search
Back to results

Therasphere® for Treatment of Unresectable Primary Liver Cancer and Metastatic Liver Cancer

Primary Purpose

Carcinoma, Hepatocellular, Neoplasm Metastasis

Status
No longer available
Phase
Locations
United States
Study Type
Expanded Access
Intervention
yttrium Y 90 microspheres (Therasphere®)
Sponsored by
Leo W. Jenkins Cancer Center
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an expanded access trial for Carcinoma, Hepatocellular

Eligibility Criteria

19 Years - undefined (Adult, Older Adult)All Sexes

Inclusion Criteria:

  • Confirmed diagnosis of primary or metastatic intrahepatic carcinoma
  • The cancer must be unresectable with limited established treatment options
  • ECOG Performance Status Score 0-2
  • Age 19 years or older
  • Able to comprehend and provide written informed consent

Exclusion Criteria:

  • Any pre-treatment laboratory findings within 15 days of treatment demonstrating:
  • Absolute granulocyte count ≤ 1,500/ul
  • Platelet count ≤ 75,000/ul
  • Serum creatinine > 2.0 mg/dl
  • Serum bilirubin ≥ 2.0 mg/dl
  • Any of the following contraindications to angiography and selective visceral catheterization:
  • History of severe allergy or intolerance to any contrast media, narcotics, sedatives, or atropine
  • Bleeding, diathesis, not correctable by usual forms of therapy
  • Severe peripheral vascular disease that would preclude catheterization
  • Substantial venous shunt away from the liver
  • Evidence of potential delivery of greater than 11 mCi (20 Gy absorbed dose) of radiation to the lungs on either 1) first Therasphere® administration; or 2) cumulative delivery of radiation to the lungs over multiple treatments
  • Evidence of any detectable Tc-99 MAA flow to the stomach or duodenum, application of established angiographic techniques to stop such flow
  • Significant extrahepatic disease representing an imminent life- threatening situation outcome
  • Severe liver dysfunction or pulmonary insufficiency
  • Active uncontrolled infection
  • Significant underlying medical or psychiatric illness
  • Pregnant women may not participate

Sites / Locations

  • Leo W Jenkins Cancer Center at East Carolina University School of Medicine

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
June 17, 2008
Last Updated
August 22, 2017
Sponsor
Leo W. Jenkins Cancer Center
search

1. Study Identification

Unique Protocol Identification Number
NCT00701168
Brief Title
Therasphere® for Treatment of Unresectable Primary Liver Cancer and Metastatic Liver Cancer
Official Title
A Humanitarian Device Exemption Use Protocol of Therasphere® for Treatment of Unresectable Hepatocellular and Metastatic Liver Tumors - HDE #980006
Study Type
Expanded Access

2. Study Status

Record Verification Date
August 2017
Overall Recruitment Status
No longer available
Study Start Date
undefined (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Leo W. Jenkins Cancer Center

4. Oversight

5. Study Description

Brief Summary
The purpose of this protocol is to provide supervised and limited access to Therasphere® treatment for patients with primary liver cancer and chemotherapy refractory liver metastasis who cannot be treated by surgical removal of the affected part of the liver. Patient response to treatment and any side effects of Therasphere® treatment will be examined.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Carcinoma, Hepatocellular, Neoplasm Metastasis

