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Table 1 Role of microbubbles in different diseases and in different clinical trials

From: Artificial intelligence and guidance of medicine in the bubble

S. No

Name

Type

Disease type

Role

Technology

Clinical trials

1

The Role of Different Imaging Methods in the Diagnosis of Gallbladder Polyps

Interventional

Polyp of Gallbladder

Preoperative differential diagnostic accuracies of gallbladder polypoid lesions

Device: Abdominal high-resolution CT

Device: Contrast-enhanced ultrasonography Procedure: Cholecystectomy

NCT02762227

2

Novel MRI-Guided Ultrasound Stimulated Microbubble Radiation Treatment for Patients with Chest-wall and Locally-Advanced Breast Cancer

Interventional

Breast Cancer

Novel MRI-guided ultrasound stimulated microbubble treatment enhances radiation effects in humans receiving external beam radiotherapy delivered using radiation therapy device

Patients with locally advanced breast cancer and chest wall tumours will receive MRI-guided ultrasound-stimulated microbubble-treatment combined with radiotherapy

NCT04431674

3

The Use of Focused Ultrasound and Microbubble Infusion for Altering Brain Perfusion and the Blood Brain Barrier

Interventional

Low Grade Glioma of Brain

The ability of focused ultrasound combined with microbubbles to open the blood brain barrier has the potential to revolutionize the delivery of therapeutic agents to the brain, allowing for more localized and efficient delivery

The ultrasound treatment will last either 1 h or 20 min total time for the DWL device. An infusion of Definity microbubbles will be infused intravenously over ten to thirty minutes as per routine approved application. Definity will be 1.3 mL added to 50 mL saline and infused no faster than 4 mL/minute

NCT04063514

4

Microbubbles and Ultrasound in Stroke Trial

Interventional

Acute Ischemic Stroke

Transcranial 2-MHz ultrasound combined with intravenous administration of microbubbles improves early recanalization in patients with acute ischemic stroke caused by middle cerebral artery proximal occlusion treated with intravenous alteplase within 3 h of symptom onset

Radiation: Ultrasound 2-MHz, low intensity transcranial ultrasound

Drug: Levovist D-Galactose and palmitic palmitique intravenous 4 g

NCT00222040

5

Microbubble Cavitation for Improving Hepatocellular Carcinoma Radioembolization

Interventional

Hepatocellular Carcinoma

Liver Cancer

Localized microbubble cavitation triggered by noninvasive ultrasound has been shown to sensitize malignant tissue to radiotherapy by inducing vascular endothelial cell apoptosis

Patients receive perflutren protein-type A microspheres IV over 10 min and undergo CEUS over 60 min at 1–6 h post radioembolization and at approximately 7 and 14 days after yttrium Y-90 radioembolization

NCT03199274

6

Targeted Delivery of Chemotherapy with Ultrasound and Microbubbles (SONCHIMIO)

Interventional

Colorectal Cancer

Hepatic Metastases

The oscillations of ultrasound (US) contrast agent microbubbles under their activation by US waves engender a modulation of the permeability of biological barriers amplifying hence the extravasation of drugs/fluorescent markers through a process known as sonoporation

Liver metastases randomized to receive sonoporation (US waves + gaseous microbubbles). The patient continues to receive the usual systemic chemotherapy

NCT03458975