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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02891447
Other study ID # 2016-0269
Secondary ID NCI-2018-0234120
Status Completed
Phase Phase 2
First received
Last updated
Start date September 1, 2016
Est. completion date April 11, 2023

Study information

Verified date April 2023
Source M.D. Anderson Cancer Center
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This phase II trial studies how well heated mitomycin and cisplatin during surgery work in treating patients with stomach or gastroesophageal cancer. Drugs used in chemotherapy, such as mitomycin and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Heating a chemotherapy solution and infusing it directly into the abdomen may kill more tumor cells.


Description:

PRIMARY OBJECTIVES: I. To assess overall survival from the date of diagnosis in subjects with stage IV gastric or gastroesophageal cancer and positive cytology or carcinomatosis after cytoreduction, gastrectomy, and hyperthermic intraperitoneal chemotherapy administration. SECONDARY OBJECTIVES: I. To assess the safety of cytoreduction, gastrectomy, and hyperthermic intraperitoneal chemotherapy administration for subjects with gastric or gastroesophageal cancer and positive cytology or carcinomatosis. OUTLINE: Patients undergo hyperthermic intraperitoneal chemotherapy (HIPEC) comprised of mitomycin and cisplatin given intraperitoneally over 60 minutes during standard of care cytoreduction and gastrectomy. After completion of study treatment, patients are followed up within 4 weeks, and then every 6 months for 5 years.


Recruitment information / eligibility

Status Completed
Enrollment 24
Est. completion date April 11, 2023
Est. primary completion date April 11, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Eastern Cooperative Oncology Group (ECOG) performance status =< 2 - Cytologic or histologic proof of adenocarcinoma of the stomach or gastroesophageal junction - Leukocytes >= 3,000/uL - Absolute neutrophil count >= 1,500/uL - Platelets >= 60,000/Ul - Serum creatinine =< 1.5 mg/dL - Distant metastatic disease of peritoneum may be visualized on imaging: - Positive peritoneal cytology - Carcinomatosis on diagnostic laparoscopy or laparotomy - Completion of preoperative systemic chemotherapy and preoperative laparoscopic HIPEC Exclusion Criteria: - Distant metastatic disease not limited to peritoneum: Solid organ metastases (liver, central nervous system, lung) - Infections such as pneumonia or wound infections that would preclude protocol therapy - Women with a positive urine or serum pregnancy test are excluded from this study; women of childbearing potential (defined as those who have not undergone a hysterectomy or who have not been postmenopausal for at least 24 consecutive months) must agree to refrain from breast feeding and practice adequate contraception as specified in the informed consent. Adequate contraception consists of oral contraceptive, implantable contraceptives, injectable contraceptives, a double barrier method, or abstinence - Subjects with unstable angina or New York Heart Association grade II or greater congestive heart failure - Subjects deemed unable to comply with study and/or follow-up procedures - Subjects with a known hypersensitivity to protocol systemic chemotherapy that was life-threatening, required hospitalization or prolongation of existing hospitalization, or resulted in persistent or significant disability or incapacity

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Cisplatin
Given intraperitoneally
Hyperthermic Intraperitoneal Chemotherapy
Undergo HIPEC
Mitomycin
Given intraperitoneally

Locations

Country Name City State
United States M D Anderson Cancer Center Houston Texas

Sponsors (2)

Lead Sponsor Collaborator
M.D. Anderson Cancer Center National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Overall survival Overall survival time will be estimated using the Kaplan-Meier method. The two-sided log-rank test will be used to assess the differences of time to events between groups. From the time of diagnosis of stage IV disease up to 5 years
Primary Patterns of tumor recurrence Will be assessed by reviewing routine surveillance imaging. Up to 5 years
Secondary Overall survival Overall survival time will be estimated using the Kaplan-Meier method. The two-sided log-rank test will be used to assess the differences of time to events between groups. From the time of surgery up to 5 years
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