7. Study Design

8. Arms, Groups, and Interventions

Intervention Type
Device
Intervention Name(s)
yttrium Y 90 microspheres (Therasphere®)
Intervention Description
This is a local therapy for unresectable liver tumors with limited treatment options. It may be repeated under special circumstances.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Eligibility Criteria
Inclusion Criteria: Confirmed diagnosis of primary or metastatic intrahepatic carcinoma The cancer must be unresectable with limited established treatment options ECOG Performance Status Score 0-2 Age 19 years or older Able to comprehend and provide written informed consent Exclusion Criteria: Any pre-treatment laboratory findings within 15 days of treatment demonstrating: Absolute granulocyte count ≤ 1,500/ul Platelet count ≤ 75,000/ul Serum creatinine > 2.0 mg/dl Serum bilirubin ≥ 2.0 mg/dl Any of the following contraindications to angiography and selective visceral catheterization: History of severe allergy or intolerance to any contrast media, narcotics, sedatives, or atropine Bleeding, diathesis, not correctable by usual forms of therapy Severe peripheral vascular disease that would preclude catheterization Substantial venous shunt away from the liver Evidence of potential delivery of greater than 11 mCi (20 Gy absorbed dose) of radiation to the lungs on either 1) first Therasphere® administration; or 2) cumulative delivery of radiation to the lungs over multiple treatments Evidence of any detectable Tc-99 MAA flow to the stomach or duodenum, application of established angiographic techniques to stop such flow Significant extrahepatic disease representing an imminent life- threatening situation outcome Severe liver dysfunction or pulmonary insufficiency Active uncontrolled infection Significant underlying medical or psychiatric illness Pregnant women may not participate
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Suzanne Russo, MD
Organizational Affiliation
East Carolina University School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Leo W Jenkins Cancer Center at East Carolina University School of Medicine
City
Greenville
State/Province
North Carolina
ZIP/Postal Code
27834
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
2549567
Citation
Houle S, Yip TK, Shepherd FA, Rotstein LE, Sniderman KW, Theis E, Cawthorn RH, Richmond-Cox K. Hepatocellular carcinoma: pilot trial of treatment with Y-90 microspheres. Radiology. 1989 Sep;172(3):857-60. doi: 10.1148/radiology.172.3.2549567.
Results Reference
background
PubMed Identifier
2813766
Citation
Andrews JC, Walker-Andrews SC, Juni JE, Warber S, Ensminger WD. Modulation of liver tumor blood flow with hepatic arterial epinephrine: a SPECT study. Radiology. 1989 Dec;173(3):645-7. doi: 10.1148/radiology.173.3.2813766.
Results Reference
background
PubMed Identifier
3345490
Citation
Wollner I, Knutsen C, Smith P, Prieskorn D, Chrisp C, Andrews J, Juni J, Warber S, Klevering J, Crudup J, et al. Effects of hepatic arterial yttrium 90 glass microspheres in dogs. Cancer. 1988 Apr 1;61(7):1336-44. doi: 10.1002/1097-0142(19880401)61:73.0.co;2-k.
Results Reference
background
PubMed Identifier
6225839
Citation
Ziessman HA, Thrall JH, Gyves JW, Ensminger WD, Niederhuber JE, Tuscan M, Walker S. Quantitative hepatic arterial perfusion scintigraphy and starch microspheres in cancer chemotherapy. J Nucl Med. 1983 Oct;24(10):871-5.
