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Trial Title: BioPearl™ Microspheres Loaded With Doxorubicin for the Treatment of Unresectable Hepatocellular Carcinoma (HCC)

NCT ID: NCT05911633

Condition: Hepatocellular Carcinoma Non-resectable

Conditions: Official terms:
Carcinoma
Carcinoma, Hepatocellular

Conditions: Keywords:
Hepatocellular Carcinoma Non-resectable
HCC
TACE
Chemoembolization

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Intervention model description: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Device
Intervention name: BioPearl™
Description: TACE
Arm group label: Single arm

Summary: The primary objective of the study is to confirm safety and technical success of BioPearl™ microspheres loaded with Doxorubicin in the treatment of unresectable hepatocellular carcinoma (HCC). The secondary objective of the study is to investigate the efficacy of BioPearl™ microspheres loaded with Doxorubicin in the treatment of subjects with unresectable HCC.

Detailed description: This is a prospective, single arm, multi-centre, post-market clinical follow-up study to further assess safety and efficacy in 50 subjects with unresectable HCC treated with BioPearl™ microspheres loaded with Doxorubicin. All subjects will undergo clinical follow-up until disease progression and/or next treatment option, after which subjects will be followed for survival. Subjects will be followed up to a maximum of 18 months. An intermediate analysis will take place during enrollment period on safety and technical success to support regulatory requirements.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Subject is at least 18 years old 2. Subject with HCC confirmed by histology or according to the latest applicable version of EASL (the European Association for the Study of the Liver) criteria 3. Subject with tumor(s) < 5 cm and within the up-to-7 criteria: the sum of the diameter of the largest tumor (in cm) and the number of tumors must be ≤ 7.0 4. Subject with BCLC (Barcelona Clinic Liver Cancer) Stage A or B classification who is not a candidate for curative treatment at the time of study inclusion 5. Subject with treatment failure/recurrence after a prior resection/ablation is permitted, with the exception of recurrence in the segment of a prior thermal ablation 6. WHO (World Health Organization) or ECOG (Eastern Cooperative Oncology Group) performance status 0 or 1 7. Subject deemed treatable in one session for initial treatment 8. Normal liver or compensated cirrhosis with preserved liver function (Child-Pugh Class A) 9. Total bilirubin ≤ 2.0 mg/dl 10. Adequate bone marrow function: Hemoglobin ≥ 9g/dl, absolute neutrophil count ≥ 1.0 x 109/L, platelet count ≥ 75 x 109/L 11. Subject with no ascites or with minor ascites controlled by sodium dietary restrictions (subject receiving diuretic treatment or paracentesis is not eligible) 12. Adequate renal function: serum creatinine < 1.5 X ULN (Upper Limit of Normal) 13. Subject has provided written informed consent 14. Subjects of childbearing/reproductive potential should use adequate birth control measures, during the study treatment period until survival follow-up Exclusion Criteria: 1. Subject previously treated with any systemic therapy for HCC 2. Subject previously treated with intra-arterial loco-regional therapy for HCC 3. Eligible for curative treatment at the time of study inclusion 4. Recurrence in the segment of a prior thermal ablation 5. Advanced liver disease: Child-Pugh's B-C class or active gastrointestinal bleeding, encephalopathy 6. Advanced tumoral disease: BCLC class C or D (vascular invasion - even segmental, extra-hepatic spread or cancer-related symptoms performance status >1) 7. History of another primary tumor. Exceptions include: A. Malignancy treated with curative intent ≥ 5 years before inclusion and with no known active disease B. Malignancy which occurred < 5 years before, not active and not expected to recur or be clinically relevant in the next 5 years 8. Subject with history of biliary tree disease or biliary dilatation 9. Portal vein thrombosis, porto-systemic shunt, hepatofugal blood flow or absent portal blood flow in the liver area to be treated 10. Contraindication to multiphasic CT and MRI (e.g. allergy to contrast media) 11. Any other contraindication for embolization procedure or Doxorubicin treatment 12. Subject is currently participating in an investigational drug or device study that has not completed the primary endpoint or that clinically interferes with the current study endpoints Note: Trials requiring extended follow-up for products that were investigational, but have become commercially available since then, are not considered investigational trials 13. In the Investigator's opinion subject has (a) co-morbid condition(s) that could limit the subject's ability to participate in the study, compliance with follow-up requirements or impact the scientific integrity of the study 14. Pregnant or breast-feeding woman

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: CUB Hôpital Erasme

Address:
City: Brussels
Country: Belgium

Status: Recruiting

Contact:
Last name: Ana-Maria Bucalãu, MD
Email: maria.bucalau@hubruxelles.be

Facility:
Name: UZ Leuven

Address:
City: Leuven
Country: Belgium

Status: Recruiting

Contact:
Last name: Geert Maleux, MD

Phone: 0032 16 34 75 78
Email: geert.maleux@uzleuven.be

Facility:
Name: Beaujon Hospital

Address:
City: Clichy
Country: France

Status: Not yet recruiting

Contact:
Last name: Maxime Ronot, MD
Email: maxime.ronot@aphp.fr

Facility:
Name: CHU Grenobles (Hôpital Michallon)

Address:
City: La Tronche
Country: France

Status: Not yet recruiting

Contact:
Last name: Julien Ghelfi, MD
Email: jghelfi@chu-grenoble.fr

Facility:
Name: Paul-Brousse Hospital

Address:
City: Villejuif
Country: France

Status: Not yet recruiting

Contact:
Last name: Clara Prud'homme, MD
Email: clara.prudhomme@aphp.fr

Facility:
Name: SLK-Kliniken Heilbronn

Address:
City: Heilbronn
Country: Germany

Status: Recruiting

Contact:
Last name: Philippe Pereira, MD

Phone: 07131 49-466-63
Email: Philippe.Pereira@slk-kliniken.de

Facility:
Name: University Hospital Tübingen

Address:
City: Tübingen
Country: Germany

Status: Recruiting

Contact:
Last name: Gerd Grözinger, MD
Email: Gerd.Groezinger@med.uni-tuebingen.de

Facility:
Name: Fondazione IRCCS Instituto Tumori

Address:
City: Milan
Country: Italy

Status: Recruiting

Contact:
Last name: Carlo Spreafico, MD

Phone: 39 02 23901
Email: Carlo.Spreafico@istitutotumori.mi.it

Facility:
Name: Fondazione Policlinico Universitario A. Gemelli

Address:
City: Rome
Country: Italy

Status: Recruiting

Contact:
Last name: Roberto Iezzi, MD
Email: roberto.iezzi@policlinicogemelli.it

Facility:
Name: Città della Salute e della Scienza di Torino

Address:
City: Turin
Country: Italy

Status: Recruiting

Contact:
Last name: Paolo Fonio, MD
Email: paolo.fonio@unito.it

Start date: February 27, 2024

Completion date: November 30, 2027

Lead sponsor:
Agency: Terumo Europe N.V.
Agency class: Industry

Source: Terumo Europe N.V.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05911633

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