Computed Tomography (CT) - Guided Brachytherapy Versus Transarterial Chemoembolization in Patients With Unresectable Hepatocellular Carcinoma (CEAL)
Recruitment status was Recruiting
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Purpose
Percutaneous, image-guided tumor ablation has evolved as a genuine alternative for the treatment of unresectable hepatocellular carcinoma. Published data exploring stereotactic or proton beam percutaneous irradiation have revealed,that hepatocellular carcinoma (HCC) is radiosensitive to certain protocols. In Phase I and II studies, the investigators investigated the potential role of local irradiation in primary and secondary liver tumors employing a Iridium192 source. The promising results of previous studies indicate that CT-guided brachytherapy might play a role in the treatment of unresectable HCC.
Therefore, the investigators started a randomized, controlled, clinical Phase-III study to evaluate the efficacy and survival-benefits of brachytherapy versus transarterial chemoembolization in patients with unresectable HCC.
| Condition | Intervention | Phase |
|---|---|---|
|
Hepatocellular Carcinoma |
Radiation: CT-guided brachytherapy Procedure: transarterial chemoembolization |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase-III-Study to Evaluate the Efficacy of CT-guided Brachytherapy Versus Transarterial Chemoembolization in Patients With Unresectable Hepatocellular Carcinoma. |
- Time to progression [ Time Frame: 12 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 68 |
| Study Start Date: | October 2006 |
| Estimated Study Completion Date: | October 2011 |
| Estimated Primary Completion Date: | October 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: brachytherapy |
Radiation: CT-guided brachytherapy
catheter placed into the tumor by CT-guidance, radiation with iridium 192
|
|
TACE
transarterial chemoembolization
|
Procedure: transarterial chemoembolization
application of doxorubicin and cisplatin in lipiodol into the tumor-feeding artery
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- diagnosis of HCC by histopathology or according to the criteria of the Consensus Conference of the European Association for the Study of Liver Disease
- unresectable HCC
- Karnofsky-Index > 70
- estimated life expectancy > 16 weeks
- adequate bone marrow function
- adequate contraception for female patients
- informed consent
Exclusion Criteria:
- portal vein thrombosis on the tumor side
- extrahepatic spread
- Child C
- other untreated malignant disease
- general contraindication for chemotherapy
- active infectious disease
- neuropathy, platin-allergy
- pregnancy
Contacts and Locations| Contact: Konrad Mohnike, M.D. | 0049-391-67-15787 | konrad.mohnike@med.ovgu.de |
| Contact: Jens Ricke, M.D. | 0049-391-67-13030 | jens.ricke@med.ovgu.de |
| Germany | |
| Clinic of Diagnostic Radiology and Nuclear Medicine, Medical Faculty, University Magdeburg | Recruiting |
| Magdeburg, Saxony-anhalt, Germany, 39120 | |
| Contact: Konrad Mohnike, M.D. 0049-391-67-15787 Konrad.Mohnike@med.ovgu.de | |
| Contact: Jens Ricke, M.D. 0049-391-67-13030 jens.ricke@med.ovgu.de | |
| Principal Investigator: jens ricke, M.D. | |
| Principal Investigator: | Jens Ricke, M.D. | Clinic of Diagnostic Radiology and Nuclear Medicine, University Magdeburg |
More Information
No publications provided
| Responsible Party: | Prof. Dr. med. Jens Ricke, Clinic of Radiology and Nuclear Medicine, University of Magdeburg |
| ClinicalTrials.gov Identifier: | NCT00807300 History of Changes |
| Other Study ID Numbers: | 2005-000569-21 |
| Study First Received: | December 9, 2008 |
| Last Updated: | August 3, 2010 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by University of Magdeburg:
|
percutaneous treatment |
Additional relevant MeSH terms:
|
Carcinoma Carcinoma, Hepatocellular Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Adenocarcinoma |
Liver Neoplasms Digestive System Neoplasms Neoplasms by Site Digestive System Diseases Liver Diseases |
ClinicalTrials.gov processed this record on May 23, 2013