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Small Versus Large-Sized Drug-Eluting Beads (DEBIRI) for the Treatment of Hepatic Colorectal Metastases: A Propensity Score Matching Analysis

  • Clinical Investigation
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Abstract

Purpose

To compare the feasibility, safety, and efficacy with small and large irinotecan drug-eluting beads (DEBIRI) for treating hepatic colorectal metastases.

Methods

Using our prospectively maintained, multi-center, intra-arterial therapy registry, we identified 196 patients treated with a combination of large beads (100–300 to 500–700 μm) and patients treated with a combination of small beads (70–150 to 100–300 μm). To minimize selection bias, a propensity score analysis was performed to compare both groups.

Results

Unadjusted analysis consisted of 196 and 30 patients treated with large and small beads, respectively. The adjusted analysis consisted of 19 patients each. Unadjusted analysis showed decreased all-grade (p = <0.001) and high-grade adverse effects (p = 0.02) in the small bead group, with a persisting trend toward decreased overall side effects in the adjusted analysis favoring small beads (p = 0.09) The adjusted analysis showed the percentage dose delivered (delivered dose/intended dose) was significantly greater in the small bead group compared to the large bead group (96 vs 79 %; p = 0.005). There were also a lower percentage of treatments terminating in complete stasis in the adjusted analysis (0.0035). Adjusted analysis also showed increased objective response rate (ORR) at 12 months (p = 0.04), with a corresponding trend also seen in the unadjusted analysis (0.09).

Conclusion

Smaller beads result in increased dose delivery probably due to less propensity to reach complete stasis. It may also lead to more durable long-term efficacy. Smaller beads also demonstrate similarly low toxicity compared to large-sized beads with a trend toward less toxicity.

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Conflict of Interest

Robert CG Martin is a consultant for Biocompatibles. Olaguoke Akinwande, Prejesh Philips, Petr Duras, Stefan Pluntke, and Charles Scoggins have nothing to disclose.

Statement of Informed Consent

Informed consent was obtained from all individual participants included in the study

Statement of Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Authors and Affiliations

  1. Department of Interventional Radiology, University of Louisville Hospital, Louisville, KY, USA

    Olaguoke K. Akinwande

  2. Department of Interventional Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Olaguoke K. Akinwande

  3. Division of Surgical Oncology, Department of Surgery, University of Louisville, 315 E. Broadway - #312, Louisville, KY, 40202, USA

    Prejesh Philips, Charles Scoggins & Robert C. G. Martin

  4. Fakultní nemocnice Plzeň, Plzeň, Czech Republic

    Petr Duras

  5. Onkologe bei Kliniken Essen-Mitte, Essen, Germany

    Stefan Pluntke

Authors
  1. Olaguoke K. Akinwande
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  2. Prejesh Philips
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Correspondence to Robert C. G. Martin.

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Akinwande, O.K., Philips, P., Duras, P. et al. Small Versus Large-Sized Drug-Eluting Beads (DEBIRI) for the Treatment of Hepatic Colorectal Metastases: A Propensity Score Matching Analysis. Cardiovasc Intervent Radiol 38, 361–371 (2015). https://doi.org/10.1007/s00270-014-1011-1

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