Colorectal Cancer Clinical Trial
Official title:
Pilot Study: Prophylactic Hyperthermic Intraperitoneal Chemotherapy (HIPEC) for Colorectal Cancers at High Risk of Developing Peritoneal Metastases
The study investigators hypothesize that prophylactic HIPEC is feasible and well tolerated in
patients with colorectal cancers with high-risk of developing peritoneal recurrence.
The aim of the pilot study is to test the feasibility of performing prophylactic HIPEC for
colorectal cancer patients at high-risk of developing peritoneal recurrence in our
institution, and determine the morbidity associated with such a procedure.
Patients with high-risk of developing peritoneal recurrence are defined as patients with
1. tumours involving the serosa and adjacent viscera (i.e. T4 cancers)
2. krukenburg tumours (i.e. ovarian metastases)
3. perforated tumours
4. positive peritoneal fluid cytology
5. minimal synchronous PC (nodules <1cm in the omentum and/or close to the primary tumour).
The study investigators plan to assess feasibility according to
1. The number of patients completing the treatment
2. Time to adjuvant systemic chemotherapy, to evaluate if there is delay to adjuvant
treatment
Morbidity will be measured according to the Clavien-Dindo Classification, and graded
according to low versus high grade morbidity.
If prophylactic HIPEC is shown to be feasible, with acceptable morbidity, the investigators
aim to carry out a randomized controlled trial to determine the effectiveness of prophylactic
HIPEC in preventing the development of peritoneal metastases in patients with colorectal
cancer at high risk of peritoneal recurrence.
n/a
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