)
  12. Evidence of clinically relevant, untreated grade 3 portal hypertension
  13. Untreated, active hepatitis
  14. Body weight > 150 kg (because of maximum table load)
  15. Severe allergy for i.v. contrast (Iomeron, Dotarem and/or Primovist)
  16. Lung shunt > 30 Gy, as calculated using scout dose holmium-166 SPECT/CT
  17. Uncorrectable extrahepatic deposition of scout dose activity. Activity in the falciform ligament, portal lymph nodes or gallbladder are accepted.
05

Study design

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

Study arms

  • Experimental
    Study patients

    study patients will receive holmium radioembolization using a novel administration device.

    Device: Fractional administration device

Interventions

  • DeviceFractional administration device

    The novel fractional administration device enable the administration of the microspheres in fractions determined by the user. For this study, 5 fractions of 20% will be administered and validated using MRI.

06

What researchers measure

Primary outcomes

  1. Validation of a fractional administration device for holmium radioembolization

    The device will be valid if the administered fractions can be quantified on MRI with a maximal deviation of 15%.

    Time frame: 3 months after treatment

  2. Safety of a fractional administration device for holmium radioembolization

    The safety of the device will be determined by monitoring the (S)AE's and (S)ADE's

    Time frame: 6 months after treatment

Secondary outcomes

  1. Accurate dosimetry based on MRI and SPECT imaging of holmium-166.

    To perform dosimetry based on MRI and SPECT imaging of holmium-166 and correlate this to tumour response

    Time frame: 6 months after treatment

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Study locations

1 site
  • RadboudUMC
    Nijmegen, Netherlands
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References and documents

Individual participant data

Plan to share: No — Participant data will be available upon reasonable request

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 Nov 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05183776
Lead sponsor
Radboud University Medical Center
Collaborators
Terumo Medical Corporation
Responsible party
Sponsor
First posted
Jan 11, 2022
Start date
Jul 12, 2022
Primary completion
Aug 8, 2023
Completion
Aug 8, 2023
Last update
Nov 18, 2023

Study contacts

Frank Nijsen, PhD.
principal investigator · Associate professor

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 completed, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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