Results Reference
background
PubMed Identifier
3873830
Citation
Nakamura H, Tanaka M, Oi H. Hepatic embolization from the common hepatic artery using balloon occlusion technique. AJR Am J Roentgenol. 1985 Jul;145(1):115-6. doi: 10.2214/ajr.145.1.115. No abstract available.
Results Reference
background
PubMed Identifier
217565
Citation
Wellwood JM, Cady B, Oberfield RA. Treatment of primary liver cancer: response to regional chemotherapy. Clin Oncol. 1979 Mar;5(1):25-31. No abstract available.
Results Reference
background
PubMed Identifier
6257376
Citation
Reed ML, Vaitkevicius VK, Al-Sarraf M, Vaughn CB, Singhakowinta A, Sexon-Porte M, Izbicki R, Baker L, Straatsma GW. The practicality of chronic hepatic artery infusion therapy of primary and metastatic hepatic malignancies: ten-year results of 124 patients in a prospective protocol. Cancer. 1981 Jan 15;47(2):402-9. doi: 10.1002/1097-0142(19810115)47:23.0.co;2-b.
Results Reference
background
PubMed Identifier
1353202
Citation
Dusheiko GM, Hobbs KE, Dick R, Burroughs AK. Treatment of small hepatocellular carcinomas. Lancet. 1992 Aug 1;340(8814):285-8. doi: 10.1016/0140-6736(92)92367-o.
Results Reference
background
PubMed Identifier
1645890
Citation
Kirk S, Blumgart R, Craig B, Rosen A, Terblanche J, Spence RA. Irresectable hepatoma treated by intrahepatic iodized oil doxorubicin hydrochloride: initial results. Surgery. 1991 Jun;109(6):694-7.
Results Reference
background
PubMed Identifier
8389154
Citation
Ravoet C, Bleiberg H, Gerard B. Non-surgical treatment of hepatocarcinoma. J Surg Oncol Suppl. 1993;3:104-11. doi: 10.1002/jso.2930530529.
Results Reference
background
PubMed Identifier
2164435
Citation
Audisio RA, Doci R, Mazzaferro V, Bellegotti L, Tommasini M, Montalto F, Marchiano A, Piva A, DeFazio C, Damascelli B, et al. Hepatic arterial embolization with microencapsulated mitomycin C for unresectable hepatocellular carcinoma in cirrhosis. Cancer. 1990 Jul 15;66(2):228-36. doi: 10.1002/1097-0142(19900715)66:23.0.co;2-g.
Results Reference
background
PubMed Identifier
2472878
Citation
Ichihara T, Sakamoto K, Mori K, Akagi M. Transcatheter arterial chemoembolization therapy for hepatocellular carcinoma using polylactic acid microspheres containing aclarubicin hydrochloride. Cancer Res. 1989 Aug 1;49(15):4357-62.
Results Reference
background
PubMed Identifier
8635087
Citation
Stuart KE, Anand AJ, Jenkins RL. Hepatocellular carcinoma in the United States. Prognostic features, treatment outcome, and survival. Cancer. 1996 Jun 1;77(11):2217-22. doi: 10.1002/(SICI)1097-0142(19960601)77:113.0.CO;2-M.
Results Reference
background
PubMed Identifier
2449110
Citation
Di Bisceglie AM, Rustgi VK, Hoofnagle JH, Dusheiko GM, Lotze MT. NIH conference. Hepatocellular carcinoma. Ann Intern Med. 1988 Mar;108(3):390-401. doi: 10.7326/0003-4819-108-3-390.
Results Reference
background
PubMed Identifier
2831150
Citation
Kassianides C, Kew MC. The clinical manifestations and natural history of hepatocellular carcinoma. Gastroenterol Clin North Am. 1987 Dec;16(4):553-62.
Results Reference
background
PubMed Identifier
8380396
Citation
Gores GJ, Steers JL. Progress in orthotopic liver transplantation for hepatocellular carcinoma. Gastroenterology. 1993 Jan;104(1):317-20. doi: 10.1016/0016-5085(93)90868-d. No abstract available.
Results Reference
background
PubMed Identifier
8611095
Citation
