Malignant Pleural Mesothelioma Clinical Trial
Official title:
A Phase I Trial of Extrapleural Pneumonectomy/Pleurectomy Decortication, Intrathoracic/Intraperitoneal Hyperthermic (IOHC) Cisplatin and Gemcitabine With Intravenous Amifostine and Sodium Thiosulfate Cytoprotection for Patients With Resectable Malignant Pleural Mesothelioma
Verified date | January 2017 |
Source | Dana-Farber Cancer Institute |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
RATIONALE: After removal of visible cancer in the chest, chemotherapy drugs are used to kill
or stop tumor cells from dividing, so that they stop growing or/and die. Cisplatin is
currently used safely as in intra-operative treatment for malignant pleural mesothelioma.
This study is aimed to determine if the addition of gemcitabine as a second intracavitary
chemotherapy can be accomplished safely.
PURPOSE: This is a Phase I trial to study the efficacy of combination chemotherapy
consisting of gemcitabine and cisplatin administered in the operating room and put into the
chest and abdomen for one hour. We are also looking at the effects of heating the
chemotherapy to a temperature of 42 degrees Celsius and the effect of cytoprotection agents:
amifostine and sodium thiosulfate to counteract potential side effects of chemotherapy.
Status | Completed |
Enrollment | 141 |
Est. completion date | June 2015 |
Est. primary completion date | November 2011 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Histologically-proven diagnosis of stages I to III malignant mesothelioma of the pleura and negative mediastinal N2 lymph nodes (Malignancy is confined to the affected hemithorax) - Adequate organ function including the following: adequate cardiac function, pulmonary function, renal and hepatic function and bone marrow reserve - Adequate overall physical activity - Surgical candidate for cytoreductive surgery Exclusion Criteria: - Extended disease outside the ipsilateral hemithorax as proven histologically, radiologically and/or intraoperatively - Have received chemotherapy and or radiation therapy within the last 3 years at the time of study entry - Serious concomitant systemic disorders - Second active primary malignancy (to exclude non- melanoma skin cancer) - Pregnancy at the time of the operation - Psychiatric or addictive disorder which would preclude obtaining informed consent |
Country | Name | City | State |
---|---|---|---|
United States | Brigham and Women's Hospital | Boston | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Brigham and Women's Hospital | Dana-Farber Cancer Institute |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | To establish the maximally tolerated dose (MTD) of intraoperative Intrathoracic/Intraperitoneal hyperthermic gemcitabine and cisplatin combination modulated by amifostine and sodium thiosulfate in patients with malignant pleural mesothelioma. | 2 years | ||
Secondary | To determine and quantitate the safety of this combination in these patients by defining the dose limiting toxicity. | 2 years | ||
Secondary | To study the pharmacokinetics of gemcitabine and cisplatin combination administered in this way. | 2 years |
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