Last reviewed · How we verify

NCT03338062

A Pilot Study to Assess Theragnostically Planned Liver Radiation to Optimize Radiation Therapy

Completed NA Results posted Last updated 26 February 2021
What this trial tests

NA trial testing Hepatobiliary Iminodiacetic Acid (HIDA) scan in Liver Cancer in 15 participants. Completed in 2 September 2019.

Timeline
13 June 2017
Primary endpoint
2 September 2019
2 September 2019

Quick facts

Lead sponsorIndiana University
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposediagnostic
Enrollment15
Start date13 June 2017
Primary completion2 September 2019
Estimated completion2 September 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Indiana University

Who can join

18 and older, any sex, with Liver Cancer or 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.

Difference in Functional Reserve of Liver Between Theragnostic SBRT Planning and Standard SBRT Planning Primary · Day -1 of Radiation Treatment

The functional reserve of the liver for both standard SBRT planning and theragnostic SBRT planning will be calculated for each patient regardless of which plan was ultimately chosen. Function reserve of the liver = (number of counts outside 15 Gy isodose line / total number of counts within the liver) \* global liver function; where global liver function is the rate of liver uptake (%/min) between 150 to 300 seconds normalized to body surface area (m\^2) using the Du Bois method. The difference in functional reserve between the theragnostic plan and the standard plan was calculated for each p

GroupValue95% CI
Theragnostic SBRT Planning0.22± 0.25
Standard SBRT Planning0.02± 0.07
Percentage of Participants for Whom Theragnostically Planned Radiation is Chosen for the Radiation Treatment Plan Secondary · Day -1 of Radiation Treatment

The percentage of participants for whom theragnostically planned radiation is chosen for the radiation treatment plan over the standard plan will be calculated along with the corresponding exact 95% Binomial confidence interval.

GroupValue95% CI
Overall64.339.2 – 89.4
Duration of Local Control Secondary · Up to 15 months

Duration of local control was assessed by calculating the time from on study date to date of local failure. Patients who did not experience local failure were censored at their last evaluation date. Local failure (progressive disease at primary diagnosis site) was evaluated using RECIST v1.1 criteria: Complete response: Disappearance of all target lesions; Partial response: At least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum longest diameter; Stable Disease: neither sufficient shrinkage to qualify for PR nor sufficient increase to

GroupValue95% CI
Theragnostic SBRT PlanningNANA – NA
Standard SBRT PlanningNA3.7 – NA
Progression Free Survival Secondary · Up to 15 months

Progression free survival was defined as the time from on study date to date of recurrence of any type or death from any cause. Patients who did not experience recurrence or death were censored at their last evaluation date. The Kaplan-Meier method was used to determine the median and 95% confidence interval.

GroupValue95% CI
Theragnostic SBRT PlanningNA1.3 – NA
Standard SBRT PlanningNA3.9 – NA
Overall Survival Secondary · Up to 3 years

Overall survival was defined as the time from on study date to death due to any cause. Patients who remained alive were censored at their last known alive date. The Kaplan-Meier method was used to determine the median and 95% confidence interval.

GroupValue95% CI
Theragnostic SBRT Planning23.95.2 – 23.9
Standard SBRT Planning27.51.4 – 27.5
Time to Transplant Secondary · Up to 15 months

Time to transplant was defined as the time from on study date to the date of transplant. Patients who did not receive transplant were censored at their off study date. The Kaplan-Meier method was used to determine the median and 95% confidence interval.

GroupValue95% CI
Theragnostic SBRT PlanningNANA – NA
Standard SBRT PlanningNANA – NA
Time to Distant Liver Failure Secondary · Up to 15 months

Time to distant liver failure was defined as the time from on study date to the date of distant liver failure. Patients who did not experience distant liver failure were censored at their date of last evaluation. The Kaplan-Meier method was used to determine the median and 95% confidence interval.

GroupValue95% CI
Theragnostic SBRT PlanningNA3.8 – NA
Standard SBRT PlanningNA3.9 – NA
Time Until Salvage Treatment Secondary · Up to 15 months

Time until salvage treatment was defined as the time from on study date to the start date of salvage treatment. Patients who did not receive salvage treatment were censored at their off study date. The Kaplan-Meier method was used to determine the median and 95% confidence interval.