Marcos-Alvarez A, Jenkins RL, Washburn WK, Lewis WD, Stuart KE, Gordon FD, Kane RA, Clouse ME. Multimodality treatment of hepatocellular carcinoma in a hepatobiliary specialty center. Arch Surg. 1996 Mar;131(3):292-8. doi: 10.1001/archsurg.1996.01430150070014.
Results Reference
background
PubMed Identifier
8594428
Citation
Mazzaferro V, Regalia E, Doci R, Andreola S, Pulvirenti A, Bozzetti F, Montalto F, Ammatuna M, Morabito A, Gennari L. Liver transplantation for the treatment of small hepatocellular carcinomas in patients with cirrhosis. N Engl J Med. 1996 Mar 14;334(11):693-9. doi: 10.1056/NEJM199603143341104.
Results Reference
background
PubMed Identifier
7740811
Citation
Selby R, Kadry Z, Carr B, Tzakis A, Madariaga JR, Iwatsuki S. Liver transplantation for hepatocellular carcinoma. World J Surg. 1995 Jan-Feb;19(1):53-8. doi: 10.1007/BF00316980.
Results Reference
background
PubMed Identifier
8201395
Citation
Venook AP. Treatment of hepatocellular carcinoma: too many options? J Clin Oncol. 1994 Jun;12(6):1323-34. doi: 10.1200/JCO.1994.12.6.1323.
Results Reference
background
PubMed Identifier
6306834
Citation
Ramming KP. The effectiveness of hepatic artery infusion in treatment of primary hepatobiliary tumors. Semin Oncol. 1983 Jun;10(2):199-205. No abstract available.
Results Reference
background
PubMed Identifier
2831153
Citation
Nerenstone S, Friedman M. Medical treatment of hepatocellular carcinoma. Gastroenterol Clin North Am. 1987 Dec;16(4):603-12.
Results Reference
background
PubMed Identifier
10392950
Citation
Solomon B, Soulen MC, Baum RA, Haskal ZJ, Shlansky-Goldberg RD, Cope C. Chemoembolization of hepatocellular carcinoma with cisplatin, doxorubicin, mitomycin-C, ethiodol, and polyvinyl alcohol: prospective evaluation of response and survival in a U.S. population. J Vasc Interv Radiol. 1999 Jun;10(6):793-8. doi: 10.1016/s1051-0443(99)70117-x.
Results Reference
background
PubMed Identifier
13197542
Citation
BREEDIS C, YOUNG G. The blood supply of neoplasms in the liver. Am J Pathol. 1954 Sep-Oct;30(5):969-77. No abstract available.
Results Reference
background
PubMed Identifier
14498225
Citation
SCHENK WG Jr, McDONALD JC, McDONALD K, DRAPANAS T. Direct measurement of hepatic blood flow in surgical patients: with related observations on hepatic flow dynamics in experimental animals. Ann Surg. 1962 Sep;156(3):463-71. doi: 10.1097/00000658-196209000-00013. No abstract available.
Results Reference
background
PubMed Identifier
2441837
Citation
Sasaki Y, Imaoka S, Kasugai H, Fujita M, Kawamoto S, Ishiguro S, Kojima J, Ishikawa O, Ohigashi H, Furukawa H, et al. A new approach to chemoembolization therapy for hepatoma using ethiodized oil, cisplatin, and gelatin sponge. Cancer. 1987 Sep 15;60(6):1194-203. doi: 10.1002/1097-0142(19870915)60:63.0.co;2-t.
Results Reference
background
PubMed Identifier
8553668
Citation
Yamada R, Kishi K, Sato M, Sonomura T, Nishida N, Tanaka K, Shioyama Y, Terada M, Kimura M. Transcatheter arterial chemoembolization (TACE) in the treatment of unresectable liver cancer. World J Surg. 1995 Nov-Dec;19(6):795-800. doi: 10.1007/BF00299773.
Results Reference
background
PubMed Identifier
8244149
Citation
Madden MV, Krige JE, Bailey S, Beningfield SJ, Geddes C, Werner ID, Terblanche J. Randomised trial of targeted chemotherapy with lipiodol and 5-epidoxorubicin compared with symptomatic treatment for hepatoma. Gut. 1993 Nov;34(11):1598-600. doi: 10.1136/gut.34.11.1598.
