Gynaecologic or Digestive Pelvic Cancer
Conditions
Brief summary
Randomised phase 3 trial comparing 2 arms: an experimental treatment (Isolated pelvis perfusion) and a standard treatment (systemic chemotherapy +/- radiotherapy +/- surgery). Patients included have a non resectable, recurrent gynaecologic or digestive pelvic cancer. The aim of the study is to show a 25% increase in 1 year overall survival rate with isolated pelvic perfusion.
Interventions
injection of TNF-α 0.3 mg followed 5 minutes later by melphalan 1,5mg/kg
chemotherapy and/or radiotherapy and/or surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically proved locally advanced gynaecologic or digestive tumours (epidermoid carcinomas, adenocarcinomas, neuroendocrine tumours, sarcomas or melanomas), (cervix, vagina, rectal, anal). * Locally recurrent tumours for which surgical treatment will be mutilating or marginal (R1 or R2) and/or for cervix cancer, primary tumours non accessible for standard treatment (radiotherapy- chemotherapy - brachytherapy and surgery). * Surgically resectable tumour (R0 type) but for which patient does not agree with surgery. * Patients aged over 18 and under 76 ans * Performance OMS Index ≤ 2 * Normal biologic parameters * Good general and cardiac state (ASA I or II and NYHA I or II)
Exclusion criteria
* Surgically resectable tumour (RO) or peritoneal tumour extension or distant metastasis. * Cardiac or vascular pathology * Pulmonary disease * Uncontrolled Sepsis disease * Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Survival rate | From randomization to death |
Countries
France