Radioembolization for Liver Cancer

Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: M.D. Anderson Cancer Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine the best method for using yttrium Y-90 radioembolization, a treatment that delivers tiny radioactive beads to cut off the blood supply to liver tumors. It targets liver cancer that has metastasized. The trial seeks to make the treatment quicker and more affordable by completing it in one session. Suitable candidates for this trial include individuals with liver cancer eligible for standard Y90 treatment, provided the cancer does not cover more than half of their liver. As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could enhance future treatment options.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that yttrium Y-90 radioembolization is safe for treating liver cancer?

Research has shown that yttrium Y-90 radioembolization is generally well-tolerated by patients with liver cancer. Studies on similar treatments have demonstrated their safety. For instance, patients with hepatocellular carcinoma (a type of liver cancer) who received this treatment experienced few serious side effects. In one study, patients received an average radiation dose of 232 Gy to their tumors, and the treatment remained safe. Another study found no long-term problems after 24 months, indicating the treatment's continued safety over time.

Overall, yttrium Y-90 radioembolization has proven effective in treating liver tumors. It is important to consider personal health and discuss options with a healthcare provider before joining a clinical trial.12345

Why are researchers excited about this trial?

Researchers are excited about using Yttrium Y 90 resin microspheres for liver cancer because it offers a targeted approach that directly delivers radiation to cancer cells in the liver. Unlike traditional chemotherapy or systemic treatments that affect the whole body, this method minimizes damage to healthy tissues by using microspheres to deliver radioactive Yttrium-90 precisely to the tumor site. This targeted delivery can potentially increase the effectiveness of the treatment while reducing side effects, offering new hope for patients with limited options.

What evidence suggests that yttrium Y-90 radioembolization is effective for liver cancer?

Research has shown that yttrium Y-90 radioembolization, the treatment under study in this trial, effectively treats liver cancer, even when it has metastasized. Studies have found that it helps control liver tumors and is generally safe. In patients with hepatocellular carcinoma, a common type of liver cancer, yttrium Y-90 delivers a high dose of radiation directly to the tumors, aiding in their reduction. Clinical results suggest it can be a strong option for those with advanced liver cancer, with some patients experiencing long-term benefits without serious side effects. These findings support yttrium Y-90 radioembolization as a promising treatment for liver cancer.12456

Who Is on the Research Team?

Armeen Mahvash | MD Anderson Cancer Center

Armeen Mahvash, MD

Principal Investigator

M.D. Anderson Cancer Center

Are You a Good Fit for This Trial?

This trial is for patients with liver cancer that has spread, who can understand and sign a consent form. It's suitable for those eligible for standard Y90 radioembolization treatment but not for patients where the cancer affects more than half of the liver.

Inclusion Criteria

The ability to understand and sign informed consent
You are eligible for a standard treatment called Y90 radioembolization for your liver tumors.

Exclusion Criteria

Patients with greater than 50% liver tumor burden

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Treatment

Patients undergo diagnostic angiography and receive yttrium Y-90 radioembolization

1 day for subsequent patients, 2 visits over 2-4 weeks for first 2 patients
1 visit (in-person) for subsequent patients, 2 visits (in-person) for first 2 patients

Follow-up

Participants are monitored for safety and effectiveness after treatment

6 months
Follow-up at 1, 3, and 6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Yttrium Y 90 Resin Microspheres
Trial Overview The study tests yttrium Y-90 radioembolization, which involves injecting radioactive particles into an artery to block blood flow to liver tumors. The focus is on doing this in one session to see if it's effective and more efficient.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Treatment (angiography, yttrium Y-90 radioembolization)Experimental Treatment7 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

M.D. Anderson Cancer Center

Lead Sponsor

Trials
3,107
Recruited
1,813,000+

National Cancer Institute (NCI)

Collaborator

Trials
14,080
Recruited
41,180,000+

Published Research Related to This Trial

Yttrium-90 (90Y) radioembolization is an effective catheter-based therapy that delivers targeted internal radiation directly to liver tumors using microspheres, either glass (TheraSphere®) or resin-based (SIR-Spheres®).
Clinical evidence supports the use of 90Y radioembolization for treating unresectable liver cancers, demonstrating its potential as a viable option for patients with these malignancies.
Yttrium-90 radioembolization of hepatocellular carcinoma and metastatic disease to the liver.Lewandowski, RJ., Salem, R.[2021]
Radioembolization with yttrium-90 microspheres is a safe and effective treatment for hepatic malignancies, primarily due to its tumor-killing radioactivity rather than causing ischemia.
The article reviews various side effects associated with radioembolization, including those common to all transarterial procedures, and discusses strategies to minimize these side effects.
Side effects of yttrium-90 radioembolization.Riaz, A., Awais, R., Salem, R.[2022]
Yttrium-90 microspheres are being increasingly utilized for treating both primary and secondary liver tumors, indicating their growing acceptance in clinical practice.
The article discusses over 900 radioembolization procedures conducted over 5 years, highlighting the need for further dialogue in the interventional oncology community regarding the complexities and controversies of this treatment approach.
Radioembolization with 90yttrium microspheres: a state-of-the-art brachytherapy treatment for primary and secondary liver malignancies. Part 2: special topics.Salem, R., Thurston, KG.[2022]

Citations

Yttrium-90 Microsphere Radioembolization for ...Y90-radioembolization has shown clinical effectiveness in intermediate and advanced hepatocellular carcinoma, with a favorable safety profile.
Clinical outcome of Yttrium-90 selective internal radiation ...Y-90 SIRT is an effective treatment for the local tumor control of HCC without serious adverse events. Single lesion, AFP level and ECOG status were predictors ...
Efficacy and Safety of Radiation Segmentectomy with 90 Y ...Patients with hepatocellular carcinoma who underwent radiation segmentectomy with yttrium 90 resin microspheres received a median tumor absorbed dose of 232 Gy.
The Impact of Radiation Dose and Tumour Burden on ...Clinical consensus statement: selective internal radiation therapy with yttrium 90 resin microspheres for hepatocellular carcinoma in Asia.
Long-term outcome analysis of Y90 radioembolization in ...The downtrend at 24 months is likely due to long term survivors with significant benefit from therapy with no long-term complications from Y90.
Current status of yttrium-90 microspheres ...Radioembolization with yttrium-90 ( 90 Y)-loaded microspheres is a relatively novel technology that has made significant progress in the local treatment of ...
Unbiased ResultsWe believe in providing patients with all the options.
Your Data Stays Your DataWe only share your information with the clinical trials you're trying to access.
Verified Trials OnlyAll of our trials are run by licensed doctors, researchers, and healthcare companies.
Terms of Service·Privacy Policy·Cookies·Security