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NCT03741088: Theresa

Study to Evaluate VORTX Rx (Theresa)

Completed NA Results posted Last updated 20 April 2021
What this trial tests

NA trial testing VORTX Rx treatment in Carcinoma, Hepatocellular in 8 participants. Completed in 17 July 2019.

Timeline
21 March 2018
Primary endpoint
15 May 2019
17 July 2019

Quick facts

Lead sponsorHistoSonics, Inc.
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposedevice feasibility
Enrollment8
Start date21 March 2018
Primary completion15 May 2019
Estimated completion17 July 2019
Sites3 locations across Spain

Drugs / interventions tested

Conditions studied

Sponsor

HistoSonics, Inc. — full company profile →

Who can join

18 and older, any sex, with Carcinoma, Hepatocellular or Liver Metastases. 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.

Acute Technical Performance of the VORTX Rx® Medical Device for the Ablation of Primary and Metastatic Liver Tumors Primary · 1-day post ablation

Number of Lesions that were Successfully Ablated according to technical success definition established in the protocol.

GroupValue95% CI
VORTX Rx Treatment11
Safety Profile of the VORTX Rx. Incidence of Adverse Events (Serious and Non-serious) That Are Probably or Definitely Device-related Secondary · 2 months

Number of Adverse Events (Serious and Non-serious) That Are Probably or Definitely Device-related

GroupValue95% CI
VORTX Rx Treatment0
Local Tumor Progression Secondary · 1 week, 1 month and 2 months post-procedure.

Number of patients who have indicated local tumor progression in at least one visit (1 week, 1 month, 2 months) for each tumor ablated. The ablation zone will be assessed post-procedurally to evaluate local tumor progression by contrast-enhanced MRI imaging

GroupValue95% CI
VORTX Rx Treatment2
VORTX Rx Treatment5
VORTX Rx Treatment1
Involution of the Ablation Zone Secondary · 24hours, 1 week, 1 month and 2 months, post-procedure.

The involution of the ablation zone will be assessed post-procedurally by contrast-enhanced MRI imaging at 24h, 1 week, 1 month and 2 months

Ablation zone volume (cm3): 24 hours
GroupValue95% CI
VORTX Rx Treatment10.5500± 6.34405
Ablation zone volume (cm3): 1 week
GroupValue95% CI
VORTX Rx Treatment8.5000± 9.56682
Ablation zone volume (cm3): 1 month
GroupValue95% CI
VORTX Rx Treatment5.9383± 10.02174
Ablation zone volume (cm3): 2 months
GroupValue95% CI
VORTX Rx Treatment4.7683± 9.47795
Assessment of Liver panel_Part 1 Secondary · Screening, 24 hours, 1 week, 1 month and 2 months.

Liver panel will be evaluated on the basis of the change of aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase, gamma glutamyl transpeptidase (GGT) from baseline to evaluation visits 24 hours, 1 week and 1 and 2 months post procedure.

AST Screening
GroupValue95% CI
VORTX Rx Treatment60.7500± 33.83662
AST 24 hours
GroupValue95% CI
VORTX Rx Treatment183.5000± 80.71555
AST 1 week
GroupValue95% CI
VORTX Rx Treatment47.0000± 25.17936
AST 1 month
GroupValue95% CI
VORTX Rx Treatment40.7500± 10.68878
AST 2 months
GroupValue95% CI
VORTX Rx Treatment40.5000± 19.94158
ALT Screening
GroupValue95% CI
VORTX Rx Treatment44.0000± 22.13594
ALT 24 hours
GroupValue95% CI
VORTX Rx Treatment139.0000± 56.12486
ALT 1 week
GroupValue95% CI
VORTX Rx Treatment58.5000± 30.27100
Assessment of Liver Panel_Part 2 Secondary · 24 hours, 1 week and 1 month and 2 months

Liver panel will be evaluated on the basis of the change of albumin from baseline to evaluation visits 24 hours, 1 week and 1 and 2 months post procedure.

