Hepatocellular Carcinoma
Conditions
Keywords
Radioembolization, Y90, TheraSphere, HCC, Biomarker, Prognostic factor, Angiogenesis, Inflammatory, Liver
Brief summary
To analyze specific angiogenic, inflammatory and immune profiles in hepatocellular carcinoma patients who undergo radioembolization.
Detailed description
Patients who have planned lobar radioembolization (TheraSphere (TS)) and consent to this study will have peripheral blood samples collected pre-TS, post-TS, 4 hours post-TS, 24 hours post-TS, 3 days post-TS, 7 days post-TS and 30 days post-TS to analyze specific angiogenic, inflammatory and immune profiles.
Interventions
We will be collecting plasma at 7 different timepoints in hepatocellular carcinoma patients that are treated with radioembolization.
Sponsors
Study design
Eligibility
Inclusion criteria
* Must have the diagnosis of HCC (biopsy or imaging criteria) * Must have planned lobar TheraSphere treatment * Must be able to give consent * Must have an ECOG (Eastern Cooperative Oncology Group) performance status of ≤ 2 * Must have a life expectancy of ≥ 3 months * Women must not be pregnant with an acceptable contraception in premenopausal women * Must be \> 4 weeks since prior radiation * Must be \> 2 weeks since liver surgery * Must be ≥ 2 weeks post radiosensitizing chemotherapy or \> 6 weeks since prior BCNU (carmustine) or Mitomycin-C
Exclusion criteria
* Patients are excluded if they do not meet the inclusion criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage change in angiogenic, inflammatory and immune biomarkers | 2 years | The percent of change at 7 different timepoints for the following biomarkers will be calculated: Ang-2, FGFb, HB-EGF, HGF, PDGF-BB, PIGF, SDF-1, VEGF, VEGFC, IFNg, IL-1a, IL-1b, IL-2, IL-4, IL-6, IL-8, IL-10, IL-12p70, TNFa trimer, CRP, TGFb1, EGFR, PD-1, PD-L1, CD45RA, CD127, HLA-DR, CD62L, CD3, CD8, CD197, CCR7, CD45RO, PD-L2, FOXP3, Perforin, Granzyme, TIA-1, CD14, CD107a, CD25, CD45, CD4, CD20 and CD56+16. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Treatment Response- Time-to-Progression | 2 years | Time-to-progression will be measured in days. |
| Treatment Response- AFP | 2 years | Alphafetoprotein will be measured in ng/mL. |
| Treatment Response - Imaging | 2 years | Lesions will be measured using mRECIST. |
| Treatment Response- Overall Survival | 2 years | Overall survival will be measured in days. |
Countries
United States