Adjuvant Pressurized IntraPeritoneal Aerosol Chemotherapy (PIPAC) in Resected High Risk Colon Cancer Patients
Recruiting · NCT03280511 · Interventional (participants receive a specific treatment) · Lead sponsor: Michael Bau Mortensen
View the official record on ClinicalTrials.gov →Interventions studied
PIPAC
What this trial is about
In this study, patients will be offered two Pressurized Intraperitoneal Aerosol Chemotherapy (PIPAC) treatments with oxaliplatin after primary resection and standard adjuvant chemotherapy (if indicated) for colon cancer. Furthermore, the study will explore, whether it is possible to find free intraperitoneal tumor cells (FITC) after resection and adjuvant chemotherapy for colon cancer.
Who can take part
Age range
18 Years and older
Sex
All (male and female)
Healthy volunteers
No - a diagnosis or condition is required
Phase
Phase 2
Study type
Interventional (participants receive a specific treatment)
Inclusion criteria
- Radically resected colon cancer patients with adeno- or signet ring cell carcinomas with high-risk tumors defined as: perforated / pT4NanyM0 (UICC 8th edition) / pTanyNanyM1 with radically resected PM including ovarian metastases
- Performance status 0-1
- Fertile women must use approved contraceptives (see below)
- Age \> 18 years
- Written informed consent
Exclusion criteria
- Radiologically or clinically proven relapse.
- Previous cytoreductive surgery (CRS) with HIPEC
- Other malignant diagnosis within the last 2 years
- Contraindications to laparoscopy (e.g. severe adhesions, peritonitis)
- A history of allergic reaction to oxaliplatin or other platinum containing compounds
- Renal impairment, defined as GFR \< 50 ml/min, (Cockcroft-Gault Equation).
- Myocardial insufficiency, defined as NYHA class \> 2.
- Impaired liver function defined as bilirubin ≥ 1.5 x UNL (upper normal limit).
- Inadequate haematological function defined as ANC ≤ 1.5 x 109/l and platelets ≤ 100 x 109/l.
- Any other condition or therapy, which in the investigator's opinion may pose a risk to the patient or interfere with the study objectives.
Where it is running
1 location listed.
- Odense PIPAC Center, Department of Surgery, Odense University Hospital - Odense, Denmark