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NCT03059030

Yttrium-90 Radioembolization for Cirrhosis-Associated Thrombocytopenia

Terminated NA Results posted Last updated 3 February 2025
What this trial tests

NA trial testing TheraSphere® Yttrium-90 Glass Microspheres, BTG International Inc. in Thrombocytopenia in 7 participants. Terminated before completion.

Timeline
16 March 2017
Primary endpoint
4 April 2024
4 April 2024

Quick facts

Lead sponsorNorthwestern University
PhaseNA
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment7
Start date16 March 2017
Primary completion4 April 2024
Estimated completion4 April 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Northwestern University

Who can join

Adults 18 to 99, any sex, with Thrombocytopenia or Cirrhosis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

The Primary Objective of This Pilot Study is to Evaluate the Safety of 90Y TARE for the Treatment of Thrombocytopenia in the Setting of Cirrhosis. Evaluation of Overall AE Reporting in All Categories. Primary · 6 months

The number and the severity of ALL adverse events will be recorded to evaluate safety. Events will be reported by subjects at follow up visits. Scale: Common Terminology Criteria for Adverse Events (CTCAE) CT CAE v 4.0.3 Grades range from 1-5 with 5 being the worst (Death), descriptions of each grade for specific AE's are available here: https://evs.nci.nih.gov/ftp1/CTCAE/CTCAE\_4.03/CTCAE\_4.03\_2010-06-14\_QuickReference\_8.5x11.pdf Total AE's of different types are collected and for each grade are reported as a group

Grade 1 AE
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis49
Grade 2 AE
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis34
Grade 3 AE
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis28
Grade 4 AE
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis15
Grade 5 AE
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis0
Safety of 90Y RE for the Treatment of Thrombocytopenia in the Setting of Cirrhosis. Reporting of Splenic Abscess. Primary · 6 months

The number and the severity of adverse events related to splenic abscess will be recorded to evaluate safety. Events will be reported by subjects at follow up visits. Scale: Common Terminology Criteria for Adverse Events (CTCAE) CT CAE v 4.0.3 Grades range from 1-5 with 5 being the worst (Death), Grade 1 (Mild):Small abscess with minimal symptoms, often not requiring intervention. Grade 2 (Moderate):Larger abscess causing moderate symptoms, may require antibiotics or drainage procedures. Grade 3 (Severe):Large abscess with significant symptoms, potentially causing systemic effects, requirin

Grade 1
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis0
Grade 2
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis0
Grade 3
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis0
Grade 4
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis0
Grade 5
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis0
Safety of 90Y RE for the Treatment of Thrombocytopenia in the Setting of Cirrhosis. AE's Related to Infection. Primary · 6 months

The number and the severity of adverse events related to infection will be recorded to evaluate safety. Events will be reported by subjects at follow up visits. Common Terminology Criteria for Adverse Events (CTCAE) CT CAE v 4.0.3, Grades range from 1-5 with 5 being the worst (Death) Grade 1 (Mild): Asymptomatic or mild symptoms, only requiring clinical observation, no intervention needed. Grade 2 (Moderate): Symptoms limiting some daily activities, minimal intervention may be required. Grade 3 (Severe): Symptoms significantly impacting self-care, requiring hospitalization or prolonged stay

Grade 1
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis0
Grade 2
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis1
Grade 3
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis2
Grade 4
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis0
Grade 5
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis0
Asses the Need for Technetium Albumin Aggregated (TC-MAA 99m) Injection to Determine Shunting Prior to Y90 Administration Primary · 6 months

MAA injection will be done and nuclear medicine PET scan to evaluate shunting and evaluated for the first 4 patients. If shunt is \<5% subsequently enrolled patients will not undergo MAA, if shunt is \>5% all subsequent patients will undergo MAA. This will be evaluated post MAA injection before Y90 treatment.

GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis0
Achieve a 50% Increase in Platelet Count Six Months After Therapy. Secondary · 6 months

Complete Blood Count with platelets will be drawn at baseline, treatment, 2, 4, 6, 8 weeks and 3, 4, 5, 6 months post treatment. Comparison made with screening platelet count and 6 month follow up visit platelet count.

