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Verfasst von:Richter, Götz Martin [VerfasserIn]   i
 Radeleff, Boris [VerfasserIn]   i
 Stroszczynski, Christian [VerfasserIn]   i
 Pereira, Philippe L. [VerfasserIn]   i
 Helmberger, Thomas [VerfasserIn]   i
 Barakat, Mark [VerfasserIn]   i
 Huppert, Peter E. [VerfasserIn]   i
Titel:Safety and feasibility of chemoembolization with doxorubicin-loaded small Calibrated microspheres in patients with hepatocellular carcinoma
Titelzusatz:results of the MIRACLE I prospective multicenter study
Verf.angabe:Götz Richter, Boris Radeleff, Christian Stroszczynski, Philippe Pereira, Thomas Helmberger, Mark Barakat, Peter Huppert
Jahr:2018
Umfang:7 S.
Teil:volume:41
 year:2018
 number:4
 pages:587-593
 extent:7
Fussnoten:First Online: 22 November 2017 ; Gesehen am 30.05.2018
Titel Quelle:Enthalten in: CardioVascular and interventional radiology
Ort Quelle:Berlin : Springer, 1978
Jahr Quelle:2018
Band/Heft Quelle:41(2018), 4, Seite 587-593
ISSN Quelle:1432-086X
Abstract:PurposeThe MIRACLE I pilot study was designed as a preliminary investigation of safety and efficacy of Embozene TANDEM microspheres loaded with doxorubicin for treatment of locally untreatable (i.e., unresectable and not suitable for local thermal ablation) hepatocellular carcinoma (HCC).Materials and MethodsPatients with locally untreatable HCC (mono- or bilobar disease, ECOG performance status 0-2, Child-Pugh score < 11) were eligible for this single-arm multicenter study. DEB-TACE was performed with 75 µm Embozene TANDEM loaded with 150 mg of doxorubicin.ResultsTwenty-five subjects with 41 tumors were treated (mean age 65 years); 16, 52, and 32% had BCLC A, B, and C status, respectively. Child-Pugh status was A for 64%, B for 32%, and C for 4%; 40% had ascites. About 92% had disease localized to one liver lobe. Most (72%) underwent ≤ 2 DEB-TACE procedures. Average doxorubicin dose was 124.5 ± 36.1 mg (median 150 mg) per procedure. Two patients had procedure-related SAE (liver necrosis, worsening of liver insufficiency) within 30 days of the first DEB-TACE procedure. Six-month freedom from procedure-related SAE or death was 68% (one hepatic encephalopathy, five deaths). Tumor response or stable disease was achieved in 95% (20/21) of subjects. Freedom from tumor progression or death at 6 months was 76%. The one-year survival rate was 56% overall and 73% among patients without ascites at baseline.ConclusionMIRACLE I results suggest that Embozene TANDEM microspheres loaded with doxorubicin can provide good local tumor control in a heterogeneous group of patients with locally untreatable HCC.Level of EvidenceLevel 2b, Individual cohort study.
DOI:doi:10.1007/s00270-017-1839-2
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: http://dx.doi.org/10.1007/s00270-017-1839-2
 Volltext: https://link.springer.com/article/10.1007/s00270-017-1839-2
 DOI: https://doi.org/10.1007/s00270-017-1839-2
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1575844621
Verknüpfungen:→ Zeitschrift

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