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Not Yet RecruitingNCT07110233

Yttrium-90 Radiation Segmentectomy for Hepatocellular Carcinoma

Prospective Phase 2 Trial of Yttrium-90 Radiation Segmentectomy for Unresectable Hepatocellular Carcinoma

Status
Not Yet Recruiting
Phase
N/A
Study type
Interventional
Enrollment
64 (estimated)
Sponsor
University of California, San Francisco · Academic / Other
Sex
All
Age
22 Years
Healthy volunteers
Not accepted

Summary

This is a prospective, single-blinded, single-arm, open-label Phase II trial of trans-arterial radiation segmentectomy using Yttrium-90 glass microspheres (TheraSphere®) for Hepatocellular Carcinoma (HCC) participants with unresectable Barcelona clinic liver cancer (BCLC) stage A disease.

Detailed description

PRIMARY OBJECTIVES: I. To evaluate the objective response rate (ORR) after radiation segmentectomy in participants with BCLC Stage A HCC and 1) a single solitary tumor measuring 2-5 centimeters (cm) and 2) 2 or 3 lesions each ≤ 3 cm. II. To assess the safety of radiation segmentectomy. SECONDARY OBJECTIVES: I. To evaluate transplant-free survival. II. To evaluate progression-free survival. III. To evaluate the quality of life of participants. IV. To evaluate the best imaging response. V. To determine the proportion of participants who remain active on the wait list for liver transplant and eventually are transplanted. VI. The evaluate the number of participants that need additional treatment after TheraSphere® administration. VII. Complete pathologic response (CPN) on liver explants among participants who underwent liver transplant. Participants will undergo a single TheraSphere® administration and followed for quality-of-life outcomes and survival for up to 3 years after treatment. Participants will be censored at time of future transplant or if death occurs at any time after treatment.

Conditions

Interventions

TypeNameDescription
DEVICETheraSphere® Yttrium-90 microspheresAdministered intra-arterially
OTHERHealth Related Quality of Life Questionnaires (HRQOL)Surveys administered

Timeline

Start date
2026-05-01
Primary completion
2028-12-31
Completion
2028-12-31
First posted
2025-08-07
Last updated
2026-01-23

Locations

1 site across 1 country: United States

Regulatory

Source: ClinicalTrials.gov record NCT07110233. Inclusion in this directory is not an endorsement.