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HIPEC in Ovarian Cancer, Case-Controls Study With 10-years Follow up

HIPEC in Ovarian Cancer: The First Case Control Study in Mexican Patients With 10-year Follow-up

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04234243
Enrollment
144
Registered
2020-01-21
Start date
2007-08-01
Completion date
2019-08-31
Last updated
2020-01-29

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

Conditions

HIPEC, Ovarian Cancer

Keywords

HIPEC

Brief summary

Objectives: Compare overall survival (OS) and progression-free survival (PFS) among ovarian cancer patients who underwent into cytoreduction and HIPEC procedure vs patients who only received systemic chemotherapy in a 10-years follow up of a case-control study Methods: Cases were defined as patients treated by cytoreduction and HIPEC, and were matched (1:2) with patients treated with chemotherapy only, defined as controls. PFS and OS in the two groups were measured and compared. PFS was calculated from initiation of treatment to progression, death or to the last known follow-up. OS was calculated from initiation of treatment to death or to the last known follow-up.

Detailed description

Epithelial ovarian cancer has the highest mortality of all gynecologic tumors in the world wide. Patients are diagnosed with International Federation of Gynecology and Obstetrics (FIGO) stage III to IV disease in 75%. The 10-year survival of women with advanced-stage ovarian cancer is 10% to 15% and has not improve in the past 20 years. Despite treatment with maximal cytoreductive surgery (CRS) and platinum-based chemotherapy, approximately 70% of patients with advanced-stage disease relapse within 18 months. Given this high number of recurrences, new approaches are needed to improve outcomes for these patients. Historically, peritoneal carcinomatosis represents a devastating form of cancer progression with a very poor prognosis. Objectives: Compare overall survival (OS) and progression-free survival (PFS) among ovarian cancer patients who underwent into cytoreduction and HIPEC procedure vs patients who only received systemic chemotherapy in a 10-years follow up of a case-control study Methods: Cases were defined as patients treated by cytoreduction and HIPEC, and were matched (1:2) with patients treated with chemotherapy only, defined as controls. PFS and OS in the two groups were measured and compared. PFS was calculated from initiation of treatment to progression, death or to the last known follow-up. OS was calculated from initiation of treatment to death or to the last known follow-up.

Interventions

PROCEDUREcytoreduction and HIPEC

cytoreduction CCR 0-1, and HIPEC close technique

Sponsors

Instituto de Seguridad Social del Estado de Mexico y Municipios
Lead SponsorOTHER_GOV

Study design

Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 72 Years
Healthy volunteers
No

Inclusion criteria

* Diagnosis of Epithelial ovarian cancer confirmed * FIGO stage III-IV or carcinomatosis recurrence * No comorbidities or controlled comorbidities * ECOG 0-2

Exclusion criteria

* without carcinomatosis

Design outcomes

Primary

MeasureTime frameDescription
free overall survival10 yearssurvillance from HIPEC procedure/IV chemotherapy for carcinomatosis, to death date or last consultation (months) Kaplan Meier curve
free recurrence survival10 yearssurvillance from HIPEC procedure/IV chemotherapy for carcinomatosis, to recurrence date (months) Kaplan Meier curve

Secondary

MeasureTime frameDescription
factors associated with survival10 yearshistological and clinical factors associated with survival. uni and multivariate analysis (X2, Cox, U Mann-Witney)

Outcome results

None listed

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