GroupValue95% CI
Theragnostic SBRT PlanningNA2.5 – NA
Standard SBRT PlanningNANA – NA
Number of Patients With Treatment-Related Adverse Events Grade 3 or Above Secondary · Every 15 days for approximately 6 months

Number of unique patients who had a treatment-related (possible, probable, or definite) adverse event with grade 3 or greater using the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0.

GroupValue95% CI
Theragnostic SBRT Planning0
Standard SBRT Planning0
Change in MELD Score Secondary · Up to 1 year

Model for end-stage liver disease (MELD) score measures the severity of liver dysfunction. MELD scores range from 6 to 40 and are based on lab tests including serum creatinine, total bilirubin, and INR. The higher the number, the worse the liver function.

Baseline MELD Score
GroupValue95% CI
Theragnostic SBRT Planning8.8± 1.9
Standard SBRT Planning10.8± 3.7
Change from Baseline to Mid-Treatment
GroupValue95% CI
Theragnostic SBRT Planning0.4± 1.7
Standard SBRT Planning-0.4± 0.5
Change from Baseline to 1 Month
GroupValue95% CI
Theragnostic SBRT Planning0.2± 1.2
Standard SBRT Planning1.8± 8.6
Change from Baseline to 3 Month
GroupValue95% CI
Theragnostic SBRT Planning0.8± 3.9
Standard SBRT Planning-2.0± 2.8
Change from Baseline to 6 Month
GroupValue95% CI
Theragnostic SBRT Planning1.0± 1.9
Standard SBRT Planning-2.0± 3.7
Change from Baseline 12 Month
GroupValue95% CI
Theragnostic SBRT Planning1.4± 1.8
Standard SBRT Planning-1.8± 2.1

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 2 years. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Theragnostic SBRT Planning
Serious: 3/9 (33%)
Deaths: 4/9
Standard SBRT Planning
Serious: 1/5 (20%)
Deaths: 2/5

Serious adverse events (4 terms)

ReactionSystemTheragnostic SBRT PlanningStandard SBRT Planning
Abdominal painGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
SepsisInfections and infestations
Acute kidney injuryRenal and urinary disorders
Other adverse events (26 terms — click to expand)

ReactionSystemTheragnostic SBRT PlanningStandard SBRT Planning
AnemiaBlood and lymphatic system disorders
FatigueGeneral disorders
HypoalbuminemiaMetabolism and nutrition disorders
Lymphocyte count decreasedInvestigations
Alkaline phosphatase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Platelet count decreasedInvestigations
HyponatremiaMetabolism and nutrition disorders
Abdominal painGastrointestinal disorders
AscitesGastrointestinal disorders
Blood bilirubin increasedInvestigations
INR increasedInvestigations
HypokalemiaMetabolism and nutrition disorders
ConstipationGastrointestinal disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
NauseaGastrointestinal disorders
ChillsGeneral disorders
Alanine aminotransferase increasedInvestigations
White blood cell decreasedInvestigations
AnorexiaMetabolism and nutrition disorders
HyperglycemiaMetabolism and nutrition disorders
HypernatremiaMetabolism and nutrition disorders
Peripheral sensory neuropathyNervous system disorders
InsomniaPsychiatric disorders
Sleep apneaRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders

Most-reported serious reactions: Abdominal pain, Small intestinal obstruction, Sepsis, Acute kidney injury.

Data from ClinicalTrials.gov NCT03338062 adverse events section.

Sponsor's own description

The purpose of this study is to compare radiation treatment plans that are designed for patients with liver cancer. One treatment plan will be created using routine procedures and scans normally performed for radiation treatment planning. The other treatment plan will be created using routine procedures with the addition of two imaging scans; a HIDA (Hepatobiliary Iminodiacetic Acid) scan and an MRI (Magnetic Resonance Imaging) scan. This study will evaluate if adding these imaging scans to treatment planning can reduce the amount of radiation to healthy liver tissue during treatment.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Role of Functional MRI in Liver SBRT: Current Use and Future Directions.
    Tadimalla S, Wang W, Haworth A. · · 2022 · cited 8× · PMID 36497342 · DOI 10.3390/cancers14235860

Verify or expand the search:

Other recruiting trials for Liver Cancer

Currently open trials in the same condition.

Other Indiana University trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03338062.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing