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HepatoblastomaNCT04315883

Yttrium-90 (TARE-Y90) in Children, Adolescents, and Young Adults With Liver Tumors

An observational study of Hepatoblastoma and Hepatocellular Carcinoma, run by Nemours Children's Clinic at 2 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study will be performed to evaluate the Clinical Outcomes and Quality of Life after Transarterial Radioembolization with Yttrium-90 (TARE-Y90) in Children, Adolescents, and Young Adults with Liver Tumors. The treatment and techniques used here are well established in adults. Read more about this study

Who is it for?
Ages 0 to 21 years
What is being tested?
Quality of Life Assessment and Transarterial Radioembolization
How many people
3 participants
Where
2 sitesUnited States
Study dates
11 Feb 2021to 28 Mar 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 0 to 21 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Study population: Pediatric and Young adult patients with liver tumors

Who may be able to join

  • Boys and girls age < 21 years of age
  • History of liver tumor
  • Meet criteria for treatment with TARE-Y90

Who cannot join

  • • Inability to complete required study procedures.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Nemours Children's Specialty Care

    Jacksonville, Florida, 32207

  • Nemours-AI duPont Hospital for Children

    Wilmington, Delaware, 19803

Other trials in United States

About this study

Official title: Clinical Outcomes and Quality of Life After Transarterial Radioembolization With Yttrium-90 (TARE-Y90) in Children, Adolescents, and Young Adults With Liver Tumors

This study will be performed to evaluate the Clinical Outcomes and Quality of Life after Transarterial Radioembolization with Yttrium-90 (TARE-Y90) in Children, Adolescents, and Young Adults with Liver Tumors. The treatment and techniques used here are well established in adults.

The purpose of this study is to evaluate:

  1. the response to treatment and clinical outcomes of treatment with TARE Y-90 as part of standard therapy and
  2. to assess the change in the patient's quality of life before, during and after treatment with TARE-Y90
Read the detailed description
  • Referral to Nemours Liver Tumor Program is made by the primary team (oncologist/surgeon).
  • Phone discussion between the Nemours Liver Tumor Program Team will occur with the referring team about the patient.
  • Phone call between the Nemours Liver Tumor Program Team and the family will occur prior to any visit to discuss the potential plan of care and the basics of the TARE-Y90 procedure and the Quality of Life surveys.

Review of medical records provided by referring institution will be done by the Nemours Liver Tumor Program Team including:

History, Scans-actual imaging required, Path report-slide submission required, Roadmaps, Labs, Other pertinent medical history and records

-Visit to Nemours/AI DuPont Children's Hospital for initial consultation will be arranged by the Nemours Liver Tumor Program Team.

The patient and family will meet with the team including:

Liver transplant surgeon (Dr Dunn), Interventional Radiologist (Dr Aguado), Social worker, Child life specialist, Pediatric oncologist (Dr Gresh - on site, Dr Katzenstein by telemedicine)

  • Attempt will be made to schedule the pre-planning angiogram as part of initial visit (2nd day of visit). The angiogram requires the following 3-4 hours (mapping of blood vessels in and around tumor - determines whether patient can receive Y90, Angiogram is done with the patient sedated and having been after midnight the night before, The patient is expected to be discharged on the same day of the angiogram- no admit is planned but occasionally the patient may need overnight observation to occur due to age of the patient or the length of the procedure.
  • Return to home.
  • Potential additional single cycle of chemotherapy may be given prior to return to Nemours for Y90.

All further Chemotherapy Care is coordinated with Nemours Liver Tumor oncologists

-A 2nd visit to AIDHC will occur for TARE-Y90 treatment: The procedure lasts about 2-3 hours. There is no planned admit but possible if any problems occur.

