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Intratumoral Holmium Microspheres Brachytherapy for Patients With Pancreatic Cancer


2021-12-13


2024-02-18


2024-02-18


3

Study Overview

Intratumoral Holmium Microspheres Brachytherapy for Patients With Pancreatic Cancer

This is a feasibility study in which patients with pancreatic cancer are treated with intratumoral holmium microsphere injections.

N/A

  • Pancreas Cancer
  • DEVICE: QuiremSpheres®
  • NL76311.091.20

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2022-01-02  

N/A  

2024-04-09  

2022-01-02  

N/A  

2024-04-11  

2022-01-13  

N/A  

2023-05  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Study patients

All patients receive intratumoral holmium microsphere injections ones, if surgery is suspended. Patient specific treamtent planning is performed for every individual patient.

DEVICE: QuiremSpheres®

  • Intratumoral injection of QuiremSpheres® up to a dose of 150 Gy.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Average tumour dose by SPECT imagingTo establish the feasibility of intratumoral implantation of QuiremSpheres® by evaluating the average tumour absorbed dose in Gy calculated on SPECT.At 1 week after intervention
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Microsphere distribution by MRIMicrosphere distribution in analysed using MRI to evaluate tumour absorbed and non-target absorbed dose.At 1 week after intervention
Microsphere distribution by CTMicrosphere distribution in analysed using CT to evaluate tumour absorbed and non-target absorbed dose.At 1 week after intervention
Number of treatment-related adverse events as assessed by CTCAE v4.0Safety, expressed in Common Terminology Criteria for Adverse Events, grade 3 and higher, probably or definitely related to the implantation procedure or medical device implant is monitored up to 3 months after intervention.Up to 3 months after intervention
Tumor response by RECIST 1.1Tumor response to the intervention is evaluated according to the Response evaluation criteria in solid tumors (RECIST) version 1.1 after 3 months.At 3 months after intervention

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Female or male aged 18 years and over. 2. Diagnosis of primary (borderline) resectable pancreatic cancer by Dutch Pancreatic Cancer Group (DPCG) guidelines:
    i. 1o-90o contact between tumor and the superior mesenteric artery, celiac axis or common hepatic artery. Or; ii. 90o-270o contact between tumor and superior mesenteric vein or portal vein, without occlusion.
    iii. The discussion on resectability has to be made in consensus at multidisciplinary meetings/discussions and may overrule the above criteria (i, ii). 3. Patient is deemed eligible for surgical resection of the pancreatic cancer, however, during open surgery a more advanced disease than initially anticipated is found and resection is no longer feasible. 4. Life expectancy of 12 weeks or longer. 5. World Health Organisation (WHO) Performance status 0-1. 6. One or more measurable lesions of at least 10 mm in the longest diameter by spiral CT or MRI according to the Response Evaluation Criteria in Solid Tumours (RECIST) 1.1 criteria. 7. Negative pregnancy test for women of childbearing potential.
    Exclusion Criteria:
    1. Radiation therapy within the last 4 weeks before the start of study therapy. 2. Calcifications in the pancreas or tumour that are highly expected to obstruct the needle tract 3. Any unresolved toxicity greater than National Cancer Institute (NCI), Common Terminology Criteria for Adverse Events (CTCAE version 4.0) grade 2 from previous anti-cancer therapy. 4. Leukocytes < 4.0 109/l and/or platelet count < 100 109/l. 5. Significant cardiac event (e.g. myocardial infarction, superior vena cava (SVC) syndrome, New York Heart Association (NYHA) classification of heart disease ≥2 within 3 months before entry, or presence of cardiac disease that in the opinion of the Investigator increases the risk of ventricular arrhythmia. 6. Patient is deemed ineligible for implantation of 166Ho by an expert panel (surgeon, nuclear medicine physician and researcher) due to tumour anatomy or nearby structures. 7. Pregnancy or breast feeding (women of child-bearing potential). 8. Patients suffering from psychic disorders that make a comprehensive judgement impossible, such as psychosis, hallucinations and/or depression. 9. Patients who are declared incompetent.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • Quirem Medical B.V.

  • PRINCIPAL_INVESTIGATOR: Frank Nijsen, PhD, Associate professor

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available