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Thoracic Mesothelioma: Surgery with or without subsequent lavage at high temperature with addition of chemotherapy

Pleurectomy/decortication and hypterthermic intrathoracic chemotherapy compared to pleurectomy/decortication in patients with malignant pleural mesothelioma - HITHOC

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2013-003830-34-DE
Enrollment
Unknown
Registered
2013-09-25
Start date
2014-05-15
Completion date
Unknown
Last updated
2014-05-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

malignant pleuramesothelioma MedDRA version: 16.1 Level: PT Classification code 10027407 Term: Mesothelioma malignant System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)

Interventions

Trade Name: Cisplatin Product Name: Cisplatin Teva Pharmaceutical Form: Solution for infusion INN or Proposed INN: Cisplatin CAS Number: 15663-27-1 Current Sponsor code: Cis Other descriptive name: CI

Sponsors

Asklepios Fachkliniken München Gauting
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Patients age = 80 years epithelioid pleural mesothelioma P3D is not possible or desired Ph. I-II; Ph. III (T1-T2 N1/N2 no LK-bulks) Diagnosis by biopsy VATS + Biopsy ECOG performance status 0-1 Creatinine 60 ml / min no relevant KHK no other primary therapy signed consent form Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 80 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: no signed informed consent inoperable Health does not allow the application of local chemotherapy and hyperthermia Cisplatin is contraindicated in patients: with a hypersensitivity to cisplatin, other platinum-containing drugs or any of the excipients with renal dysfunction (creatinine clearance <60ml/min) which are in a dehydrated state (used to prevent serious Impaired renal function before and after the application of a hydrogenation required) with myelosuppression with a hearing impairment with cisplatinbedingter neuropathy the silent in combination with yellow fever vaccine and prophylactic phenytoin inserted

Design outcomes

Primary

MeasureTime frame
Main Objective: Malignant pleural mesothelioma is a yet uncurable disease, with a median survival of 9 months after diagnosis. Treatment is usually multimodulary, including operation, chemotherapy and radiation. HITHOC (hyperthermic intrathrocic chemotherapy) with cisplatin and doxorubicin is used to enhance lokal tumor control after pleurectomy and decortication. In some patients, survival of 2 years can be achieved. However, the chemotherapeutics can have severe lokal and systemic side effects. No data exist to which extend hyperthermia and chemotherapy add to the beneficial effect. The aim of this study is to compare the standard surgical procedure followed by HITHOC therapy to the standard surgery alone and thus identify the therapeutic option of sufficient effectivity with reduced side effects. Disease-free and overall survival, therapy induced morbidities and quality of life will be documented.;Secondary Objective: not applicable;Primary end point(s): overall survival;Timepoint(s) of evaluation of this end point: 2 years after inclusion of the last patient

Secondary

MeasureTime frame
Secondary end point(s): disease free survival morbidiy quality of life;Timepoint(s) of evaluation of this end point: every 3 months

Countries

Germany

Contacts

Public ContactKlinik für Thoraxchirurgie

Asklepios Fachkliniken München-Gauting

m.lindner@asklepios.com+4989857914207

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026