Albumin Screening
GroupValue95% CI
VORTX Rx Treatment40.0250± 2.88603
Albumin 24 hours
GroupValue95% CI
VORTX Rx Treatment34.7500± 1.13284
Albumin 1 week
GroupValue95% CI
VORTX Rx Treatment37.5250± 1.95683
Albumin 1 month
GroupValue95% CI
VORTX Rx Treatment39.3750± 0.63966
Albumin 2 months
GroupValue95% CI
VORTX Rx Treatment40.1750± 1.65806
Assessment of Liver Panel_Part 3 Secondary · 24 hours, 1 week and 1month and 2 months

Liver panel will be evaluated on the basis of the change of bilirubin from baseline to evaluation visits 24 hours, 1 week and 1 and 2 months post procedure

Total Bilirrubin Screening
GroupValue95% CI
VORTX Rx Treatment0.7525± 0.42578
Total Bilirrubin 24 hours
GroupValue95% CI
VORTX Rx Treatment0.6425± 0.20549
Total Bilirrubin 1 week
GroupValue95% CI
VORTX Rx Treatment0.7600± 0.32934
Total Bilirrubin 1 month
GroupValue95% CI
VORTX Rx Treatment0.5250± 0.11561
Total Bilirrubin 2 months
GroupValue95% CI
VORTX Rx Treatment0.7050± 0.31268
Assessment of Liver Panel_part 4 Secondary · 24 hours, 1 week and 1month and 2 months

Liver panel will be evaluated on the basis of the change of prothrombin time (PT) from baseline to evaluation visits 24 hours, 1 week and 1 and 2 months post procedure

Prothrombin time Screening
GroupValue95% CI
VORTX Rx Treatment95.2500± 5.50000
Prothrombin time 24 hours
GroupValue95% CI
VORTX Rx Treatment92.5000± 9.94987
Prothrombin time 1 week
GroupValue95% CI
VORTX Rx Treatment92.7500± 8.38153
Prothrombin time 1 month
GroupValue95% CI
VORTX Rx Treatment98.7500± 2.50000
Prothrombin time 2 months
GroupValue95% CI
VORTX Rx Treatment91.2500± 17.50000
Assessment of Liver Panel_Part 5 Secondary · 24 hours, 1 week and 1 month and 2 months

Liver panel will be evaluated on the basis of the change of International normalized ratio (INR = A system established by the World Health Organization (WHO) and the International Committee on Thrombosis and Hemostasis for reporting the results of blood coagulation (clotting) tests) from baseline to evaluation visits 24 hours, 1 week and 1 and 2 months post procedure. The INR is derived from prothrombin time (PT) which is calculated as a ratio of the patient's PT to a control PT standardized for the potency of the thromboplastin reagent developed by the World Health Organization (WHO) using t

INR Screening
GroupValue95% CI
VORTX Rx Treatment1.0500± 0.5774
INR 24 hours
GroupValue95% CI
VORTX Rx Treatment1.0750± 0.09574
INR 1 week
GroupValue95% CI
VORTX Rx Treatment1.0500± 0.05774
INR 1 month
GroupValue95% CI
VORTX Rx Treatment1.0250± 0.05000
INR 2 months
GroupValue95% CI
VORTX Rx Treatment1.0750± 0.15000
Immunologic Assessment_Part 1 Secondary · Baseline/Screening, 1-day post ablation, 1 week and 1 and 2 months post procedure

Immunological response of ablation will be evaluated on the basis of immune tests conducted and tumor biomarker assessments (including, but not limited to, immune tests: CD3+, CD4+, CD8+, CD45+, CD16+, CD56+ and CD19+ from Baseline/Screening to 1-day post ablation, 1 week and 1 and 2 months post procedureprocedure.

