Patient presenting unresectable peritoneal metastases from digestive system, ovary or primary peritoneal origin MedDRA version: 21.1 Level: PT Classification code 10051676 Term: Metastases to peritoneum System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age between 18 and 75 years - Diagnosis of unresectable peritoneal carcinomatosis - (Decided in tumor board) - Diagnosis of peritoneal carcinomatosis of the following origins: - High-grade serous ovarian carcinoma unresponsive to 2 lines of intravenous chemotherapy - Colon adenocarcinoma - Gastric adenocarcinoma - Epithelioid variety of peritoneal mesothelioma - ECOG =65 years) yes F.1.3.1 Number of subjects for this age range 6
Exclusion criteria
Exclusion criteria: - Distant extraperitoneal metastases - Life expectancy 2 - Contraindication of administration of the chemotherapeutic drug contained in the specific protocol for that tumor - Previous abdominal surgery in the 4 weeks prior to administration - Patients with concomitant administration of immunosuppressants - Pregnant or breastfeeding patients - Decompensated ascites (> 3000 c.c.)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The main objective of this project is to establish the efficacy of the administration of PIPAC in patients with unresectable peritoneal metastases of gynecological, digestive or primary peritoneal origin, in terms of tumor regression objectified by biopsies, measurement of PCI and clinical parameters (CT and symptoms ). A reduction of the mean PGRS score from 2.04 to 1.56 or in 67% of patients is expected.;Secondary Objective: To determine the quality of life, overall survival and the safety profile of the therapy in terms of morbidity and mortality associated with the procedure. ;Primary end point(s): To establish the efficacy in terms of histological tumor regression using the PGRS score of the administration of pressurized intraperitoneal chemotherapy in patients;Timepoint(s) of evaluation of this end point: After each PIPAC procedure (every 4-6 weeks) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Evaluate quality of life using a questionnaire approved for this purpose - Evaluate Overall survival - Evaluate postoperative morbidity - Evaluate adverse events;Timepoint(s) of evaluation of this end point: After each PIPAC procedure (every 4-6 weeks) | — |
Countries
Spain
Contacts
HOSPITAL CLINICO UNIVERSITARIO