chemorefractory liver metastases from breast carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Histologically confirmed diagnosis of breast cancer Radiological evidence of liver metastases Liver-only or liver predominant disease Progressive under (multi-line) systemic chemotherapy Progressive under hormonotherapy for hor+ patients. Patients scheduled for mitomycine chemoinfusion Liver/lung shunt =70 Written 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 10 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 5
Exclusion criteria
Exclusion criteria: . Karnovsky 1.5; AST/ALT > 2.5 fold normal range; Creatinine > 1.2 upper normal limit; GFR (glomerular filtration rate) 20% as determined by the Tc99-scan . Allergy to contrast media . Intake of oral anticoagulation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: 1. Assessment of systemic toxicity according to the CTC4.0 criteria (http://ctep.info.nih.gov/reporting/ctc.html) 2. Partial response: Changes in tumor volume (RECIST-criteria) and vascularisation/tumor necrosis before versus after chemo-embolization, analysed by MR imaging including perfusion and diffusion-weighted imaging, as a surrogate for survival 3. Time to progression in the liver;Secondary Objective: 1. Correlation of perfusion and diffusion weighted images and assessment of the value of diffusion imaging in predicting outcome of transarterial Y90 infusion followed by transarterial MMC chemoinfusion for liver metastases. 2. Overall survival;Primary end point(s): 1. Assessment of systemic toxicity according to the CTC4.0 criteria (http://ctep.info.nih.gov/reporting/ctc.html) 2. Partial response: Changes in tumor volume (RECIST-criteria) and vascularisation/tumor necrosis before versus after chemo-embolization, analysed by MR imaging including perfusion and diffusion-weighted imaging, as a surrogate for survival 3. Time to progression in the liver ;Timepoint(s) of evaluation of this end point: week -2 week 1 week 6-10 week 14 week 18 week 22-26-30 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. Correlation of perfusion and diffusion weighted images and assessment of the value of diffusion imaging in predicting outcome of transarterial Y90 infusion followed by transarterial MMC chemoinfusion for liver metastases. 2. Overall survival;Timepoint(s) of evaluation of this end point: week -2 week 1 week 6-10 week 14 week 18 week 22-26-30 | — |
Countries
Belgium
Contacts
University Hospitals Leuven