Advances in Radioembolization for Liver Cancer.
Sam Meiselman, M Allan Thomas, J Daniel Giardina...
https://pubmed.ncbi.nlm.nih.gov/41276366/Actively Recruiting
Led by Boston Scientific Corporation · Updated on 2026-07-31
36
Participants Needed
9
Research Sites
25 weeks
Total Duration
Glioblastoma GBM is a very aggressive brain cancer with a poor outlook, where less than 7% of patients live five years after diagnosis. Researchers are evaluating the safety and technical feasibility of the TheraSphere GBM Y-90 Glass Microsphere System, a targeted internal radiation therapy, in patients with recurrent GBM. This early feasibility study aims to explore whether this new treatment can deliver radiation more precisely to tumors and potentially reduce side effects compared to traditional external beam radiotherapy. The TheraSphere GBM device uses tiny glass microspheres containing yttrium-90, delivered through a catheter placed near the tumor via blood vessels. The treatment targets the tumor by taking advantage of blood flow, allowing a high dose of radiation to the tumor area. Participants are grouped based on the brain hemisphere and regions treated, receiving a projected radiation dose of 40 Gy 10%. The study involves angiographic evaluation to map blood vessels before treatment and confirms the treatment volume. Participants will be closely monitored through imaging tests like PET-CT and MRI to assess the delivery of radiation and tumor response. Researchers will track safety by recording various toxicities and side effects within 30 days after treatment, as well as longer-term outcomes such as neurological function, progression-free survival, and overall survival through six months post-treatment. The total study participation spans from enrollment through study completion with careful follow-up to evaluate treatment feasibility and patient safety.
CONDITIONS
A Feasibility Study to Evaluate the Safety of the TheraSphere Glioblastoma (GBM) Device in Patients With Recurrent GBM
S
Sally Linda
L
Lilian Liu Pan
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Boston Scientific Corporation
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | TheraSphere GBM | Current salvage treatments | Other salvage therapy practices |
|---|---|---|---|
| What it is | A single‑arm feasibility device trial of intra‑arterial Y‑90 glass microsphere radiotherapy targeting recurrent GBM | Existing salvage treatments such as re‑operation, re‑irradiation, chemotherapy, bevacizumab, or enrollment in clinical trials | Guideline‑based salvage approaches like surgery, re‑irradiation, systemic therapy, tumor treating fields, and supportive care |
| Purpose | To assess safety and technical feasibility of targeted intra‑arterial Y‑90 delivery to recurrent GBM | To manage tumor progression using available salvage treatments, though no standard of care exists | To offer guideline‑recommended salvage interventions tailored to patient and tumor factors |
| How it is given or performed | Single intra‑arterial infusion of Y‑90 glass microspheres via microcatheter placed to feed the tumor | May involve repeat surgery, external beam re‑irradiation, intravenous chemotherapy, anti‑VEGF therapy, or device‑based fields | Performed according to patient eligibility and clinical guidelines considering prior treatments |
| Evidence status | Evidence limited to feasibility and safety evaluation in this early‑phase trial; outcomes not yet established | Evidence for individual salvage options exists but no consensus on superior strategy; outcomes vary | Guideline recommendations based on limited and heterogeneous evidence for salvage treatments |
| Important limitations | Small single‑arm feasibility design with no comparative control; safety and long‑term efficacy remain unknown | No standard salvage approach; treatment choices influenced by prior therapies and patient factors | Guideline‑based choices are based on limited direct comparative data and expert opinion |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening visit
Duration - Single treatment event
Participants receive a single treatment with the TheraSphere GBM device, delivering targeted radiation to the tumor via catheter placement in brain arteries.
1 treatment visit
Duration - Up to 6 months
Participants are monitored for safety, neurological function, and tumor response through imaging and clinical assessments for up to 6 months after treatment.
Regular follow-up visits including imaging and neurological assessments
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
4
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Sam Meiselman, M Allan Thomas, J Daniel Giardina...
https://pubmed.ncbi.nlm.nih.gov/41276366/Boston Scientific Corporation
Lead Sponsor