Pilot Study of Irreversible Electroporation (IRE) to Treat Early-Stage Primary Liver Cancer (HCC)
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate the safety and efficacy of the NanoKnife LEDC System for the treatment of early-stage hepatocellular carcinoma (HCC).
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Outcome Measures
Primary Outcome Measures
- Treatment efficacy as measured by modified Response Evaluation Criteria In Solid Tumors (RECIST) criteria by Computed Tomography (CT) or Magnetic Resonance (MR) imaging. [30 days (+/- 3 days) post treatment]
Secondary Outcome Measures
- Safety using Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 criteria. [Immediately post treatment to 2 years post treatment]
Eligibility Criteria
Criteria
Inclusion Criteria:
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HCC diagnosed by positive biopsy or non-invasive criteria,
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not suitable for surgical resection or transplantation,
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have at least one, but less than or equal to 3 tumors,
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of the tumour(s) identified, each tumor must be ≤ 3 cm in diameter,
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Child-Pugh class A,
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Eastern Cooperative Oncology Group (ECOG) score of 0,
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American Society of Anaesthesiologists (ASA) score ≤ 3,
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a prothrombin time ratio > 50%,
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platelet count > 50x109/L,
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ability of patient to stop anticoagulant and anti-platelet therapy for seven days prior to and seven days post NanoKnife procedure,
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are able to comprehend and willing to sign the written informed consent form (ICF),
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have a life expectancy of at least 3 months.
Exclusion Criteria:
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eligible for surgical treatment or transplantation for HCC,
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presence of vascular invasion or extrahepatic metastases,
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received previous treatment for HCC,
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HCC developed on an already transplanted liver,
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cardiac insufficiency, ongoing coronary artery disease or arrhythmia,
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any active implanted device (eg Pacemaker),
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women who are pregnant or women of child-bearing potential who are not using an acceptable method of contraception,
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have received treatment with an investigational agent/ procedure within 30 days prior to treatment with the NanoKnife™ LEDC System,
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are in the opinion of the Investigator unable to comply with the visit schedule and protocol evaluations.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | L'institut de cancerologie Gustave Roussy | Villejuif | Ile-de-France | France | 94805 |
2 | Hopital Beaujon | Paris | France | 92110 | |
3 | Universitatsklinikum Magdeburg AoR, Klinik fur Radiologie und Nuklearmedizin | Magdeburg | Germany | D-39120 | |
4 | University of Pisa School of Medicine | Pisa | Tuscany | Italy | 56124 |
5 | Istituto Nazionale Tumori - Fondazione Pascale | Naples | Italy | 80131 | |
6 | Barcelona Clinic Liver Cancer Group, Hospital Clinic i Provincial de Barcelona | Barcelona | Spain | 08036 |
Sponsors and Collaborators
- Angiodynamics, Inc.
Investigators
- Principal Investigator: Riccardo Lencioni, MD, University of Pisa School of Medicine
- Principal Investigator: Jordi Bruix, MD, Barcelona Clinic Liver Cancer (BCLC) Group of the University of Barcelona
Study Documents (Full-Text)
None provided.More Information
Publications
- Bruix J, Sherman M, Llovet JM, Beaugrand M, Lencioni R, Burroughs AK, Christensen E, Pagliaro L, Colombo M, Rodés J; EASL Panel of Experts on HCC. Clinical management of hepatocellular carcinoma. Conclusions of the Barcelona-2000 EASL conference. European Association for the Study of the Liver. J Hepatol. 2001 Sep;35(3):421-30.
- Bruix J, Sherman M; Practice Guidelines Committee, American Association for the Study of Liver Diseases. Management of hepatocellular carcinoma. Hepatology. 2005 Nov;42(5):1208-36.
- Jonas S, Bechstein WO, Steinmüller T, Herrmann M, Radke C, Berg T, Settmacher U, Neuhaus P. Vascular invasion and histopathologic grading determine outcome after liver transplantation for hepatocellular carcinoma in cirrhosis. Hepatology. 2001 May;33(5):1080-6.
- Lencioni R, Cioni D, Crocetti L, Franchini C, Pina CD, Lera J, Bartolozzi C. Early-stage hepatocellular carcinoma in patients with cirrhosis: long-term results of percutaneous image-guided radiofrequency ablation. Radiology. 2005 Mar;234(3):961-7. Epub 2005 Jan 21.
- Llovet JM, Burroughs A, Bruix J. Hepatocellular carcinoma. Lancet. 2003 Dec 6;362(9399):1907-17. Review.
- Llovet JM, Di Bisceglie AM, Bruix J, Kramer BS, Lencioni R, Zhu AX, Sherman M, Schwartz M, Lotze M, Talwalkar J, Gores GJ; Panel of Experts in HCC-Design Clinical Trials. Design and endpoints of clinical trials in hepatocellular carcinoma. J Natl Cancer Inst. 2008 May 21;100(10):698-711. doi: 10.1093/jnci/djn134. Epub 2008 May 13. Review.
- Llovet JM, Fuster J, Bruix J. Intention-to-treat analysis of surgical treatment for early hepatocellular carcinoma: resection versus transplantation. Hepatology. 1999 Dec;30(6):1434-40.
- Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin. 2005 Mar-Apr;55(2):74-108.
- Yao FY, Bass NM, Nikolai B, Davern TJ, Kerlan R, Wu V, Ascher NL, Roberts JP. Liver transplantation for hepatocellular carcinoma: analysis of survival according to the intention-to-treat principle and dropout from the waiting list. Liver Transpl. 2002 Oct;8(10):873-83.
- Yao FY, Ferrell L, Bass NM, Watson JJ, Bacchetti P, Venook A, Ascher NL, Roberts JP. Liver transplantation for hepatocellular carcinoma: expansion of the tumor size limits does not adversely impact survival. Hepatology. 2001 Jun;33(6):1394-403.
- ONC-205