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Hepatocellular Carcinoma (HCC)Phase 2BEAT-UT7NCT06773845

Building Evidence for Ablative Internal Radiation Therapy in Localized HCC Beyond the Up-To-7 Criteria

A Phase 2 study testing TheraSphere in people with Hepatocellular Carcinoma (HCC) and Radioembolization, run by Seoul National University Hospital at 8 sites in South Korea.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

At four major centers in Korea, patients with hepatocellular carcinoma (HCC) that exceed the up-to-7 criteria yet remain locally confined will undergo ablative radioembolization using Yttrium-90 glass microspheres, guided by a standardized dosimetry method. Read more about this study

Who is it for?
Ages 19 years and older
What is being tested?
TheraSphere
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
8 sitesSouth Korea
Study dates
11 Mar 2025to 31 Dec 2030
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 19 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult aged 19 and over
  • HCC diagnosed by histology or non-invasive criteria of the American Association for the Study of Liver Disease
  • Unresectable HCC beyond the UT7 criteria: the sum of the diameter of the largest tumor (cm) and the number of tumors > 7
  • Localized HCC: all tumors are in the one to five geographically adjacent Couinaud segments
  • No current or previous HCC in the untreated liver (i.e., future liver remnant [FLR])
  • FLR volume > 30% of total non-tumorous liver volume
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  • Child-Pugh class A
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
  • No major organ dysfunction according to blood test performed within two months of study enrollment:
  • Leukocytes ≥ 2,000/µL and ≤ 15,000/µL
  • Hemoglobin ≥ 8.0 g/dL (transfusion allowed to meet this criterion)
  • Total bilirubin ≤ 2.0 mg/dL
  • Platelet ≥ 40,000/µL
  • International normalized ratio (INR) ≤ 2.0 for patients not taking anticoagulants
  • Aspartate transaminase (AST) ≤ 200 IU/L (i.e., ≤ 5X upper normal limit)
  • Alanine transaminase (ALT) ≤ 200 IU/L (i.e., ≤ 5X upper normal limit)
  • Creatinine ≤ 2.5 mg/dL
  • Patients with a life expectancy of more than 3 months
  • For women of childbearing age, a negative serum pregnancy test
  • Patients who have adequately understood the clinical trial and consented in writing

Who cannot join

  • HCC with vascular invasion and/or bile duct invasion on dynamic computed tomography (CT) or magnetic resonance imaging (MRI)
  • HCC with extrahepatic spread on chest CT and abdominal CT or MRI
  • Multinodular disseminated HCC: largest tumor size < 6 cm, or number of tumors > 10
  • Patients who are not suitable for ablative radioembolization as indicated by pre-treatment mapping with 99mTc-macroaggregated albumin (MAA):
  • Cases where the estimated lung dose exceeds 30 Gy when 350 Gy of tumor absorbed dose is administered to the tumor based on the multicompartment Medical Internal Radiation Dose (MIRD) model
  • Cases with severe hepatic artery-portal vein shunting that might lead to irradiation of the non-tumorous liver segments
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  • Cases where the operator determines that there is substantial adhesion with the surrounding organs such as the bowel, making ablative radioembolization infeasible
  • Cases where the operator judges that the occurrence of even mild radiation pneumonitis could be fatal, based on marked emphysema or interstitial lung disease findings on chest CT
  • Patients who have had active cancer within the last two years prior to the study enrollment
  • History of severe allergy of intolerance to contrast agents
  • Contraindication to angiography or selective visceral catheterization