CD3+ (T cells) Screening
GroupValue95% CI
VORTX Rx Treatment801.7500± 374.33708
CD3+ (T cells) 24 hours
GroupValue95% CI
VORTX Rx Treatment618.2500± 365.48814
CD3+ (T cells) 1 week
GroupValue95% CI
VORTX Rx Treatment713.7500± 234.09596
CD3+ (T cells) 1 month
GroupValue95% CI
VORTX Rx Treatment587.7500± 253.11575
CD3+ (T cells) 2 months
GroupValue95% CI
VORTX Rx Treatment632.0000± 150.53017
CD4+ (T helper cells) Screening
GroupValue95% CI
VORTX Rx Treatment469.2500± 146.20619
CD4+ (T helper cells) 24 hours
GroupValue95% CI
VORTX Rx Treatment374.7500± 128.99709
CD4+ (T helper cells) 1 week
GroupValue95% CI
VORTX Rx Treatment445.2500± 121.94637
Immunologic Assessment_Part 2 Secondary · Screening, 24 hours, 1 week and 1 and 2 months post procedure.

Immunological response of ablation will be evaluated on the basis of immune tests conducted and tumor biomarker assessments: C-reactive protein \[CRP\], from baseline to evaluation visits 1 day, 1 week and 1 and 2 months post procedure.

C reactive protein Screening
GroupValue95% CI
VORTX Rx Treatment5.9750± 5.67355
C reactive protein 24 hours
GroupValue95% CI
VORTX Rx Treatment6.0250± 7.06323
C reactive protein 1 week
GroupValue95% CI
VORTX Rx Treatment30.8250± 53.05735
C reactive protein 1 month
GroupValue95% CI
VORTX Rx Treatment4.7750± 3.57713
C reactive protein 2 months
GroupValue95% CI
VORTX Rx Treatment11.9500± 8.85795
Immunologic Assessment_Part 3 Secondary · Screening, 24 hours post ablation, 1 week and 1 and 2 months post procedure.

Immunological response of ablation will be evaluated on the basis of immune tests conducted and tumor biomarker assessments (including, but not limited to, immune tests): complement C3 and C4, immunoglobulins \[IgG, IgM, IgA\] from baseline to evaluation visits 1 day, 1 week and 1 and 2 months post procedure.

Complement C3 Screening
GroupValue95% CI
VORTX Rx Treatment144.0000± 53.61592
Complement C3 24 hours
GroupValue95% CI
VORTX Rx Treatment123.2000± 25.76354
Complement C3 1 week
GroupValue95% CI
VORTX Rx Treatment150.5000± 22.75229
Complement C3 1 month
GroupValue95% CI
VORTX Rx Treatment143.9000± 44.60239
Complement C3 2 months
GroupValue95% CI
VORTX Rx Treatment134.7500± 26.88711
Complement C4 Screening
GroupValue95% CI
VORTX Rx Treatment30.7750± 20.29949
Complement C4 24 hours
GroupValue95% CI
VORTX Rx Treatment23.7750± 6.58401
Complement C4 1 week
GroupValue95% CI
VORTX Rx Treatment29.8250± 9.00717

Adverse events — posted to ClinicalTrials.gov

Time frame: 2 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

VORTX Rx Treatment
Serious: 2/8 (25%)
Deaths: 0/8

Serious adverse events (2 terms)

ReactionSystemVORTX Rx Treatment
FEVERGeneral disorders
HYPOCALCEMIAMetabolism and nutrition disorders
Other adverse events (34 terms — click to expand)

