Irradiation damage to the liver after HDR-brachytherapy of liver metastases.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age 18 to 85 or ECOG performance status of 0 or 1 If female, postmenopausal or surgically sterilized Liver metastases scheduled for a CT/MRI-guided single or sequential interstitial HDR brachytherapy Non-cirrhotic liver Life expectancy longer than 6 months Willing and able to undergo all study procedures Having voluntarily provided written and fully informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 36 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 36
Exclusion criteria
Exclusion criteria: Women who are pregnant, lactating or who are of childbearing potential Liver cirrhosis Hepatitis B Hepatitis C Patients being clinically unstable Uncooperative, in the investigator’s opinion Having been previously enrolled in this study Participating in another therapy-modulating clinical trial Contraindication for MRI Contraindication or hypersensitivity to one or more components of Primovist, Ursodeoxycholic acid and/or Pentoxifylline Any prior irradiation therapy of the liver up to 6 months before inclusion Close affiliation with the investigational site; e.g. a close relative of the investigator Severe coronary artery disease Autoimmune diseases Acute bacterial endocarditis Patients with severe renal impairment (GFR below 45 mL/min/ according to the CKI EPI formula, calculated from a creatinine value obtained at the initial examination) Patients with medication of coumarins (vitamin K antagonists)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess if a combination regimen of pentoxifylline and ursodeoxycholic acid provides a preventive effect regarding irradiation damage to liver parenchyma after HDR-brachytherapy.;Secondary Objective: To evaluate the relation between hepatocyte dysfunction as assessed in Primovist-enhanced MRI and changes in liver-specific and inflammatory laboratory values. To evaluate the quality of live comparing both patient groups using the EQ-5D questionnaire and ECOG performance status. To assess the safety of the study medication given after HDR brachytherapy. ;Primary end point(s): HDR-brachytherapy isodose that marks the border between damaged and functioning liver tissue (as defined by GD-EOB-DTPA-enhanced MR imaging).;Timepoint(s) of evaluation of this end point: 6 weeks, 3 months and 6 months after brachytherapy. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Changes in inflammatory and liver specific parameters. Quality of live as assessed by EQ-5D questionnaire und ECOG performance status.;Timepoint(s) of evaluation of this end point: 6 weeks, 3 months and 6 months after brachytherapy. | — |
Countries
Germany