NCT07586046 Yttrium [90Y] chloride Hepatocellular Carcinoma Clinical Landscape Report 2026: Design, Endpoints, Sponsor and Readout Outlook
Turn a newly registered trial into a decision-ready clinical landscape. This report examines NCT07586046 using PatSnap Clinical Trials MCP for protocol design and endpoint evidence, with Drug & Asset MCP and Company & Deal Intelligence MCP used as the companion asset and sponsor enrichment workflow. Explore PatSnap MCP Servers to reproduce the research sequence inside an AI workflow.
MCP evidence snapshot: 24 July 2026. Trial records, recruitment status and projected dates can change after the snapshot and should be rechecked before operational decisions.
Why NCT07586046 is a hot trial to watch
Hepatocellular Carcinoma is being segmented by mechanism, treatment setting, geography and endpoint architecture. NCT07586046 is notable because it evaluates Yttrium [90Y] chloride in a Phase 2 design sponsored by Northwestern University. The main development question is whether the protocol can translate its rationale into a clinically interpretable and operationally credible readout.
Trial landscape snapshot
| Field | Indexed detail |
|---|---|
| Registration | NCT07586046 |
| Official title | Defining the Ablative Dose for Y-90 TARE (MARGIN) |
| Phase / status | Phase 2 / Not yet recruiting |
| Intervention | Yttrium [90Y] chloride |
| Sponsor | Northwestern University |
| Geography | United States |
| Enrollment | [object Object] |
| Primary endpoint | Ablative Dose Threshold for Y90 Radiation Segmentectomy |
| Endpoint time frame | From enrollment to the end of post-treatment Y90 12 month follow up visit |
| Primary completion / readout proxy | [object Object] |
Protocol design and endpoint interpretation
This study is being done to help doctors improve how they treat liver tumors that cannot be removed by surgery or treated with standard ablation techniques. The researchers want to find out the best amount of radiation that needs to be delivered to completely destroy (or ablate) parts of the liver that have cancer.
Allocation is Non-Randomized, masking is None (Open Label), and the intervention model is Parallel Assignment. Planned enrollment of [object Object] participants across United States shapes statistical precision, execution risk and external validity. Interpretation should account for baseline risk, prior therapy, assessment schedule, missing-data handling and clinical relevance—not only statistical significance.
- Ablative Dose Threshold for Y90 Radiation Segmentectomy (From enrollment to the end of post-treatment Y90 12 month follow up visit) — To prospectively define the "ablative dose" threshold for Y90 Radiation Segmentectomy (RS) using post-treatment PET dosimetry and hepatobiliary phase MRI
- Impact of Cirrhosis on Ablative Dose Requirements (From enrollment to enrollment to post-treatment Y-90 12 month follow-up visit) — To determine whether cirrhotic patients require a higher threshold dose for ablation compared to non- cirrhotic patients
Readout outlook and evidence gap
The current protocol points to [object Object] as the best available readout proxy. Because this is an active or newly posted study, a trial-specific result citation is not included until a normalized clinical-trial-result record becomes available. That gap is itself operationally important: teams should monitor first result indexing, conference abstracts, protocol amendments and changes to the primary-completion date.
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Asset and sponsor context
Drug & Asset MCP profile: Yttrium [90Y] chloride is indexed as Small molecule drug, Therapeutic radiopharmaceuticals, with target No normalized target returned, mechanism Ionising radiation emitters, and global highest development status Approved.
Company & Deal Intelligence MCP profile: Northwestern University did not return an exact normalized organization match in this snapshot. The organization workflow adds identity, location, portfolio and partnering context where available.
The sponsor profile matters because scientific rationale alone does not determine development value. Manufacturing readiness, portfolio fit, geographic reach, partnering capacity and the ability to fund confirmatory development can determine whether a positive signal becomes a competitive asset.
White space around this program
- Sharper patient selection: prospective biomarker or phenotype definitions that identify who is most likely to benefit.
- Clinically interpretable endpoints: outcomes connecting activity with function, symptoms, survival or treatment burden.
- Comparator relevance: evidence against the most decision-relevant contemporary standard of care.
- Broader external validity: evidence across additional geographies, demographic groups and real-world settings.
- Operational differentiation: a development path that closes the readout gap without sacrificing safety or durability.
What to monitor next
Monitor recruitment, enrollment changes, protocol amendments, endpoint hierarchy, primary-completion timing, first result indexing, asset ownership and sponsor partnerships. A change in endpoint, population or ownership can alter the probability of success before a headline data release.
Bottom line
NCT07586046 provides a focused lens on Hepatocellular Carcinoma development. Its value will be determined by whether Yttrium [90Y] chloride can convert the current Phase 2 design into evidence that is clinically meaningful, operationally credible and differentiated from competing programs.
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