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NCT05114148: iHEPAR

Individualized Dosimetry for Holmium-166-radioembolization in Patients With Unresectable Hepatocellular Carcinoma

Status unknown NA Last updated 10 November 2022
What this trial tests

NA trial testing Holmium-166 radioembolization in Hepatocellular Carcinoma Non-resectable in 30 participants. Status unknown.

Timeline
1 March 2022
Primary endpoint
1 November 2024
1 November 2025

Quick facts

Lead sponsorUMC Utrecht
PhaseNA
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment30
Start date1 March 2022
Primary completion1 November 2024
Estimated completion1 November 2025
Sites1 location across Netherlands

Drugs / interventions tested

Conditions studied

Sponsor

UMC Utrecht — full company profile →

Who can join

18 and older, any sex, with Hepatocellular Carcinoma Non-resectable. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Patients with hepatocellular carcinoma often die from intrahepatic disease because current treatment options are limited. Local treatment using 166Ho-radioembolization (166Ho-RE) offers a safe and effective treatment. Because 166Ho-microspheres are used as a scout dose for treatment simulaton and for the actual treatment itself, a tailored approach can be used. This concept has proven to be more predictive than the 90Y-radioembolization concept (current standard-of-care), which is a based on a surrogate scout dose (i.e. 99mTc-MAA). A personal treatment plan may be used for 166Ho-radioembolization to optimize efficacy, based on scout dose distribution. However, individualized treatment planning inherently leads to treatment doses that deviate from the currently approved 'one-size-fits-all' approach (i.e. 60 Gy average absorbed dose for all patients). Therefore, safety of individualized 166Ho-RE will be evaluated first to validate safety and confirm safety thresholds. These thresholds will be used in subsequent randomized controlled studies.

Publications & conference data

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

  1. Holmium-166 Radioembolization: Current Status and Future Prospective.
    Stella M, Braat AJAT, van Rooij R, de Jong HWAM, et al · · 2022 · cited 40× · PMID 35729423 · DOI 10.1007/s00270-022-03187-y
  2. Nano-radiopharmaceuticals as therapeutic agents.
    Dixit T, Dave N, Basu K, Sonawane P, et al · · 2024 · cited 7× · PMID 38560384 · DOI 10.3389/fmed.2024.1355058
  3. Overview of Ongoing Clinical Trials on Radioembolization.
    Fabritius MP, Ricke J. · · 2022 · cited 7× · PMID 36184696 · DOI 10.1007/s00270-022-03270-4
  4. Holmium-166 radioembolisation dosimetry in HCC.
    Reinders MTM, Braat AJAT, van Erpecum KJ, de Bruijne J, et al · · 2025 · cited 5× · PMID 39470786 · DOI 10.1007/s00259-024-06940-2
  5. Individualised dosimetry for holmium-166 RE in patients with unresectable hepatocellular carcinoma; a multi-centre, interventional, non-randomised, non-comparative, open label, phase II study: RHEPaiR.
    Qurashi M, Martinez M, Ward C, Wyard C, et al · · 2025 · PMID 41263849 · DOI 10.1136/bmjopen-2024-097066

Verify or expand the search:

Other trials of Holmium-166 radioembolization

Trials testing the same drug.

Other recruiting trials for Hepatocellular Carcinoma Non-resectable

Currently open trials in the same condition.

Other UMC Utrecht trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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