CLINICAL TRIALS
PORTFOLIO

Liver

First-in-man histotripsy of hepatic tumors: the THERESA trial, a feasibility study

Vidal-Jove J, et al. Int J Hyperthermia. 2022;39(1):1115-1123.

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STUDY DESIGN: Prospective, non-randomized, multi-center feasibility trial

SAMPLE SIZE: n=8 patients with 11 treated tumors

POPULATION: HCC, intrahepatic cholangiocarcinoma, breast metastasis, colorectal metastases

PRIMARY ENDPOINTS/RESULTS: This feasibility trial demonstrated 100% technical success, observed up to 8 weeks, with no device or procedure related adverse events

STATUS: Complete, published

The #HOPE4LIVER single-arm pivotal trial for histotripsy of primary and metastatic liver tumors

Mendiratta-Lala, M, et al. Radiology. Vol. 312, No. 3. Sept. 2024.

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STUDY DESIGN: Parallel US and EU/UK trials were pivotal multi-center, single-arm trials to evaluate the safety and technical success of histotripsy to destroy primary and metastatic liver tumors against established performance goals

SAMPLE SIZE: 44 patients with 49 tumors

POPULATION: HCC and colon, rectum, breast, pancreas and 6 other types of liver metastases

PRIMARY ENDPOINTS/RESULTS: Co-primary endpoints were met: Primary technical success endpoint was met with 95.5% (42/44) of the evaluable lesions achieving technical success within 36 hours of the procedure. Primary safety endpoint was met with a reported procedure-related major complication rate CTCAE ≥3 of 6.8% (3/44)

STATUS: Published, active follow-up

BOOMBOX Master Study & Sub-studies: The HistoSonics Edison System for Treatment of Primary and Metastatic Liver Tumors Across Multidisciplinary Users

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STUDY DESIGN: An observational, single-arm, non-randomized, prospective Master Protocol driven post market study designed to observe the use of histotripsy to treat primary and metastatic liver tumors

SAMPLE SIZE: Up to n=5000 patients

POPULATION: Primary (e.g., HCC, cholangiocarcinoma, angiosarcoma) or metastatic (from other primary cancers) liver cancer, or benign liver tumors (e.g., adenoma)

PRIMARY ENDPOINTS: The primary endpoint for the Master Protocol will evaluate the role of histotripsy in a broad patient population across multidisciplinary users. The BOOMBOX sub-studies will allow for further endpoints more relevant to participating disciplines to demonstrate the effect of histotripsy: as a mono- therapy, a combination therapy, for curative intent as well as priming for additional treatments.

STATUS: Enrollment begins Q4 2024

Kidney

CAIN: The HistoSonics Investigational System for treatment of primary solid renal tumors using histotripsy. A Feasibility Trial

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STUDY DESIGN: A prospective, multi-center, single-arm pilot trial designed to evaluate the effectiveness and safety profile of the HistoSonics Investigational System to treat solid renal tumors

POPULATION: Patients with non-metastatic solid renal tumor ≤3cm

PRIMARY ENDPOINTS: Technical success defined as complete coverage of the tumor as determined ≤36 hours post-index procedure and freedom from index procedure related major complications at 30 days after the last histotripsy procedure

STATUS: Enrollment will complete Dec 2024

#HOPE4KIDNEY: The HistoSonics EdisonTM System for treatment of primary solid renal tumors using histotripsy

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STUDY DESIGN: Prospective, multi-center, single-arm pivotal trial designed to evaluate the effectiveness and safety of the HistoSonics Edison System for the destruction of kidney tissue by treating primary solid renal tumor.

SAMPLE SIZE: n=68

POPULATION: Subjects with a solitary non-metastatic solid renal tumor ≤3cm

PRIMARY ENDPOINTS: Technique Efficacy: percentage of targeted tumors successfully eliminated after a single histotripsy assessed at 90 days. Safety: Freedom from index procedure related major complications at 30 days post procedure.

STATUS: Ongoing enrollment

The use of the HistoSonics Edison System in kidney applications is limited to investigational use only.

Pancreas

GANNON: The HistoSonics EdisonTM System for treatment of pancreatic adenocarcinoma using histotripsy

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STUDY DESIGN: A prospective multi-center, single-arm, feasibility trial designed to evaluate the safety of the HistoSonics Edison System for the destruction of pancreatic adenocarcinoma tumors in patients who are diagnosed with unresectable locally advanced (Stage 3) or oligometastatic disease (Stage 4).

SAMPLE SIZE: Up to n=50 subjects, three cohorts based on complexity.

POPULATION: Unresectable pancreatic adenocarcinoma, locally advanced (Stage 3) or oligometastatic disease (Stage 4). Patients must receive ≥16 weeks of chemotherapy or be intolerant to chemotherapy after ≥8 weeks of treatment.

PRIMARY OUTCOME MEASURE: Index procedure-related complications ≤30 days
post index procedures.

STATUS: Enrollment begins Q4 2024

The use of the HistoSonics Edison System in pancreatic applications is limited to investigational use only.

Find more information on our
Investigator-Sponsored Research (ISR) Program.

8
Submissions
Investigating primary liver tumors and metastatic liver tumors, studying local effects and combined or prior therapies
2
Approved
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Last updated on October 4, 2024

Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.

The Edison® System is intended for the non-invasive mechanical destruction of liver tumors, including the partial or complete destruction of unresectable liver tumors via histotripsy. The FDA has not evaluated the Edison System for the treatment of any disease including, but not limited to, cancer or evaluated any specific cancer outcomes (such as local tumor progression, 5-year survival or overall survival). The System should only be used by persons who have completed training performed by HistoSonics, and its use guided by the clinical judgment of an appropriately trained physician. Refer to the device Instructions for Use for a complete list of warnings, precautions and a summary of clinical trial results, including reported adverse events.

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