RecruitingPhase 2NCT06902246

Regorafenib and Yttrium-90 Radioembolization for Unresectable Hepatocellular Carcinoma

Regorafenib and Yttrium-90 Radioembolization for Treatment of Unresectable Hepatocellular Carcinoma


Sponsor

University of Miami

Enrollment

30 participants

Start Date

Aug 1, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to determine the effects that Regorafenib in combination with Yttrium-90 (Y-90) radioembolization has on patients with unresectable hepatocellular carcinoma.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether combining regorafenib (an oral targeted cancer drug) with yttrium-90 radioembolization (a liver-targeted radiation treatment using tiny radioactive beads) is effective and safe for patients with liver cancer (hepatocellular carcinoma) that cannot be surgically removed. **You may be eligible if...** - You are 18 or older with confirmed unresectable liver cancer - Your liver function is relatively preserved (Child-Pugh A or B7) - Your blood counts, liver enzymes, kidney function, and clotting ability meet the required levels - Imaging has confirmed that the radioembolization procedure is technically feasible for your case **You may NOT be eligible if...** - Your liver cancer has spread outside the liver - You have previously received sorafenib or regorafenib treatment - You have had a liver transplant - You have severe heart, lung, or kidney problems Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGRegorafenib

Participants will orally self-administer Regorafenib tablets for the first 21 days of each 28-day cycle as follows. Dose-escalation will occur only if there are no significant drug-related adverse events: * Safety Run-in Phase: For the first six (6) participants enrolled. The starting dose is 80 mg/day during Cycles 1 and 2. In Cycle 3, the starting dose is 80 mg/day on Days 1 to 7, escalating to 120 mg/day on Days 8 to 14, and then escalating to a maximum dose of 160 mg/day on Days 15 to 21. Participants will continue to receive the maximum tolerated dose determined at the end of Cycle 3. * Phase 2: For participants enrolled after the Safety Run-in phase. In Cycle 1, the starting dose is 80 mg/day on Days 1 to 7, escalating to 120 mg/day on Days 8 to 14, and then escalating to a maximum dose 160 mg/day on Days 15 to 21. From Cycle 2 onward, participants will take 160 mg/day (or maximum tolerated dose from Cycle 1), on Days 1 to 21.

RADIATIONTheraSphere™ Yttrium-90 Trans-Arterial Radioembolization

Y-90 absorbed glass microspheres will be administered standard of care once via the percutaneous trans-arterial approach after the first 3 weeks of Regorafenib treatment but before Day 28. Additional Y-90 absorbed glass microsphere administration is allowed for treatment of baseline disease in the absence of disease progression within 6 months of the initial Y-90 TARE treatment.


Locations(1)

University of Miami

Miami, Florida, United States

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NCT06902246


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