Trial locations and contacts

8 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Mina Lee contact

mina.lee@bsci.com

8 sites in 1 country

South Korea8 sites, 8 recruiting
  • Hallym University Sacred Heart Hospital

    Anyang-si, Gyeonggi-do, 14068

    Lyo Min Kwon, +82 313803880, lyominkwon@hallym.or.kr

    Lyo Min Kwon, MD

    Recruiting
  • Gangneung Asan Hospital

    Gangneung, Gangwon-do, 25440

    Young Jong Cho, MD, +82 336103114, ohggamja@gmail.com

    Young Jong Cho, MD

    Recruiting
  • National Cancer Center

    Ilsan, Gyeonggi-do, 10408

    In Joon Lee, MD, PhD, +82 319200114, 2injoon@hanmail.net

    In Joon Lee, MD, PhD

    Recruiting
  • Seoul National University Bundang Hospital

    Seongnam-si, Gyeonggi-do, 13620

    Gun Young Kim, MD, +82 317871262, kky2kkw@gmail.com

    Gun Young Kim, MD, PhD

    Recruiting
  • Seoul National University Hospital

    Seoul, 03080

    Hyun Hee Lee, +82 220724177, redlion55@snu.ac.kr

    Jin Woo Choi, MD, PhD

    Recruiting
  • Severance Hospital

    Seoul, 03722

    Gyoung Min Kim, MD, PhD, + 82 222288352, kimgm@yonsei.ac.kr

    Gyoung Min Kim, MD, PhD

    Recruiting
  • Seoul Asan Hospital

    Seoul, 05505

    Sori Park, +82 230104359, 96sorisori@gmail.com

    Dong Il Gwon, MD, PhD

    Not yet recruiting
  • Samsung Medical Center

    Seoul, 06351

    Ji Hye Seong, +82 260075468, jh0331.seong@sbri.co.kr

    Dongho Hyun, MD, PhD

    Recruiting

Other trials in South Korea

About this study

Official title: Building Evidence for Ablative Internal Radiation Therapy Using Yttrium-90 Glass Microspheres in Localized Hepatocellular Carcinoma Beyond the Up-To-7 Criteria

At four major centers in Korea, patients with hepatocellular carcinoma (HCC) that exceed the up-to-7 criteria yet remain locally confined will undergo ablative radioembolization using Yttrium-90 glass microspheres, guided by a standardized dosimetry method. Their treatment response, survival outcomes, and adverse events will be monitored for two years following the procedure.

Read the detailed description

This prospective, multi-center, open-label, single-arm, phase II clinical trial aims to evaluate the efficacy and safety of ablative radioembolization in patients with hepatocellular carcinoma (HCC) that exceeds the up-to-seven (UT7) criteria but is confined to up to five geographically adjacent Couinaud segments. The primary endpoint is the objective response rate, assessed according to the modified Response Evaluation Criteria in Solid Tumors (mRECIST).

All patients will receive ablative radioembolization using Yttrium-90 glass microspheres with a personalized dosimetry approach targeting a tumor dose of 700 Gy (±50%). In cases of high tumor burden, a second radioembolization within 180 days of the initial procedure will be permitted at the operators' discretion, provided the cumulative lung dose remains below 50 Gy. Follow-up evaluations, including laboratory tests and dynamic imaging, will be performed at 4 weeks post-treatment and every 3 months thereafter for a total of 2 years. Efficacy data-including tumor response and survival-will be collected, with tumor responses evaluated by both site investigators and a blinded independent central review. Adverse events will be documented and graded according to the Common Terminology Criteria for Adverse Events v5.0. In addition, the incidence of radioembolization-induced liver disease and radiation pneumonitis will be monitored for 6 months following the procedure.

Being tested
TheraSphere
Keywords
Hepatocellular carcinoma, Radioembolization, SIRT
Medical subject headings
Carcinoma, Hepatocellular

What participants receive

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

  • TheraSphereDevice

    Also called Y90 glass microsphere

    The multicompartment MIRD model (a.k.a. partition model) based on diagnostic CT/MRI and 99mTc-MAA SPECT-CT will be used to plan a targeted dose of 700 Gy (± 50%) to the tumor. Given the high tumor burden, a scheduled second radioembolization within 120 days from the initial treatment will be permitted at the discretion of the operators provided the cumulative lung dose remains below 50 Gy. A scheduled second radioembolization may be considered when the largest tumor diameter exceeds 8 cm, or the estimated lung dose reaches 30 Gy while the tumor absorbed dose remains below the target dose of 700 Gy. The radioactive microsphere delivery device used will be glass-based (TheraSphere; Boston Scientific, MA, USA), in which Y90 is an integral constituent of the biocompatible glass matrix. Dosimetry planning will be made by personalized dosimetry software (Simplicit90y; Boston Scientific).

