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NCT03113955

STOPPER CHINA:With Tandem Microspheres in the Treatment of Localized Hepatocellular Carcinoma

Completed NA Results posted Last updated 1 December 2021
What this trial tests

NA trial testing Tandem Microsphere loaded with Epirubicin in Localized Hepatocellular Carcinoma in 109 participants. Completed in 28 February 2020.

Timeline
24 October 2017
Primary endpoint
28 June 2019
28 February 2020

Quick facts

Lead sponsorVarian Medical Systems
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment109
Start date24 October 2017
Primary completion28 June 2019
Estimated completion28 February 2020
Sites10 locations across China

Drugs / interventions tested

Conditions studied

Sponsor

Varian Medical Systems — full company profile →

Who can join

Adults 18 to 75, any sex, with Localized Hepatocellular Carcinoma. 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.

Number of Participants With Objective Tumor Response at 6 Months by MRI (Magnetic Resonance Imaging) Primary · At 6 months

The objective response rate measured by MRI used EASL (European Society for the Study of the Liver) and mRECIST (Improved criteria for evaluating the efficacy of solid tumors) , Overall Response (OR) = CR + PR. 1. Per Response Evaluation Criteria In Solid Tumors Criteria (mRECIST ) for target lesions : Complete Response (CR), Disappearance of any intratumoral arterial enhancement in all target lesions; Partial Response (PR), At least a 30% decrease in the sum of the diameters of viable (enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of

6-month ORR (EASL criteria)
GroupValue95% CI
Single -Arm75
6-month ORR (mRECIST criteria)
GroupValue95% CI
Single -Arm73
Kaplan-Meier Analyses the Percent of Participants for Time to Progression (TTP) at 12 Months Secondary · At 12 months

Kaplan-Meier analyses the percent of participants for TTP which is defined as the length of time from the treatment initiation to either the date of the first disease progression occurred, as assessed by the investigators, or the date of the subject died due to any cause, whichever comes earlier. EASL and mRECIST response assessment of target lesion for HCC. TTP (also referred as "time to treatment failure") will be measured by a few data items list below: * The date of the disease progression in the Overall Response form * The date of lost-to-follow due to: * Adverse events * Progressiv

EASL
GroupValue95% CI
Single -Arm10
mRECIST
GroupValue95% CI
Single -Arm8
Number of Participants With Objective Tumor Response at 30-day Secondary · At 1month

The objective response rate measured by MRI used EASL (European Society for the Study of the Liver) and mRECIST (Improved criteria for evaluating the efficacy of solid tumors) , Overall Response (OR) = CR + PR. 1. Per Response Evaluation Criteria In Solid Tumors Criteria (mRECIST ) for target lesions : Complete Response (CR), Disappearance of any intratumoral arterial enhancement in all target lesions; Partial Response (PR), At least a 30% decrease in the sum of the diameters of viable (enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of

EASL Response
GroupValue95% CI
Single -Arm86
mRECIST Response
GroupValue95% CI
Single -Arm86
Kaplan-Meier Analyses the Percent of Participants for PPF(Proportion Progression-Free) at 12 Months Secondary · from first TACE to 12 months

Kaplan-Meier analyses the percent of participants for PPF which is defined as the length of time from the treatment initiation, that treated subjects are still progression-free. EASL and mRECIST response assessment of target lesion for HCC. The data items to be captured will include: * The date of the disease progression in the Overall Response form * The very last date by scanning all available dates in the database * The desired cut-off days The proportion of any time point will be determined by the Kaplan-Meier estimates.

EASL
GroupValue95% CI
Single -Arm10
mRECIST
GroupValue95% CI
Single -Arm8
Kaplan-Meier Analyses the Percent of Participants for Overall Survival Secondary · from first TACE to 12 months

Kaplan-Meier analyses the percent of participants for Overall survival which is defined as the length of time from the treatment initiation, that treated subjects are still alive. The Kaplan-Meier analysis is aimed to capture the all-cause death for each subject. Subjects who are lost-to-follow will be considered being censored. There are three critical data items to be captured: * Death date * The very last date in the database (e.g. follow-up visit date and/or site reported AE date) * The desired cut-off days (e.g. 6-month OS at 182 days, 12-month OS at 365 days) In addition to the Kaplan-

GroupValue95% CI
Single -Arm100
Number of Adverse Events Relate to Study Device in 12 Months Post Procedure Secondary · in 12 months

Number and documents of adverse events relate to study device in 12 months post procedure

SAEs of related with TANDEM Microspheres
GroupValue95% CI
Single -Arm17
Non-serious AEs of related with TANDEM Microspheresrate
GroupValue95% CI
Single -Arm301
Number of Participants With Objective Tumor Response at 3 Months Secondary · At 3 months

