Clinical trial · Interventional
Stereotactic Radiation Therapy in Treating Patients With Advanced Liver Cancer
Feasibility of Hypofractionated Stereotactic Radiotherapy in Patients With Hepatocellular Carcinoma
NCT00607828CI-TRIAL-00082182completedN/AResults postedClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This is a phase I trial studying the side effects and best dose of stereotactic radiation therapy (SRT) in treating patients with advanced liver cancer. Stereotactic radiation therapy may be able to send x-rays directly to the tumor and cause less damage to normal tissue.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Liver Cancer | Malignant Liver Neoplasm | CURATED_EXACT | 0.92 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| stereotactic body radiation therapy | Radiation | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Hypofractionated stereotactic radiotherapy (SRT)
- description
- All patients who have had successful implantation of a liver marker will undergo a 4D CT scan for planning SRT. Following transfer to the treatment planning system, the CT scan may be correlated by imaging fusion with MRI for contouring integrated tumor volume (ITV). The planning target volume (PTV) will be defined as ITV plus individualized margins which are determined by a 4D CT scan. Novalis with 6MV photons will be used for imaging guided SRT. Cohorts of 3-6 patients will receive SRT at daily doses of 8, 10, 12, 14 Gy within 2 weeks. The starting daily dose level will be 10 Gy. The marker will be localized by orthogonal X-ray to ensure reproducibility. A continuous respiratory gating will be accomplished with ExacTrac Adaptive Gating system if the required planning target margin is larger than 1 cm based on the 4D CT data.
- interventionNames
- Radiation: stereotactic body radiation therapy
Primary outcomes (1)
- measure
- The Safety of Hypofractionated Stereotactic Radiotherapy in Patients With Advanced Hepatocellular Carcinoma
- timeFrame
- Up to 1 month after Stereotactic Radiation Therapy (SRT) treatment
- description
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 19 Years
- Maximum age
- 120 Years
Show eligibility criteria text
Inclusion Criteria: * Histologically or cytologically confirmed advanced hepatocellular carcinoma (HCC) * Measurable disease, defined as ≥ 1 unidimensionally target lesion that can be accurately measured by CT scan or MRI according to RECIST and must have a maximum diameter ≤ 8 cm * Child-Pugh class A-B cirrhotic status * Karnofsky performance status 60-100% * Life expectancy ≥ 12 weeks * White blood cell count (WBC) ≥ 2,000/μL * Platelet count ≥ 60,000/mm³ * Hemoglobin ≥ 8.5 g/dLINR ≤ 2.3 * More than 6 months since prior myocardial infarction * Prior systemic chemotherapy allowed * At least 6 weeks since prior non-radiation local therapy (e.g., surgery, hepatic arterial therapy, chemoembolization, radiofrequency ablation, percutaneous ethanol injection, or cryoablation) * Concurrent therapeutic anticoagulation (e.g., warfarin or heparin) allowed provided that no prior evidence of underlying abnormality in Prothrombin time (PT/INR) and partial thromboplastin time (PTT) exists Exclusion Criteria: * No known central nervous system (CNS) tumors, including metastatic brain disease * No malignancy within the past 3 years that is distinct in its primary site or histology from HCC, except for carcinoma in situ of the cervix, treated basal cell carcinoma, or superficial bladder tumors (i.e., Ta, Tis, and T1), or any other cancer that has been curatively treated \> 3 years prior to study entry * No renal failure requiring hemodialysis or peritoneal dialysis * No uncontrolled intercurrent illness including, but not limited to, any of the following: * Ongoing or active infection \> grade 2 * New York Heart Association (NYHA) class II-IV congestive heart failure * Active coronary artery disease * Cardiac arrhythmias requiring anti-arrhythmic therapy other than beta blockers or digoxin * Uncontrolled hypertension * Condition that could jeopardize the safety of the patient or study compliance * No history of variceal bleeding where the varices have not been eradicated or decompressed by shunt placement * No condition that would prevent the patient from undergoing marker implantation * Not pregnant or nursing/negative pregnancy test * No substance abuse, medical, psychological, or social condition that may interfere with the patient's participation in the study or evaluation of the study results * No prior radiotherapy to the liver
References
Publications (0)
Data not yet available
No reference posted for this study.