Study groups in NCT06773845
Study groupRoleWhat they receive
RadioembolizationExperimentalAblative radioembolization using Yttrium-90 glass microspheres
Receives: Device: TheraSphere

What is being measured

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

  1. Objective response rate (ORR) according to the mRECIST

    The number of patients with partial or complete response accroding to the mRECIST as the best response, divided by the total number of participants (%)

    Measured: Time of treatment up to subsequent anti-cancer therapy, participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled)

Secondary outcomes (15)
  1. ORR according to the RECIST 1.1

    The number of patients with partial or complete response according to the RECIST 1.1 as the best response, divided by the total number of participants (%)

    Measured: Time of treatment up to subsequent anti-cancer therapy, participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled)

  2. ORR according to localized mRECIST and RECIST 1.1

    The number of patients with partial or complete response as the best response, divided by the total number of participants (%). In the localized mRECIST and RECIST 1.1, the tumor response is assessed only within radioembolization-treated area.

    Measured: Time of treatment up to subsequent anti-cancer therapy, participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled)

  3. Duration of response according to mRECIST, localized mRECIST, and RECIST 1.1

    The time from the first documentation of partial or complete response to the first occurrence of progressive disease, death from any cause, or receipt of subsequent anticancer treatment, whichever comes first.

    Measured: Time of response up to progression, subsequent anti-cancer therapy, participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled)

  4. Overall survival rate

    Measured: Time of treatment up to participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled)

  5. Progression-free survival rates according to mRECIST, localized mRECIST, and RECIST 1.1

    Measured: Time of treatment up to progression, subsequent anti-cancer therapy, participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled)

  6. Time-to-progression according to mRECIST, localized mRECIST, and RECIST 1.1

    Measured: Time of treatment up to progression, subsequent anti-cancer therapy, participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled).

  7. Major pathologic response rate (%) after surgical resection or liver transplantation

    The number of patients with major pathologic response of the largest tumor after surgical resection or liver transplantation, divided by the total number of participants who received surgical resection or liver transplanation (%). Major pathologic response refers to ≥ 90% of pathologic necrosis of the largest resected tumor

    Measured: Time of treatment up to subsequent anti-cancer therapy, participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled)

  8. Curative conversion rate

    Curative conversion: resection, liver transplantation, or percutaneous ablation

    Measured: Time of treatment up to subsequent anti-cancer therapy, participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled)

  9. Sustainable complete response rate according to mRECIST more than 1 year

    Measured: Time of treatment up to subsequent anti-cancer therapy, participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled)

  10. Locoregional treatment unsuitability rate

    LRT unsuitability will be determined if any of the following criteria are met.

    • Lack of objective response after two sessions of intra-arterial treatments
    • Development of new HCC within the treatment zone
    • Development of vascular invasion within the treatment zone
    • Development of extrahepatic spread

    Measured: Time of treatment up to subsequent anti-cancer therapy, participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled)

  11. Time to and reason for subsequent HCC treatment

    Measured: Time of treatment up to subsequent anti-cancer therapy, participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled)

  12. Threshold tumor absorbed dose (Gy) to predict radiologic complete response and objective response as the best response by localized mRECIST

    Measured: Time of treatment up to subsequent anti-cancer therapy, participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled)

  13. Adverse event and serious adverse event according to CTCAE v5.0

    Measured: Time of treatment up to subsequent anti-cancer therapy, participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled)

  14. The presence or absence of radiation pneumonitis diagnosed by chest simple X-ray or CT

    Measured: Time of treatment up to 180 days after the initial treatment or subsequent anticancer treatment, whichever comes first

  15. The presence or absence of radioembolization-induced liver disease

    Measured: Time of treatment up to 180 days after the initial treatment or subsequent anticancer treatment, whichever comes first

Timeline

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

  1. First posted14 Jan 2025
  2. Study start11 Mar 2025
  3. Primary completion31 Dec 2028 (estimated)
  4. Study completion31 Dec 2030 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06773845
Sponsor's protocol ID
2412-135-1601
Acronym
BEAT-UT7
Status last verified
Aug 2026
First submitted
7 Jan 2025
Last updated
20 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing TheraSphere in people with Hepatocellular Carcinoma (HCC) and Radioembolization, run by Seoul National University Hospital at 8 sites in South Korea.

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 20 inclusion and 11 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: looking for participants now, as of the sponsor's last update on 20 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in South Korea. 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.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Hyun Hee Lee (+82 220724177, redlion55@snu.ac.kr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Objective response rate (ORR) according to the mRECIST (time frame: Time of treatment up to subsequent anti-cancer therapy, participant's death, opposition to data collection, lost to follow-up, or study termination (24 months after the last patient is enrolled)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 20 Aug 2026.

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