Y90 Radioembolization Dose Delivery and Radiation Exposure Assessment

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Tennessee

About this trial

The objective of this study is to examine critical aspects of radiation exposure, dose delivery, and systemic yttrium-90 (Y90) exposure related to the infusion of Y90 microspheres for treatment of hepatocellular carcinoma (HCC) and other metastatic liver disease.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

All patients undergoing Y90 radioembolization therapy with SIR-Spheres or TheraSpheres are eligible to participate in this study

Must be able to schedule and tolerate additional PET/CT imaging following therapy

Must be able to tolerate additional blood draws before, during, and after the radioembolization therapy procedure.

Disqualifiers

Patients that are not candidates for Y90 radioembolization therapy

Patients that cannot tolerate additional imaging procedures following therapy

Patients that cannot tolerate the additional blood draws required for this study

Patients whose schedule does not allow them to remain at the hospital for the additional PET/CT imaging study

Trial design

Design model

Parallel

Treatments tested in this trial

  • Post therapy PET/CT Imaging

    Diagnostic test

    whole-body PET/CT following Y90 radioembolization

Treatment groups

20 Participants
are divided into 2 treatment groups
Group A: SIR-Spheres Therapy SelectionExperimental treatment 1 intervention
Group B: TheraSpheres Therapy SelectionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Feasibility of Active Dose Delivery Monitoring

This outcome will be measured using modular detector devices placed on the Y90 dose delivery system as well as on the patient. These radiation detectors monitor radiation in real-time during the dose infusion. Time activity curves from the detectors will be collected and assessed for determining if the full dose was delivered as intended.

Time frame
During therapy delivery: ~30 minutes
2

Measurement and Assessment of Free, Circulating Yttrium 90

This outcome measure will examine the ability to measure free Y90 in the blood during routine therapy procedures. This outcome will be monitored by both modular radiation detectors placed on the patient as well as through blood samples taken before, during, and after the infusion of the therapy dose. An initial blood draw prior to the delivery of the Y90 therapy will provide a baseline for each patient. Samples taken during and after infusion will provide key insights into the changes in blood radioactivity levels which will correspond to the infusion of Y90 and subsequently, the free Y90 circulating in the blood that was not directed to the tumor.

Time frame
Before, during, and after therapy delivery as well as in conjunction with PET/CT: ~40 minutes
3

Therapy Monitoring Using Whole-Body Post-therapy PET/CT Imaging

This outcome measure will examine the final treatment biodistribution using PET/CT imaging for visual analysis of the data to assess the distribution of spheres within the site of delivery.

Time frame
Following Y90 radioembolization therapy: ~30-40 minutes 2-4 hours post-therapy

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Tennessee

Lead sponsor

Biocompatibles UK Ltd

Collaborator