  • 2 weeks post procedure a phone call follow-up after treatment will occur with the Nemours team
  • 2 weeks post procedure the patient may resume chemotherapy when cleared by the Nemours team
  • 4-6 weeks post Y90 treatment - a repeat CT/MRI will be done as well as lab tests.
  • If possible, the CT/MRI to be done at AIDHC/Nemours but can be done locally if travel barriers exist.
  • If the tumor is now resectable, planning will be made for resection at AIDHC/Nemours.
  • Evaluation and change of HRQOL survey responses will be performed at baseline (time of treatment) and 1, 6, 12 months and 5 years post-treatment. These surveys will be done by phone, mail or email. Responses will be captured and entered into a REDCAP database
Being tested
Quality of Life Assessment, Transarterial Radioembolization
Keywords
Hepatoblastoma, Hepatocellular carcinoma, Rhabdoid tumor of the liver, Undifferentiated sarcoma of the liver, Liver transplant, unresectable, yttrium 90, Y90, radioembolization, resection, pediatric, cancer, liver tumor
Medical subject headings
Hepatoblastoma, Carcinoma, Hepatocellular, Disorders of Sex Development, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Quality of Life AssessmentBehavioural

    Evaluation of change of HRQOL survey responses will be performed:

    • at baseline (time of treatment) and
    • 1 month post treatment
    • 6 months post treatment
    • 12 months post treatment
    • 5 years post-treatment

    The HRQOL will be done by phone, mail or email. Responses will be captured and entered into a REDCAP database

  • Transarterial RadioembolizationRadiation

    Deliver catheter directed yttrium-90 directly to liver tumors and assess -Progression Free Survival - Local and Metastatic

    • Local Tumor Response by calculating the decreases in tumor size and enhancement after treatment. This will be assessed by modified Response Evaluation Criteria for Solid Tumors (mRECIST).
    • Resection Rate following treatment
    • Transplant Rate following treatment
    • Histologic Response by assessing tumor histopathology in patients who undergo tumor resection or liver transplant
    • Biologic Response by monitoring serum tumor markers (e.g. alphafetoprotein-AFP) in AFP secreting tumors
    • Review of clinical course post-treatment-rehospitalization rate
Study groups in NCT04315883
Study groupRoleWhat they receive
Standard TreatmentEvaluation of change of HRQOL survey responses will be performed: * at baseline (time of treatment) and * 1 month post treatment * 6 months post treatment * 12 months post treatment * 5 years post-treatment The HRQOL will be done by phone, mail or email. Responses will be captured and entered into a REDCAP database
Receives: Behavioral: Quality of Life Assessment; Radiation: Transarterial Radioembolization

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Determine the impact of TARE-Y90 treatment on health related quality of life (HRQOL)

    Evaluation of change of HRQOL survey responses will be performed:

    -at baseline (time of treatment)

    The HRQOL will be done by phone, mail or email. Responses will be captured and entered into a REDCAP database

    Measured: Assessed at baseline/time of treatment

  2. Determine the impact of TARE-Y90 treatment on health related quality of life (HRQOL)

    Evaluation of change of HRQOL survey responses will be performed:

    • 1 month post treatment

    The HRQOL will be done by phone, mail or email. Responses will be captured and entered into a REDCAP database

    Measured: Assessed at 1 month post therapy

  3. Determine the impact of TARE-Y90 treatment on health related quality of life (HRQOL)

    Evaluation of change of HRQOL survey responses will be performed:

    • 6 months post treatment

    The HRQOL will be done by phone, mail or email. Responses will be captured and entered into a REDCAP database

    Measured: Assessed at 6 months post therapy

  4. Determine the impact of TARE-Y90 treatment on health related quality of life (HRQOL)

    Evaluation of change of HRQOL survey responses will be performed:

    • 12 months post treatment

    The HRQOL will be done by phone, mail or email. Responses will be captured and entered into a REDCAP database

    Measured: Assessed at 12 months post therapy

  5. Determine the impact of TARE-Y90 treatment on health related quality of life (HRQOL)

    Evaluation of change of HRQOL survey responses will be performed:

    • 5 years post-treatment

    The HRQOL will be done by phone, mail or email. Responses will be captured and entered into a REDCAP database

    Measured: Assessed at 5 years post therapy

  6. Evaluate the efficacy and clinical utility of TARE-Y90 by examining 2 year survival

    Deliver catheter directed yttrium-90 directly to liver tumors and assess -Progression Free Survival - Local and Metastatic

    -

    Measured: Patients will be assessed at 2 years post therapy

  7. Evaluate the efficacy and clinical utility of TARE-Y90 by examining 5 year survival

    Deliver catheter directed yttrium-90 directly to liver tumors and assess -Progression Free Survival - Local and Metastatic

    Measured: Patients will be assessed at 5 years post therapy

  8. Evaluate the efficacy and clinical utility of TARE-Y90 by examining local tumor response

    Deliver catheter directed yttrium-90 directly to liver tumors and assess

    -Local Tumor Response by calculating the decreases in tumor size and enhancement after treatment. This will be assessed by modified Response Evaluation Criteria for Solid Tumors (mRECIST).

    Measured: Patients will be assessed at the end of treatment which is typically 2-4 months following treatment

  9. Evaluate the efficacy and clinical utility of TARE-Y90 by examining resection rate

    Deliver catheter directed yttrium-90 directly to liver tumors and assess

    -Resection Rate following treatment

    Measured: Patients will be assessed at the end of treatment which is typically 2-4 months following treatment.

  10. Evaluate the efficacy and clinical utility of TARE-Y90 by examining Transplant rate

    Deliver catheter directed yttrium-90 directly to liver tumors and assess

    -Transplant Rate following treatment

    Measured: Patients will be assessed at the end of treatment which is typically 2-4 months following treatment.

  11. Evaluate the efficacy and clinical utility of TARE-Y90 by examining histologic response

    Deliver catheter directed yttrium-90 directly to liver tumors and assess

    -Histologic Response by assessing tumor histopathology in patients who undergo tumor resection or liver transplant

    Measured: Patients will be assessed at the end of treatment which is typically 2-4 months following treatment.

  12. Evaluate the efficacy and clinical utility of TARE-Y90 by examining biologic response

    Deliver catheter directed yttrium-90 directly to liver tumors and assess

    -Biologic Response by monitoring serum tumor markers (e.g. alphafetoprotein-AFP) in AFP secreting tumors

    Measured: Patients will be assessed at the end of treatment which is typically 2-4 months following treatment.

  13. Evaluate the efficacy and clinical utility of TARE-Y90 by examining clinical course

    Deliver catheter directed yttrium-90 directly to liver tumors and assess

    -Review of clinical course post-treatment-rehospitalization rate

    Measured: Patients will be assessed at the end of treatment which is typically 2-4 months following treatment.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Mar 2020
  2. Study start11 Feb 2021
  3. Primary completion28 Mar 2024
  4. Study completion28 Mar 2024

Why it stopped: PI left organization and discontinued study

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
3 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04315883
Sponsor's protocol ID
NEMOURS TARE-Y90: ST1901
Status last verified
Jun 2024
First submitted
2 Mar 2020
Last updated
12 Jun 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Aguado A, Ristagno R, Towbin AJ, Gupta A, Haberle S, Qi Z, Patel MN, Kukreja KU, Tiao GM, Geller JI. Transarterial radioembolization with yttrium-90 of unresectable primary hepatic malignancy in children. Pediatr Blood Cancer. 2019 Jul;66(7):e27510. doi: 10.1002/pbc.27510. Epub 2018 Nov 8.

    PubMed 30406959

Questions about this trial

What is this clinical trial studying?

An observational study of Hepatoblastoma and Hepatocellular Carcinoma, run by Nemours Children's Clinic at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 12 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: PI left organization and discontinued study). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Determine the impact of TARE-Y90 treatment on health related quality of life (HRQOL) (time frame: Assessed at baseline/time of treatment). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04315883, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jun 2024.

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