Unique ID issued by UMIN | UMIN000015343 |
---|---|
Receipt number | R000017841 |
Scientific Title | Clinical trial on Efficacy and Safety of the Next-generated intrapleural hyperthermic chemotherapy for thoracic malignancies with dissemination and malignant pleural effusions |
Date of disclosure of the study information | 2014/10/05 |
Last modified on | 2019/02/04 14:48:51 |
Clinical trial on Efficacy and Safety of the Next-generated intrapleural hyperthermic chemotherapy for thoracic malignancies with dissemination and malignant pleural effusions
Phase II study of next-generated intrapleural hyperthermic chemotherapy for thoracic malignancies
Clinical trial on Efficacy and Safety of the Next-generated intrapleural hyperthermic chemotherapy for thoracic malignancies with dissemination and malignant pleural effusions
Phase II study of next-generated intrapleural hyperthermic chemotherapy for thoracic malignancies
Japan |
Thoracic malignancies with dissemination and carcinomatous pleuritis and malignant pleural effusions (unresected advanced lung cancer, postoperative intrathoracic recurrence, malignant pleural mesothelioma, intrathoracic metastasis due to breast and colon cancers, and the other malignant diseases)
Pneumology | Hematology and clinical oncology | Surgery in general |
Chest surgery |
Malignancy
NO
Feasibility study of next-generated intrapleural hyperthermic chemotherapy for thoracic malignancies. Phase II study of efficacy and safety on regimens of Cisplatin/S-1, Cisplatin/Pemetrexed, and hypotonic lavage and Cisplatin tereatment.
Safety,Efficacy
Confirmatory
Phase II
1)Efficacy(response rate of local tumor)
2)Control rate of malignant pleural effusions
3)Pathological assessment
4)Cytology of drainaged pleural effusions
5)Monitoring of Intrathoracic temperature
6)Analysis of free-radical productives (oxidative stress and anti-oxidative capacity
7)Time to treatment failure (TTF)
8)Changes of quality of life
9)Chest Drain-free Survival
10)Sympton-related Progression-free survival
11)Changes of pulmonary function test
1)Safety, adverse event (NCI-CTCAE, ver 4.0)
2)intraoperative, postoperative complications (NCI-CTCAE ver 4.0)
3)Overall Survival
4)Progression-free survival
5)postoperative thoracic drainaged fluid amounts
6)postoperative thoracic drainaged duration
7)post-treatments
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine | Device,equipment |
1)S-1 + CDDP treatemnt for non-small cell lung cancer
2)Pemetrexed + CDDP treatment for malignant pleural mesothelioma
3)Hypotonic lavage and CDDP treatment for the other thoracic malignancies (sarcomas, metastases, thymomas, etc.)
20 | years-old | <= |
80 | years-old | >= |
Male and Female
1)Non-small lung cancer, malignant pleural mesothelioma, thoracic malignancies diagnoged with by pathological and/or cytological examination
2)available for pretreatment, posttreatment, and non-treatment status such as surgery, irradiation, chemotherapy, and molecular-targeted agent therapy. Over 2 weeks after palliative irradiation for bone metastasis and gamma-knife except primary malignancies
3)clinical staged IIIB/IV or postoperative recurrence, either indicated or not for definitive irradiation
4)no complication of viable double cancers
5)<= 80 years-old (on informed consent)
6)Performance status 0-1(Eastern Cooperative Oncology Group)
7)Spirometry (FEV1 > 600ml/m2)
8)Organ function before 2 weeks
WBC >=4,000 /mm3, Hemoglobin >=9.0 g/dl(by blood transfusion), Platelet >= 100,000 /mm3 (by blood transfusion), AST <= 100 IU/L, ALT <=100 IU/L, Total-bil<= 1.5 mg/dl, Serum creatinin <= 1.5 mg/dl(Ccr>= 45ml/min), Urine protein <=1+, arterial blood gas >=60 Torr(or >=SpO2 90%)
9)RECIST v1.1 (New response evaluation criteria in solid tumours: Revised RECIST guideline (version 1.1)
10)malignant pleural effusions
11)pathological disseminated cases found on initial lung cancer surgery
12)Informed consent for intrapleural hyperthermic chemotherapy treatment (document)
13)expected survival >= 3 months
14)Informed consent for clinical trial (document)
15)based on the preoperative examination and on the above criteria from 1) to 14), available and bearable for general anesthesia, video-assisted thoracic surgery or open thoracotomy, and lobectomy.
1)symptomatic brain metastasis
2)the complications (hemoptysis >= 2.5ml of fresh blood, arterial thromboembolism (brain infarction, temporarily ischemic attack, myocardial infarction, angina pectoris), venous thoromboembolism (deep vein thromboembolism, pulmonary embolism), uncontrollable hypertension, intestinal perforation, severe fistula, broncho-esophageal fistula, intraabdominal inflammation, congenital bleeding tendency, abnormality of blood coagulation, uncontrollable diabetic mellitus, infection, active intestinal pneuminitis
3)surgery within 28 days (except for lung cancer)
4)scheduled thoracic irradiation during bevasizumab treatment
5)symptomatic cardiac tamponade
6)needs to receive an emergency irradiation due to supra vena cava syndrome
7)active pneumonia and intestinal pneumonitis displayed by chest X-ray/chest computed-tomographic examination
8)difficult to enroll because of complication with psychosomatic disease or mental symptomati problems
9)Others. Patients judged for inappropriation by attending physician or lead principal investigator
30
1st name | |
Middle name | |
Last name | Takanori AYABE |
University of Miyazaki
Faculty of Medicine
Department of Surgery II
5200, Kiwara, Kiyotake, Miyazaki, Miyazaki, 889-1692, JAPAN
0985-85-2291
tayabe@med.miyazaki-u.ac.jp
1st name | |
Middle name | |
Last name | Takanori AYABE |
University of Miyazaki Faculty of Medicine
Department of Surgery II
5200, Kiwara, Kiyotake, Miyazaki, Miyazaki, 889-1692, JAPAN
0985-85-2291
tayabe@med.miyazaki-u.ac.jp
University of Miyazaki Hospital
Department of Surgery II
University of Miyazaki Hospital
Clinical Trial Suport Center
Other
NO
2014 | Year | 10 | Month | 05 | Day |
Published
Completed
2014 | Year | 10 | Month | 17 | Day |
2014 | Year | 10 | Month | 17 | Day |
2019 | Year | 02 | Month | 04 | Day |
2014 | Year | 10 | Month | 05 | Day |
2019 | Year | 02 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017841