ClinicalTrials.gg
RecruitingNCT07782164PELFIREUpdated Aug 28, 2026

Irreversible Electroporation (IRE) for Treating Recurrent Pelvic Tumors (PELFIRE Study)

An observational study in Colorectal Carcinoma, Renal Cancer and Bladder Cancer, sponsored by Amsterdam UMC, location VUmc. Recruiting at 1 site in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-28.

Primary conditionAnus NeoplasmsRegistry: Colorectal NeoplasmsReclassifiedWhy we changed it
Registry
Colorectal Neoplasms — the first condition term the registry derived for this study.
ClinicalTrials.gg
Anus Neoplasms
Why
  1. The study's listed conditions name Anus Neoplasms, a narrower term within Colorectal Neoplasms.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Amsterdam UMC, location VUmc · Observational

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 6 months later.
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
27
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this single-center observational cohort study, based on a registry combining retrospectively and prospectively collected data, is to investigate the short- and long-term effects of irreversible electroporation (IRE) in men and women over the age of 18 who receive IRE for recurrence of pelvic tumors not suitable for other local treatment options such as surgery, thermal ablation, and radiotherapy. The main question it aims to answer is whether IRE is safe in this population, and secondarily, whether it is effective in controlling local tumor recurrence.

Read the detailed description

Retrospective data from December 2012 to April 2025, followed by prospective collection of new cases.

02

Conditions studied

  • Colorectal Carcinoma
  • Renal Cancer
  • Bladder Cancer
  • Cervical Cancer
  • Prostate Cancer
  • Ovarian Cancer
  • Lung Cancer (Including Metastatic Cancer)
  • Anal Cancer
  • Neoplasm Recurrence, Local

Keywords

  • Irreversible electroporation (IRE)
  • Colorectal Carcinoma
  • Local treatment
  • Tumor Ablation
  • Neoplasm Recurrence
  • Pelvic Tumor Recurrence
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In context

Anus Neoplasms Reclassified

297 studies on the registry are indexed under Anus Neoplasms; 74 are open to participants now.

This study's planned enrollment of 27 is below the median of 144 across 75 observational studies indexed under Anus Neoplasms.

Browse Anus Neoplasms studies →

Lead sponsor

Amsterdam UMC, location VUmc is the lead sponsor of 305 studies on the registry; 84 are open to participants now.

Compared within Anus Neoplasms, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Colorectal Neoplasms. The counts are of registry records indexed under each term, refreshed daily. How we classify →

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Consecutive patients treated with irreversible electroporation (IRE) for recurrent pelvic tumors at Amsterdam UMC starting from December 2012, identified from a dedicated institutional registry. Patients had recurrent pelvic disease not amenable to other local treatment options (surgery, stereotactic body radiotherapy, or thermal ablation), as determined by a multidisciplinary tumor board including medical oncology, radiation oncology, surgical oncology, diagnostic and interventional radiology, and pathology.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • described on pre-treatment imaging (CT/MRI/PET-CT) (max 6 weeks prior);
  • IRE of a recurrent pelvic tumor;
  • Unsuitable for other local therapies (surgery/stereotactic body radiation therapy) as described during the multidisciplinary tumor board;

Exclusion criteria

Exclusion Criteria:

  • If the treated tumor was biopsied directly prior to MWA and pathology proves the lesion to represent a benign entity;
  • Inadequate or insufficient data registered;
  • Inadequate or insufficient follow-up;
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
27 participants (estimated)
Target follow-up
5 Years
Patient registry
Yes

Interventions

  • ProcedureIrreversible electroporation

    Irreversible electroporation

06

What researchers measure

Primary outcomes

  1. Incidence and Severity of Adverse Events (CTCAE v5.0)

    Safety of IRE, assessed by the rate and severity of adverse events per procedure and per patient, graded according to the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

    Time frame: Assessed up to 5 years.

  2. Incidence and Classification of Nerve Injury (Seddon Classification)

    Nerve injuries related to IRE, assessed per procedure and per patient, classified according to Seddon's classification as neurapraxia, axonotmesis, or neurotmesis.

    Time frame: Assessed up to 5 years.

Secondary outcomes

  1. Overall survival (OS) per patient.

    Overall survival is defined as the time from IRE procedure to the time of death due to any cause or to the last day of follow up (censored).

    Time frame: Assessed up to 10 years

  2. Progression-free survival (PFS; per patient analysis)

    The time until the date of unequivocal disease progression (local site recurrence or metastatic disease) or death from any cause, whichever occurs first, assessed up to 10 years.

    Time frame: Up to 10 years

  3. Distant tumor progression-free survival (DPFS) per patient.

    Distant tumor progression-free survival is defined as the time from randomization to the time of unequivocal distant tumor progression.