Results Reference
background
PubMed Identifier
7708069
Citation
Groupe d'Etude et de Traitement du Carcinome Hepatocellulaire. A comparison of lipiodol chemoembolization and conservative treatment for unresectable hepatocellular carcinoma. N Engl J Med. 1995 May 11;332(19):1256-61. doi: 10.1056/NEJM199505113321903.
Results Reference
background
PubMed Identifier
2174933
Citation
Pelletier G, Roche A, Ink O, Anciaux ML, Derhy S, Rougier P, Lenoir C, Attali P, Etienne JP. A randomized trial of hepatic arterial chemoembolization in patients with unresectable hepatocellular carcinoma. J Hepatol. 1990 Sep;11(2):181-4. doi: 10.1016/0168-8278(90)90110-d.
Results Reference
background
PubMed Identifier
9620330
Citation
Bruix J, Llovet JM, Castells A, Montana X, Bru C, Ayuso MC, Vilana R, Rodes J. Transarterial embolization versus symptomatic treatment in patients with advanced hepatocellular carcinoma: results of a randomized, controlled trial in a single institution. Hepatology. 1998 Jun;27(6):1578-83. doi: 10.1002/hep.510270617.
Results Reference
background
PubMed Identifier
8661839
Citation
Uchida M, Kohno H, Kubota H, Hayashi T, Yamanoi A, Kimoto T, Ono T, Nagasue N. Role of preoperative transcatheter arterial oily chemoembolization for resectable hepatocellular carcinoma. World J Surg. 1996 Mar-Apr;20(3):326-31. doi: 10.1007/s002689900052.
Results Reference
background
PubMed Identifier
7694787
Citation
Stuart K, Stokes K, Jenkins R, Trey C, Clouse M. Treatment of hepatocellular carcinoma using doxorubicin/ethiodized oil/gelatin powder chemoembolization. Cancer. 1993 Dec 1;72(11):3202-9. doi: 10.1002/1097-0142(19931201)72:113.0.co;2-4.
Results Reference
background
PubMed Identifier
7564377
Citation
Berger DH, Carrasco CH, Hohn DC, Curley SA. Hepatic artery chemoembolization or embolization for primary and metastatic liver tumors: post-treatment management and complications. J Surg Oncol. 1995 Oct;60(2):116-21. doi: 10.1002/jso.2930600210.
Results Reference
background
PubMed Identifier
1847892
Citation
Vetter D, Wenger JJ, Bergier JM, Doffoel M, Bockel R. Transcatheter oily chemoembolization in the management of advanced hepatocellular carcinoma in cirrhosis: results of a Western comparative study in 60 patients. Hepatology. 1991 Mar;13(3):427-33.
Results Reference
background
PubMed Identifier
7985095
Citation
Perry LJ, Stuart K, Stokes KR, Clouse ME. Hepatic arterial chemoembolization for metastatic neuroendocrine tumors. Surgery. 1994 Dec;116(6):1111-6; discussion 1116-7.
Results Reference
background
PubMed Identifier
3667306
Citation
Ehrhardt GJ, Day DE. Therapeutic use of 90Y microspheres. Int J Rad Appl Instrum B. 1987;14(3):233-42. doi: 10.1016/0883-2897(87)90047-x.
Results Reference
background
PubMed Identifier
7063703
Citation
Mantravadi RV, Spigos DG, Tan WS, Felix EL. Intraarterial yttrium 90 in the treatment of hepatic malignancy. Radiology. 1982 Mar;142(3):783-6. doi: 10.1148/radiology.142.3.7063703. No abstract available.
Results Reference
background
PubMed Identifier
3174978
Citation
Herba MJ, Illescas FF, Thirlwell MP, Boos GJ, Rosenthall L, Atri M, Bret PM. Hepatic malignancies: improved treatment with intraarterial Y-90. Radiology. 1988 Nov;169(2):311-4. doi: 10.1148/radiology.169.2.3174978.
Results Reference
background
PubMed Identifier
2766018
Citation
Blanchard RJ, Morrow IM, Sutherland JB. Treatment of liver tumors with yttrium-90 microspheres alone. Can Assoc Radiol J. 1989 Aug;40(4):206-10.
