Hepatocellular Carcinoma
Conditions
Keywords
chemoembolization, drug eluting microsphere, hepato, embolotherapy, downstage
Brief summary
The study is designed to determine whether loading doxorubicin (a type of chemotherapy), when loaded onto a drug eluting microsphere will result in increased destruction of a tumor. The study will treat patients with surgically resectable liver cancers with varying doses of doxorubicin loaded into microspheres, with a close review of any side effects and chemotherapy concentrations in the bloodstream. The tumors will be surgically removed after at least 1 month, to determine how much the tumor has shrunk, and the amount of tumor destroyed. It is hoped that the study results will determine if this treatment has a role in controlling tumor growth prior to surgical removal.
Interventions
varying doses of doxorubicin loaded onto SAP during embolization procedure. Pharmacokinetic analysis of elution profile through serum concentrations over 1 month period embolization of surgically resectable HCC with superabsorbent polymer microspheres loaded with doxorubicin from a single treatment. Phase I will follow a modified Fibonacci sequence (with pharmacokinetic analysis of serum doxorubicin) to determine mean tolerated dose (MTD), severe adverse reaction (SAE) and dose limiting toxicities (DLT) when microspheres are loaded with 25mg, 50mg, or 75mg of doxorubicin. Phase II will continue enrollment with the two highest tolerated doses. At least one month after treatment, all patients will undergo imaging and surgical resection of reference tumor, with assessment of degree of necrosis, microsphere distribution, and correlation with concentration of doxorubicin loaded onto microsphere.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients diagnosed with surgically resectable hepatocellular carcinoma (HCC)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Histopathological correlation with surgically resected tumor | — |
Secondary
| Measure | Time frame |
|---|---|
| Dose limiting toxicities | — |
| serum doxorubicin release patter | — |
| maximum tolerated dose | — |
Countries
Canada