Irreversible Electroporation(IRE) For Unresectable Lymph Node Metastases(Close to Nerve)

Study Overview
=================
Brief Summary
-----------------
The purpose of this study is to evaluate the safety and efficacy of irreversible electroporation (IRE) for unresectable Lymph Node Metastases.

Detailed Description
-----------------
By enrolling patients with unresectable Lymph Node Metastases adapted to enrolled criteria, this study will document for the first time the safety and the short and long term efficacy of percutaneous IRE for unresectable Lymph Node Metastases.

Official Title
-----------------
Irreversible Electroporation(IRE) For Unresectable Lymph Node Metastases: Phase I and Phase II Clinical Trial

Conditions
-----------------
Lymph Node Metastases

Intervention / Treatment
-----------------
* Procedure: Irreversible electroporation (IRE)
* Device: NanoKnife


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Lymph Node Metastases diagnosed by positive biopsy or non-invasive criteria, Not suitable for surgical resection, Eastern Cooperative Oncology Group (ECOG) score of 0-1, A prothrombin time ratio > 50%, Platelet count > 80x10^9/L, Ability of patient to stop anticoagulant and anti-platelet therapy for seven days prior to and seven days post NanoKnife procedure, Able to comprehend and willing to sign the written informed consent form (ICF), Have a life expectancy of at least 3 months. Exclusion Criteria: Cardiac insufficiency, ongoing coronary artery disease or arrhythmia, Any active implanted device (eg Pacemaker), Women who are pregnant or women of child-bearing potential who are not using an acceptable method of contraception, Have received treatment with an investigational agent/ procedure within 30 days prior to treatment with the NanoKnife™ LEDC System, Are in the opinion of the Investigator unable to comply with the visit schedule and protocol evaluations.
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: IRE Group<br>irreversible electroporation for Unresectable Lymph Node Metastase | Procedure: Irreversible electroporation (IRE)<br>* Irreversible Electroportion For Unresectable Lymph Node Metastases guide with ultrasound or/and CT.<br>* Other names: NanoKnife;Device: NanoKnife<br> <br> |
| No Intervention: Control<br>The patients without treatment | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants with Adverse events |  | 6 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of lesions that show no sign of recurrence 12 months after IRE |  | 12 months | 
| A minimum and maximum range of voltage for safe and effective IRE | analyzed for optimal choice. | 3 months | 
| Progress free disease (PFS) |  | 12 months | 
| Overall survival (OS) | Patients will be followed for 36 months after IRE for OS analyzed. | 36 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
irreversible electroporation, Unresectable Lymph Node Metastases