Results Reference
background
PubMed Identifier
7931662
Citation
Andrews JC, Walker SC, Ackermann RJ, Cotton LA, Ensminger WD, Shapiro B. Hepatic radioembolization with yttrium-90 containing glass microspheres: preliminary results and clinical follow-up. J Nucl Med. 1994 Oct;35(10):1637-44.
Results Reference
background
PubMed Identifier
14268654
Citation
BLANCHARD RJ, GROTENHUIS I, LAFAVE JW, PERRY JF Jr. BLOOD SUPPLY TO HEPATIC V2 CARCINOMA IMPLANTS AS MEASURED BY RADIOACTIVE MICROSPHERES. Proc Soc Exp Biol Med. 1965 Feb;118:465-8. doi: 10.3181/00379727-118-29876. No abstract available.
Results Reference
background
PubMed Identifier
6681644
Citation
Stribley KV, Gray BN, Chmiel RL, Heggie JC, Bennett RC. Internal radiotherapy for hepatic metastases II: The blood supply to hepatic metastases. J Surg Res. 1983 Jan;34(1):25-32. doi: 10.1016/0022-4804(83)90018-5.
Results Reference
background
PubMed Identifier
6088735
Citation
Gyves JW, Ziessman HA, Ensminger WD, Thrall JH, Niederhuber JE, Keyes JW Jr, Walker S. Definition of hepatic tumor microcirculation by single photon emission computerized tomography (SPECT). J Nucl Med. 1984 Sep;25(9):972-7.
Results Reference
background
PubMed Identifier
6626920
Citation
Chamberlain MN, Gray BN, Heggie JC, Chmiel RL, Bennett RC. Hepatic metastases--a physiological approach to treatment. Br J Surg. 1983 Oct;70(10):596-8. doi: 10.1002/bjs.1800701009.
Results Reference
background
PubMed Identifier
3595684
Citation
Meade VM, Burton MA, Gray BN, Self GW. Distribution of different sized microspheres in experimental hepatic tumours. Eur J Cancer Clin Oncol. 1987 Jan;23(1):37-41. doi: 10.1016/0277-5379(87)90416-0.
Results Reference
background
PubMed Identifier
6878677
Citation
Chuang VP. Hepatic tumor angiography: a subject review. Radiology. 1983 Sep;148(3):633-9. doi: 10.1148/radiology.148.3.6878677.
Results Reference
background
PubMed Identifier
7591903
Citation
Leung TW, Lau WY, Ho SK, Ward SC, Chow JH, Chan MS, Metreweli C, Johnson PJ, Li AK. Radiation pneumonitis after selective internal radiation treatment with intraarterial 90yttrium-microspheres for inoperable hepatic tumors. Int J Radiat Oncol Biol Phys. 1995 Nov 1;33(4):919-24. doi: 10.1016/0360-3016(95)00039-3.
Results Reference
background
PubMed Identifier
13787028
Citation
YA PM, GUZMAN T, LOKEN MK, PERRY JF Jr. Isotope localization with tagged microspheres. Surgery. 1961 May;49:644-50. No abstract available.
Results Reference
background
PubMed Identifier
13928002
Citation
LAFAVE JW, GROTENHUIS I, KIM YS, MACLEAN LD, PERRY JF Jr. Y90-tagged microspheres in adjuvant tumor therapy. Surgery. 1963 Jun;53:778-83. No abstract available.
Results Reference
background
PubMed Identifier
13949718
Citation
GRADY ED, SALE WT, ROLLINS LC. Localization of radioactivity by intravascular injection of large radioactive particles. Ann Surg. 1963 Jan;157(1):97-114. doi: 10.1097/00000658-196301000-00012. No abstract available.
Results Reference
background
PubMed Identifier
14160169
Citation
BLANCHARD RJ, GROTENHUIS I, LAFAVE JW, FRYE CW, PERRY JF Jr. TREATMENT OF EXPERIMENTAL TUMORS; UTILIZATION OF RADIOACTIVE MICROSPHERES. Arch Surg. 1964 Aug;89:406-10. doi: 10.1001/archsurg.1964.01320020170025. No abstract available.
Results Reference
background
PubMed Identifier
6823100
Citation