Achieved 50% increase in 6 months
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis0
Did not achieve 50% increase in 6 months
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis7
Achieve 20% Decrease in Functional Splenic Volume Six Months After Treatment Secondary · 6 months

Assessed via cross sectional CT or MR of the abdomen at screening and at 4 weeks, 3 months, and 6 months post treatment. Comparison made with screening CT or MR and 6 month follow up imaging.

Achieved 20% decrease in volume
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis1
Did not achieve 20% decrease in volume
GroupValue95% CI
Subjects With Thrombocytopenia Secondary to Cirrhosis6

Adverse events — posted to ClinicalTrials.gov

Time frame: 6 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Subjects With Thrombocytopenia Secondary to Cirrhosis
Serious: 0/7 (0%)
Deaths: 0/7
Other adverse events (65 terms — click to expand)

ReactionSystemSubjects With Thrombocytop…
Lymphocyte Count DecreasedBlood and lymphatic system disorders
White Blood Cell Count DecreasedBlood and lymphatic system disorders
AnemiaBlood and lymphatic system disorders
Neutrophil count decreasedBlood and lymphatic system disorders
FatigueGeneral disorders
HypoalbuminemiaHepatobiliary disorders
HyponatremiaEndocrine disorders
AscitesHepatobiliary disorders
NauseaGastrointestinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
HypocalcemiaEndocrine disorders
Abdominal PainGastrointestinal disorders
Decreased Platelet CountBlood and lymphatic system disorders
Back PainMusculoskeletal and connective tissue disorders
Alkaline Phosphatase IncreasedHepatobiliary disorders
AnorexiaGastrointestinal disorders
ConstipationGastrointestinal disorders
Limb EdemaBlood and lymphatic system disorders
HypokalemiaEndocrine disorders
BloatingGastrointestinal disorders
Lung InfectionRespiratory, thoracic and mediastinal disorders
Blood Bilirubin increasedHepatobiliary disorders
ChillsGeneral disorders
PresyncopeGeneral disorders
Chest PainCardiac disorders
Pain in extremityGeneral disorders
Upper GI HemorrhageGastrointestinal disorders
Acute Kidney injuryRenal and urinary disorders
HyperkalemiaEndocrine disorders
Dry SkinSkin and subcutaneous tissue disorders
Vaginal InfectionReproductive system and breast disorders
Lower GI HemorrhageGastrointestinal disorders
Knee PainMusculoskeletal and connective tissue disorders
Cholesterol HighBlood and lymphatic system disorders
DyspepsiaGastrointestinal disorders
HiccuppingGastrointestinal disorders
Pulmonary EdemaRespiratory, thoracic and mediastinal disorders
Increased Cardiac Troponin ICardiac disorders
BruisingGeneral disorders
Right Ventricular DysfunctionCardiac disorders

Data from ClinicalTrials.gov NCT03059030 adverse events section.

Sponsor's own description

Evaluate the safety and efficacy of Yttrium-90 (90Y) radioembolization for the management of thrombocytopenia.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Thrombocytopenia in Chronic Liver Disease: Challenges and Treatment Strategies.
    Desai S, Subramanian A. · · 2021 · cited 9× · PMID 34277309 · DOI 10.7759/cureus.16342
  2. Overview of Ongoing Clinical Trials on Radioembolization.
    Fabritius MP, Ricke J. · · 2022 · cited 7× · PMID 36184696 · DOI 10.1007/s00270-022-03270-4
  3. Extrahepatic Applications of Yttrium-90 Radioembolization.
    Murali N, Mouli SK, Riaz A, Lewandowski RJ, et al · · 2021 · cited 3× · PMID 34629717 · DOI 10.1055/s-0041-1735573

Verify or expand the search:

Other recruiting trials for Thrombocytopenia

Currently open trials in the same condition.

Other Northwestern University trials

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Data sources for this page

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