Peritoneal Carcinomatosis From Ovarian Cancer, Fallopian Tube Carcinoma, Primary Peritoneal Carcinoma
Conditions
Brief summary
The purpose of this clinical trial is to Investigate whether the administration of HIPEC with Cisplatin (75 milligrams per square meter of body surface) after surgical cytoreduction in women with ovarian, tubal or primary peritoneal carcinoma increased disease-free survival period compared with patients without HIPEC treatment.
Interventions
Cytoreduction
Intraoperative Intraperitoneal Hyperthermic Chemotherapy (Hipec)+Cisplatin
Sponsors
Study design
Eligibility
Inclusion criteria
* Peritoneal carcinomatosis arising from ovarian epithelial carcinoma (stage III or higher), carcinoma of the fallopian tube and primary peritoneal carcinoma. * Residual tumor \< 2.5 mm after completion of cytoreductive surgery. * Aged \< 75 years. * Baseline ECOG 0-1 (Eastern Cooperative Oncologic Group). * Adequate bone marrow function with hemoglobin ? 8 g/dl (after correction for iron deficiency anemia), white blood cell count ? 3,000/mm3, platelets ? 100,000/mm3. * Adequate renal function with creatinine ? 1.5 mg/ dl. * Adequate liver function with bilirubin levels ? 1.5 mg / dl and AST and ALT ? 80 IU / L. * Optimal cardiopulmonary function. * In recurrences, disease-free interval \> 6 months. * Voluntary and signed written informed consent.
Exclusion criteria
* Extraperitoneal tumor disease. * Suboptimal debulking (residual tumor \> 2.5 mm). * Previous history of other malignancies (excluding skin) * Intestinal obstruction at the time of evaluation. * Renal failure. * Heart failure. * Uncontrolled infection. * Pregnant or lactating patients. * In recurrences, disease-free interval \< 6 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| disease-free survival period | Every 3 months up to 30 months | Every three months until recurrence of disease. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of overall survival. | Every 3 months up to 30 months | Every three months until recurrence of disease. |
| Study of morbidity. | Every 3 months up to 30 months | Every three months until recurrence of disease. |
| Evaluation of quality of life related to the procedure. | Every 3 months up to 30 months | Every three months until recurrence of disease. |
| Study of Ex vivo correlation. | 4 days post surgery | in vitro cell culture to study the effect of temperature and cisplatin on cell viability |
Countries
Spain