ReactionSystemVORTX Rx Treatment
ALT increaseHepatobiliary disorders
AST increaseHepatobiliary disorders
FatigueGeneral disorders
Sciatic painNervous system disorders
AnorexiaMetabolism and nutrition disorders
ConstipationGastrointestinal disorders
GGT increaseHepatobiliary disorders
NauseaGastrointestinal disorders
Transaminase elevationHepatobiliary disorders
Abdominal discomfortGeneral disorders
Abdominal painGeneral disorders
Adverse reaction to analeptics and opioid receptor antagonistsNervous system disorders
Alkaline phosphatase increaseHepatobiliary disorders
AnemiaMetabolism and nutrition disorders
Appetite increaseMetabolism and nutrition disorders
AscitesHepatobiliary disorders
Chest puncturesRespiratory, thoracic and mediastinal disorders
CholuriaRenal and urinary disorders
Coccyx painMusculoskeletal and connective tissue disorders
Desquamative lesionsSkin and subcutaneous tissue disorders
FeverGeneral disorders
Gastrointestinal painGastrointestinal disorders
General painGeneral disorders
Itchy skinSkin and subcutaneous tissue disorders
JaundiceHepatobiliary disorders
Left leg painMusculoskeletal and connective tissue disorders
LipotomyNervous system disorders
Malleolar edema with foveaMusculoskeletal and connective tissue disorders
Occasional feverGeneral disorders
Pain in right shoulderMusculoskeletal and connective tissue disorders
Pain in right sideMusculoskeletal and connective tissue disorders
Right basal pneumoniaRespiratory, thoracic and mediastinal disorders
Swollen anklesVascular disorders
Tingling in feet and handsNervous system disorders

Most-reported serious reactions: FEVER, HYPOCALCEMIA.

Data from ClinicalTrials.gov NCT03741088 adverse events section.

Sponsor's own description

Multi-center, Open-labeled, Non-randomized Study to Evaluate the Acute Technical Performance and Safety Profile of the VORTX Rx® for Ablation of Primary and Metastatic Liver Tumors

Publications & conference data

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

  1. Histotripsy: the first noninvasive, non-ionizing, non-thermal ablation technique based on ultrasound.
    Xu Z, Hall TL, Vlaisavljevich E, Lee FT. · · 2021 · cited 226× · PMID 33827375 · DOI 10.1080/02656736.2021.1905189
  2. First-in-man histotripsy of hepatic tumors: the THERESA trial, a feasibility study.
    Vidal-Jove J, Serres X, Vlaisavljevich E, Cannata J, et al · · 2022 · cited 123× · PMID 36002243 · DOI 10.1080/02656736.2022.2112309
  3. Histotripsy: A Method for Mechanical Tissue Ablation with Ultrasound.
    Xu Z, Khokhlova TD, Cho CS, Khokhlova VA. · · 2024 · cited 49× · PMID 38346277 · DOI 10.1146/annurev-bioeng-073123-022334
  4. Compressive stresses in cancer: characterization and implications for tumour progression and treatment.
    Linke JA, Munn LL, Jain RK. · · 2024 · cited 46× · PMID 39390249 · DOI 10.1038/s41568-024-00745-z
  5. A Multi-centre, Single Arm, Non-randomized, Prospective European Trial to Evaluate the Safety and Efficacy of the HistoSonics System in the Treatment of Primary and Metastatic Liver Cancers (#HOPE4LIVER).
    Wah TM, Pech M, Thormann M, Serres X, et al · · 2023 · cited 37× · PMID 36380155 · DOI 10.1007/s00270-022-03309-6
  6. Research progress and clinical evaluation of histotripsy: a narrative review.
    Li S, Wei Y, Zhang B, Li X. · · 2023 · cited 12× · PMID 37082680 · DOI 10.21037/atm-22-2578
  7. Engineering the Tumor Immune Microenvironment through Minimally Invasive Interventions.
    Pal K, Sheth RA. · · 2022 · cited 11× · PMID 36612192 · DOI 10.3390/cancers15010196
  8. Neutrophil extracellular traps in tumor progression of gynecologic cancers.
    Chen H, Zhou Y, Tang Y, Lan J, et al · · 2024 · cited 7× · PMID 39555072 · DOI 10.3389/fimmu.2024.1421889

Verify or expand the search:

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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/NCT03741088.

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