Prediction of Complications in Patients Undergoing Surgical Treatment of Hepatic Tumors

2025-524477-17-00 Therapeutic use (Phase IV) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Authorised, recruitment pending
Participants planned 192
Countries 1
Sites 1

Hepatic tumor

1. To evaluate the correlation between Technetium-99m galactosyl human serum albumin combined with single-photon emission computed tomography fused with computed tomography (Tc-99m GSA SPECT/CT) and established liver function assessments, including indocyanine green (ICG) clearance test, Child-Pugh score, Model for E…

Key facts

Sponsor
Rigshospitalet
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04], Diseases [C] - Digestive System Diseases [C06], Analytical,Diagnostic,Therapeutic Techniques and Equipment [E]-Surgical Procedures, Operative [E04]
Decision date (initial)
2026-03-17
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Danish Cancer Society (Kraeftens Bekaempelse)

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Diagnosis

1. To evaluate the correlation between Technetium-99m galactosyl human serum albumin combined with single-photon emission computed tomography fused with computed tomography
(Tc-99m GSA SPECT/CT) and established liver function assessments, including indocyanine green (ICG) clearance test, Child-Pugh score, Model for End-Stage Liver Disease (MELD) score, and ultrasound elastography.
2. To compare the discriminative ability of Tc-99m GSA SPECT/CT with existing liver function tests in predicting postoperative complications.

Secondary objectives 2

  1. To assess the correlation of Tc-99m GSA SPECT/CT, ICG clearance, Child-Pugh score, MELD score, and ultrasound elastography with postoperative outcomes.
  2. To develop and internally validate a multivariable predictive model combining the best predictive liver function test with preoperative clinical characteristics to predict postoperative complications.

Conditions and MedDRA coding

Hepatic tumor

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Age ≥18 years
  2. Confirmed or suspected diagnosis of hepatic tumor
  3. Planned local treatment following a multidisciplinary team conference conducted at the Copenhagen University Hospital, Rigshospitalet

Exclusion criteria 3

  1. Patients aged with a history of hypersensitivity to Technetium-99m or albumin
  2. Pregnant or breastfeeding individuals
  3. Participants unable to make autonomous care decisions

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Correlation between Tc-99m GSA SPECT/CT and ICG clearance, Child-Pugh score, MELD score, and ultrasound elastography.
  2. Discriminative ability of Tc-99m GSA SPECT/CT compared with standard liver function tests to predict major postoperative complications (Clavien–Dindo ≥ 3)

Secondary endpoints 2

  1. Association of Tc-99m GSA, ICG, Child-Pugh, MELD, and ultrasound elastography with 90-day mortality, post-hepatectomy liver failure, length of stay, and readmission.
  2. Model development and internal validation of a multivariable predictive model combining the most accurate liver function test with preoperative clinical factors (frailty, sarcopenia, grip strength, age, sex, etc.) to predict complications.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

[99mTc] Tc-GSA

PRD13205153 · Product

Active substance
Technetium (99MTC) Galactosyl Serum Albumin
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
200 MBq megabecquerel(s)
Max total dose
200 MBq megabecquerel(s)
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
RHPET
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Rigshospitalet

Sponsor organisation
Rigshospitalet
Address
Blegdamsvej 9
City
Copenhagen Oe
Postcode
2100
Country
Denmark

Scientific contact point

Organisation
Rigshospitalet
Contact name
Hans-Christian Pommergaard

Public contact point

Organisation
Rigshospitalet
Contact name
Hans-Christian Pommergaard

Third parties 1

OrganisationCity, countryDuties
GCP unit at University of Copenhagen
ORL-000005038
Frederiksberg, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Authorised, recruitment pending 192 1
Rest of world 0

Investigational sites

Denmark

1 site · Authorised, recruitment pending
Rigshospitalet
Department of Digestive Diseases, Transplantation, and General Surgery, Blegdamsvej 9, 2100, Copenhagen Oe

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2025-524477-17-00 5
Protocol (for publication) D4_ Patient facing documents_ EQ-5D-5L- quality of life questionnaire N/A
Recruitment arrangements (for publication) K1_Recruitment arrangements 2
Subject information and informed consent form (for publication) Dine rettigheder som forsgsperson i forsg med medicin 1
Subject information and informed consent form (for publication) L1_SIS and ICF (for all participants) 2

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-12-11 Denmark Acceptable
2026-03-16
2026-03-17
2 NON SUBSTANTIAL MODIFICATION NSM-1 2026-05-13 Denmark Acceptable
2026-03-16
2026-05-13