Peritoneal Carcinomatosis
Conditions
Brief summary
To assess the efficacy of pasireotide in the reduction of clinically relevant postoperative digestive leakage after CRS plus HIPEC compared to placebo
Interventions
0.9 mg of pasireotide subcutaneously (s.c.) twice daily (14 doses) every 12 +/- 2 hours
0.9 ml of saline water s.c. twice daily (14 doses) every 12 +/- 2 hours
Sponsors
Study design
Intervention model description
Randomized Single-blinded, multicentric, placebo controlled phase II comparative trial
Eligibility
Inclusion criteria
* Male or female patients aged between 18 years and 75 years included * ECOG (Eastern Cooperative Oncology Group) Performance Status ≤ 2 * Primary (pseudomyxoma peritonei, peritoneal mesothelioma) or Secondary (colorectal or ovarian) peritoneal malignancies * Curative intent resection obtained by a complete resection according to the Completeness of Cytoreduction score (CC) (CC 0-1) followed by HIPEC Different intraperitoneal drug administration modalities such as neoadjuvant systemic plus simultaneous intraperitoneal and intravenous chemotherapy (NIPS) or pressurized intra-peritoneal aerosol chemotherapy (PIPAC) does not represent
Exclusion criteria
. * Absence of extra-peritoneal metastatic disease or limited hepatic or lung metastases easily amenable to curative-intent resection or ablation * Intraoperative Peritoneal Cancer Index (PCI score) ≥ 10 * Visceral resection with at least one digestive anastomosis with or without loop ileostomy or pancreatic or biliary resection. * Negative serum pregnancy test for women of childbearing potential within 7 days prior to therapy * Sexually active women of childbearing potential must agree to use a highly effective method of contraception or to abstain from sexual activity during the study and for 3 months after the last study treatment administration. Sexually active males patients must agree to use condom or to abstain from sexual activity during the study and for 3 months after the last study treatment administration. Also, it is recommended their women of childbearing potential partner use a highly effective method of contraception during the same period. * Patient should understand, sign, and date the written informed consent form prior to any protocol-specific procedures performed. Patient should be able and willing to comply with study visits and procedures as per protocol. * Patients must be affiliated to a social security system or beneficiary of the same
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative digestive leakage | 97 days | The rate of clinically relevant (NCI CTCAE v5 ≥ grade 3) postoperative digestive leakage at 97 days |
Countries
France