    Time frame: 10 years

  4. Local tumor progression-free survival (LTPFS) per patient and per tumor.

    Local tumor progression-free survival is defined as the time from IRE procedure to the time of unequivocal local tumor progression.

    Time frame: 10 years

  5. Technical success

    Proper placement and operation of the electrodes, the precise delivery of electrical pulses to the targeted tissue, and ensuring the parameters (such as voltage, pulse duration, and frequency) are correctly applied according to the protocol.

    Time frame: IRE procedure duration (actual treatment phase): 30 minutes to 2 hours

Other outcomes

  1. Length of Post-procedural Hospital Stay

    Length of hospital stay following the IRE procedure, in days. Collected to descriptively explore potential associations with lesion and patient characteristics (e.g., lesion type, tumor location).

    Time frame: From end of procedure to hospital discharge, assessed up to 30 days.

  2. Tumor markers

    Correlation between serum tumor marker levels (e.g., CA19-9, CEA) and radiological tumor response following IRE. Tumor marker dynamics will be explored as potential biomarkers for early treatment efficacy and recurrence.

    Time frame: Baseline to 10 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Luo X, Qin Z, Tao H, Shi J, Fang G, Li Z, Zhou X, Chen J, Xu K, Zeng J, Niu L. The Safety of Irreversible Electroporation on Nerves Adjacent to Treated Tumors. World Neurosurg. 2017 Dec;108:642-649. doi: 10.1016/j.wneu.2017.09.049. Epub 2017 Sep 18. PubMed 28927918 ↗
  • Schoellnast H, Monette S, Ezell PC, Maybody M, Erinjeri JP, Stubblefield MD, Single G, Solomon SB. The delayed effects of irreversible electroporation ablation on nerves. Eur Radiol. 2013 Feb;23(2):375-80. doi: 10.1007/s00330-012-2610-3. Epub 2012 Aug 16. PubMed 23011210 ↗
  • Narayanan G, Mahendra AM, Gentile NT, Schiro BJ, Gandhi RT, Pena CS, Dijkstra M. Safety and Effectiveness of Irreversible Electroporation in Lymph Node Metastases. Cardiovasc Intervent Radiol. 2024 Aug;47(8):1066-1073. doi: 10.1007/s00270-024-03795-w. Epub 2024 Jun 28. PubMed 38943032 ↗
  • Seddon HJ. A Classification of Nerve Injuries. Br Med J. 1942 Aug 29;2(4260):237-9. doi: 10.1136/bmj.2.4260.237. No abstract available. PubMed 20784403 ↗
  • van den Bos W, Scheffer HJ, Vogel JA, Wagstaff PG, de Bruin DM, de Jong MC, van Gemert MJ, de la Rosette JJ, Meijerink MR, Klaessens JH, Verdaasdonk RM. Thermal Energy during Irreversible Electroporation and the Influence of Different Ablation Parameters. J Vasc Interv Radiol. 2016 Mar;27(3):433-43. doi: 10.1016/j.jvir.2015.10.020. Epub 2015 Dec 17. PubMed 26703782 ↗
  • Scheffer HJ, Nielsen K, de Jong MC, van Tilborg AA, Vieveen JM, Bouwman AR, Meijer S, van Kuijk C, van den Tol PM, Meijerink MR. Irreversible electroporation for nonthermal tumor ablation in the clinical setting: a systematic review of safety and efficacy. J Vasc Interv Radiol. 2014 Jul;25(7):997-1011; quiz 1011. doi: 10.1016/j.jvir.2014.01.028. Epub 2014 Mar 18. PubMed 24656178 ↗
  • Vroomen LGPH, Scheffer HJ, Melenhorst MCAM, van Grieken N, van den Tol MP, Meijerink MR. Irreversible Electroporation to Treat Malignant Tumor Recurrences Within the Pelvic Cavity: A Case Series. Cardiovasc Intervent Radiol. 2017 Oct;40(10):1631-1640. doi: 10.1007/s00270-017-1657-6. Epub 2017 May 3. PubMed 28470395 ↗
  • Niessen C, Jung EM, Schreyer AG, Wohlgemuth WA, Trabold B, Hahn J, Rechenmacher M, Stroszczynski C, Wiggermann P. Palliative treatment of presacral recurrence of endometrial cancer using irreversible electroporation: a case report. J Med Case Rep. 2013 May 13;7:128. doi: 10.1186/1752-1947-7-128. PubMed 23668891 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 28, 2026, 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
NCT07782164
Responsible party
M.R. Meijerink (Professor, Amsterdam UMC, location VUmc) — Principal investigator
First posted
Aug 24, 2026
Start date
Apr 18, 2025
Primary completion
Jun 2028 (estimated)
Completion
Jul 2028 (estimated)
Last update
Aug 28, 2026

Study contacts

Sonia Triggiani, Radiologist
Contact
sonia.triggiani@policlinico.mi.it
+393406763760 ext. +39

Oversight

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

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