Table 3. Physical properties of beads for use with DEB-TACE.
DEB | Material | Size availability | Comments |
---|---|---|---|
DC/LC Bead | PVA microspheres with sulfonyl group attached | 100–300, 300–500, and 700–900 μm | Most well-established DEB, used in the PRECISION V and PRECISION ITALIA studies 48 49 |
Hepasphere | Sodium acrylate with vinyl alcohol copolymer coat | 120–240, 200–400, 400–600, and 600–800 μm | Objective response rate of 67.5% reported according to mRECIST criteria. 85 The cited study includes patients with BCLC A, B, and C HCC |
TANDEM | Negatively charged hydrogel core with perfluorinated polymer coating 86 | 30–50, 60–90, and 75–125 μm | Objective response rate of 63.8% reported according to mRECIST criteria. 87 The cited study did not report patient BCLC stages |
LifePearl | Polyethylene glycol | 75–125, 150–250, and 350–450 μm | Objective response rate of 85.5% reported according to mRECIST criteria. 88 The cited study includes many patients with BCLC A HCC, so results should be extrapolated to intermediate stage with caution |
LUMI Bead | PVA hydrogel with covalently bound iodine moiety. Radiopaque | 40–90 and 70–150 μm | Data supporting the use of LUMI Bead in routine clinical practice is currently limited. A small single-arm pilot study (NCT03474354) is currently ongoing 89 |
Abbreviations: BCLC, Barcelona Clinic Liver Cancer; cTACE, conventional transarterial chemoembolization; DEB-TACE, drug-eluting bead TACE; HCC, hepatocellular carcinoma; PVA, polyvinyl alcohol; TTP, time to tumor progression.