Stribley KV, Gray BN, Chmiel RL, Heggie JC, Bennett RC. Internal radiotherapy for hepatic metastases I: The homogeneity of hepatic arterial blood flow. J Surg Res. 1983 Jan;34(1):17-24. doi: 10.1016/0022-4804(83)90017-3.
Results Reference
background
PubMed Identifier
4743733
Citation
Mauderly JL, Pickrell JA, Hobbs CH, Benjamin SA, Hahn FF, Jones RK, Barnes JE. The effects of inhaled 90Y fused clay aerosol on pulmonary function and related parameters of the beagle dog. Radiat Res. 1973 Oct;56(1):83-96. No abstract available.
Results Reference
background
PubMed Identifier
4703089
Citation
Hill JW, Whitehead WS, Cameron JD, Hedgecock GA. Glass fibres: absence of pulmonary hazard in production workers. Br J Ind Med. 1973 Apr;30(2):174-9. doi: 10.1136/oem.30.2.174.
Results Reference
background
Citation
Russell JL Jr, Carden JL, Herron HL. Dosimetry calculations for yttrium-90 used in the treatment of liver cancer. Endocurietherapy/Hyperthermia Oncology. 1988; 4:171-186.
Results Reference
background
Citation
Boos G, Thirwell M, Blanchard R, et al. Phase I-II study of hepatic arterial infusion of yttrium-90 (Y-90) glass microspheres in cancer of the liver. Proc Am Soc Clin Oncol. 1989, 8:103.
Results Reference
background
Citation
Patt YZ, Charnsangavej C, Boddie A, et al. Treatment of hepatocellular carcinoma with hepatic arterial floxuridine, doxorubicin, and mitomycin C (FUDRM) with or without hepatic arterial embolization: factors associated with longer arterial survival. Reg Cancer Treat. 1989; 2:98.
Results Reference
background
Citation
Douglass C. Prolongation of survival with periodic percutaneous multi-drug arterial infusions in patients with primary and metastatic gastrointestinal carcinoma to liver, abstracted. Proc Am Soc Clin Oncol. 1980; 21:416
Results Reference
background
Citation
Stuart K. Invited commentary on preoperative lipiodol for unresectable HCC. World J Surg 1996; 20:331
Results Reference
background
Citation
Harbert JC, Ziessman HA. Therapy with intra-arterial microspheres. Nuclear Medicine Annual 1987, edited by Freeman L.M., Weissman H.S. Raven Press, New York.
Results Reference
background
PubMed Identifier
11037997
Citation
Dancey JE, Shepherd FA, Paul K, Sniderman KW, Houle S, Gabrys J, Hendler AL, Goin JE. Treatment of nonresectable hepatocellular carcinoma with intrahepatic 90Y-microspheres. J Nucl Med. 2000 Oct;41(10):1673-81.
Results Reference
background
PubMed Identifier
20292386
Citation
PRINZMETAL M, SIMKIN B, et al. Studies on the coronary circulation; the collateral circulation of the normal human heart by coronary perfusion with radioactive erythrocytes and glass spheres. Am Heart J. 1947 Apr;33(4):420-42. doi: 10.1016/0002-8703(47)90090-2. No abstract available.
Results Reference
background
PubMed Identifier
18903426
Citation
Prinzmetal M, Ornitz EM Jr. Arterio-venous anastomoses in liver, spleen, and lungs. Am J Physiol. 1948 Jan 1;152(1):48-52. doi: 10.1152/ajplegacy.1947.152.1.48. No abstract available.
Results Reference
background
Citation
Gross P. The effects of fibrous glass dust on the lungs of animals. In: Occupational exposure to fibrous glass of a symposium presented to the Center of Adult Education; 1976; University of Maryland, College Park, MD. 169-178.
Results Reference
background

Learn more about this trial

Therasphere® for Treatment of Unresectable Primary Liver Cancer and Metastatic Liver Cancer

We'll reach out to this number within 24 hrs