Melanoma, Sarcoma
Conditions
Keywords
isolated limb perfusion
Brief summary
The primary aim of this study is to investigate the possibility to replace an erythrocyte based prime solution with a crystalloid based prime solution while maintaining metabolic function. Secondary also to study if potentially reduced immunological influence is obtained during hyper thermic isolated limb perfusion with a crystalloid based prime solution.
Interventions
Crystalloid based prime solution
Erythrocyte based prime solution
Sponsors
Study design
Eligibility
Inclusion criteria
1. The patient scheduled for treatment with isolated hyperthermic perfusion 2. Age over 18 years. 3. Signed informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lactate level during and after perfusion. | 1 hour | Lactate level during and after perfusion. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Arterial oxygen and regional venous oxygen saturation during and after completion of perfusion. | 1 hour | Arterial oxygen and regional venous oxygen saturation during and after completion of perfusion. |
| Hematocrit during and after completion of perfusion. | 1 hour | Hematocrit during and after completion of perfusion. |
| Oxygen extraction during, and after perfusion. | 1 hour | Oxygen extraction during, and after perfusion. |
| Complications | 30 days | Serious Adverse Events (SAEs) level III-V within 30 days. |
| Immunological effects | 30 days | Changes in proportion of immune cells measured as CD3 + (T cells), CD3 + 4 + (helper T cells), CD3 + 8 + (cytotoxic T cells), CD3 + DR + (activated T cells), CD3 + 4 + 45RA + (naive helper T cells), CD3 + 8 + 45RA + (naïve cytotoxic T cells), CD3 + 4 + 45RO + (helper T cells), CD3 + 8 + 45RO + (cytotoxic memory T cells), CD3-56 + 16 + (NK cells), CD3 + 56 + 16 + (activated T cells), CD5 + (T-cells and some B-cells), CD19 + (B cells), CD5 + 19 + (subset of mature B cells mainly form polyspecific antibodies of the IgM class) will be measured before ILP, after 7 and 30 days post ILP |
Countries
Sweden