The objective response rate measured by MRI used EASL (European Society for the Study of the Liver) and mRECIST (Improved criteria for evaluating the efficacy of solid tumors) , Overall Response (OR) = CR + PR. 1. Per Response Evaluation Criteria In Solid Tumors Criteria (mRECIST ) for target lesions : Complete Response (CR), Disappearance of any intratumoral arterial enhancement in all target lesions; Partial Response (PR), At least a 30% decrease in the sum of the diameters of viable (enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of

EASL Response
GroupValue95% CI
Single -Arm84
mRECIST Response
GroupValue95% CI
Single -Arm85
Kaplan-Meier Analyses the Percent of Participants for Time to Extrahepatic Spread Secondary · At 12 month

Kaplan-Meier analyses the percent of participants for Time to Extrahepatic Spread which the length of time from the treatment initiation to the development of extrahepatic spread of the disease via imaging assessment. The data items to be considered will include: * The date of the extrahepatic spread in the Overall Response form * The very last date by scanning all available dates in the database * The desired cut-off days

GroupValue95% CI
Single -Arm20

Adverse events — posted to ClinicalTrials.gov

Time frame: 12 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Single -Arm
Serious: 13/108 (12%)
Deaths: 7/108

Serious adverse events (12 terms)

ReactionSystemSingle -Arm
Liver abscessHepatobiliary disorders
Metastatic neoplasmNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatic cancer recurrentNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastrointestinal haemorrhageGastrointestinal disorders
AscitesGastrointestinal disorders
Duodenal ulcer haemorrhageGastrointestinal disorders
SepsisInfections and infestations
Jaundice hepatocellularHepatobiliary disorders
HeadacheNervous system disorders
PyrexiaGeneral disorders
AnaemiaBlood and lymphatic system disorders
Post embolisation syndromeInjury, poisoning and procedural complications
Other adverse events (7 terms — click to expand)

ReactionSystemSingle -Arm
Injury, poisoning and procedural complicationsInjury, poisoning and procedural complications
Gastrointestinal disordersGastrointestinal disorders
InvestigationsBlood and lymphatic system disorders
General disorders and administration site conditionsGeneral disorders
Hepatobiliary disordersHepatobiliary disorders
Metabolism and nutrition disordersMetabolism and nutrition disorders
Blood and lymphatic system disordersBlood and lymphatic system disorders

Most-reported serious reactions: Liver abscess, Metastatic neoplasm, Hepatic cancer recurrent, Gastrointestinal haemorrhage, Ascites, Duodenal ulcer haemorrhage, Sepsis, Jaundice hepatocellular.

Data from ClinicalTrials.gov NCT03113955 adverse events section.

Sponsor's own description

A Single-arm Trial of Transcatheter Arterial Chemoembolization with Tandem Microspheres in the Treatment of Localized Hepatocellular Carcinoma

Publications & conference data

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

  1. Transarterial Chemoembolization with Epirubicin-Loaded Microspheres for Hepatocellular Carcinoma: A Prospective, Single-Arm, Multicenter, Phase 2 Study (STOPPER Trial).
    Zhu HD, Li X, Sun JH, Zhu X, et al · · 2024 · cited 6× · PMID 38413420 · DOI 10.1007/s00270-024-03666-4
  2. TRACE Model: Predicting Treatment Response to Transarterial Chemoembolization in Unresectable Hepatocellular Carcinoma.
    Wang W, Zhang Q, Cui Y, Zhang S, et al · · 2025 · cited 3× · PMID 39896274 · DOI 10.2147/jhc.s490226
  3. The nVR model: prediction of LI-RADS treatment response nonviable recurrence of hepatocellular carcinoma after primary transarterial chemoembolization.
    Zhang S, Wang W, Zhang X, Zhong B, et al · · 2025 · cited 2× · PMID 40214697 · DOI 10.1007/s00261-025-04924-w
  4. Transient hepatic intensity differences: correlations with treatment outcomes and adverse events following DEB-TACE in hepatocellular carcinoma.
    Opara NC, Zhou S, Wang W, Zhang S, et al · · 2025 · cited 1× · PMID 40750947 · DOI 10.1186/s13244-025-02041-2
  5. Dynamic changes of radiological and radiomics patterns based on MRI in viable hepatocellular carcinoma after transarterial chemoembolization.
    Wang W, Zhang S, Zhong B, Cai W, et al · · 2025 · cited 1× · PMID 39542948 · DOI 10.1007/s00261-024-04676-z
  6. ECR 2025 Book of Abstracts.
    · 2025 · PMID 40676413 · DOI 10.1186/s13244-025-02003-8
  7. ESGAR 2025 Book of Abstracts.
    · 2025 · PMID 40603764 · DOI 10.1186/s13244-025-02017-2
  8. ECR 2024 Book of Abstracts
    · 2024

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