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Role of the Peritoneal Microenvironment in the Pathogenesis and Spread of Colorectal Carcinomatosis

Role of the Peritoneal Microenvironment in the Pathogenesis and Spread of Colorectal Carcinomatosis

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03777943
Acronym
MMT
Enrollment
53
Registered
2018-12-19
Start date
2017-11-01
Completion date
2022-03-28
Last updated
2024-09-19

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

Conditions

Peritoneal Carcinomatosis

Brief summary

The goal of this project is to investigate the extent and role of mesothelial - mesenchymal transition (MMT) and cancer associated fibroblasts (CAFs) in the pathogenesis of colorectal peritoneal carcinomatosis (PC).

Interventions

PROCEDURESampling peritoneal tissue

Resection specimen will be obtained during CRS from normal peritoneum at a distance, normal peritoneum close to a peritoneal metastasis, miliary peritoneal carcinomatosis, and established peritoneal carcinomatosis.

Sponsors

University Ghent
CollaboratorOTHER
Belgian Federation Against Cancer
CollaboratorOTHER
University Hospital, Ghent
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

• Patients presenting with colorectal peritoneal carcinomatosis

Exclusion criteria

* Pregnancy or breast feeding * Psychiatric pathology capable of affecting comprehension and judgment faculty * HIPEC (hyperthermic intraperitoneal chemotherapy) or PIPAC (pressurized intraperitoneal aerosol chemotherapy) in the past * Abdominal radiation treatment

Design outcomes

Primary

MeasureTime frameDescription
Immunohistochemistry (IHC) analysisWithin 6 months after collection of the samplesExtensive IHC analysis will be performed including CD44, integrins, ICAM-1, hyaluronate, and VCAM-1 (adhesion molecules); calretinin, mesothelin, WT1, cytokeratins and E-cadherin (mesothelial markers); α-SMA, FAP and podoplanin (CAF specific markers); PDGF, VEGF and EDGF (angiogenesis related markers)

Secondary

MeasureTime frameDescription
Intra-tumoral versus peritoneal vascularityWithin 6 months after collection of the samplesVacularity will be assed using chalkley counts
Laser capture microdisssection (LCM) followed by gene expression analysisWithin 12 months after collection of the samplesDifferent cell types (mesothelial cells, submesothelial resident fibroblasts, CAFs) will be isolated using LCM, followed by gene expression analysis

Countries

Belgium

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026