Radiation Therapy for Liver Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests radiation therapy to determine the optimal dose for treating liver cancer, particularly when the liver is already compromised. It targets individuals with specific types of liver cancer or cancer that has metastasized to the liver, who also have liver issues from conditions like cirrhosis or previous treatments. Suitable candidates include those with liver cancer, possibly damaged from past treatments or liver surgery, who still retain a sufficient amount of healthy liver tissue. The trial aims to evaluate the therapy's effectiveness and potential side effects. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new therapy.
Do I need to stop my current medications for the trial?
The trial protocol does not specify if you need to stop taking your current medications. However, you may be allowed to continue taking capecitabine or sorafenib during the trial, as decided by your doctor.
What prior data suggests that this radiation therapy is safe for liver cancer patients?
Past studies have shown that radiation therapy for liver cancer results in a relatively low rate of serious side effects. Research on intensity-modulated radiation therapy (IMRT) found it offers a similar survival rate to other radiation methods but with fewer severe side effects. Another study on stereotactic body radiation therapy (SBRT) showed it is generally safe and well-tolerated, even by patients with liver damage from conditions like cirrhosis. While all treatments can have side effects, these findings suggest that radiation therapy is a promising option for liver cancer with manageable risks.12345
Why do researchers think this study treatment might be promising?
Unlike the standard treatments for liver cancer, which often include surgery, chemotherapy, and radiofrequency ablation, this radiation therapy approach is unique because it offers a targeted, non-invasive option. Researchers are excited about this treatment because it administers radiation directly to the cancer site over a concise period of 15 or 25 fractions, potentially minimizing damage to surrounding healthy tissue. This precise targeting could lead to fewer side effects and improve the quality of life for patients, making it a promising alternative to more aggressive therapies.
What evidence suggests that radiation therapy might be an effective treatment for liver cancer?
Research has shown that radiation therapy is a promising treatment for liver cancer. In this trial, participants will undergo radiation therapy, which may include techniques such as stereotactic body radiotherapy (SBRT) or intensity-modulated radiotherapy (IMRT). Studies indicate that SBRT can control liver cancer in up to 90% of patients, and long-term evidence confirms its effectiveness in managing tumors with few serious side effects. IMRT also proves to be an effective treatment for liver cancer. These findings suggest that radiation therapy can successfully target and shrink liver tumors, offering hope to those with liver cancer.12567
Who Is on the Research Team?
Eugene J. Koay
Principal Investigator
M.D. Anderson Cancer Center
Are You a Good Fit for This Trial?
This trial is for adults with liver cancer, bile duct cancer, or tumors that have spread to the liver and also have impaired liver function. Participants must have at least 400 ml of functional liver tissue and an ECOG performance status of 0-2. Women who can bear children should use contraception and not breastfeed. Those with recent heart issues, active hepatitis, infections, inflammatory bowel disease or another active malignancy are excluded.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Radiation Therapy
Patients undergo radiation therapy 5 days a week for a total of 15 or 25 fractions in the absence of disease progression or unacceptable toxicity
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Radiation Therapy
Radiation Therapy is already approved in European Union, United States, Canada, Japan, China, Switzerland for the following indications:
- Cancer treatment
- Palliative care
- Oropharyngeal cancer
- Breast cancer
- Prostate cancer
- Lung cancer
- Brain tumors
- Cancer treatment
- Palliative care
- Oropharyngeal cancer
- Breast cancer
- Prostate cancer
- Lung cancer
- Brain tumors
- Cancer treatment
- Palliative care
- Oropharyngeal cancer
- Breast cancer
- Prostate cancer
- Lung cancer
- Brain tumors
- Cancer treatment
- Palliative care
- Oropharyngeal cancer
- Breast cancer
- Prostate cancer
- Lung cancer
- Brain tumors
- Cancer treatment
- Palliative care
- Oropharyngeal cancer
- Breast cancer
- Prostate cancer
- Lung cancer
- Brain tumors
- Cancer treatment
- Palliative care
- Oropharyngeal cancer
- Breast cancer
- Prostate cancer
- Lung cancer
- Brain tumors
Find a Clinic Near You
Who Is Running the Clinical Trial?
M.D. Anderson Cancer Center
Lead Sponsor
National Cancer Institute (NCI)
Collaborator