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Longitudinal Study of CRS/HIPEC for Peritoneal Carcinomatoses

Recruiting
Conditions
Peritoneal Carcinomatosis
Registration Number
NCT04108936
Lead Sponsor
University of Regensburg
Brief Summary

Longitudinal Study of the Effect of Cytoreductive Surgery and HIPEC in Patients With Peritoneal Carcinomatoses

Detailed Description

Cross-sectional and longitudinal analysis of cellular immune responses in the context of disease outcome.

Cross-sectional and longitudinal analysis of the microbiome in the context of disease outcome.

Analysis of renal function with respect of different HIPEC regimens

Identification of clinical surrogate parameters for outcome.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
250
Inclusion Criteria
  • suspicious peritoneal carcinomatosis
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Exclusion Criteria
  • <18 years
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Disease free survivalThrough study completion, an average of 3 years

Prospective analysis of disease free after CRS/HIPEC for peritoneal carcinomatosis

Overall survivalThrough study completion, an average of 3 years

Prospective analysis of overall survival after CRS/HIPEC for peritoneal carcinomatosis

Secondary Outcome Measures
NameTimeMethod
Renal function (serum creatinine (mg/dl))Before as well as during the first 7 days postoperative

Screening for acute renal insufficiency by measuring serum chemistry (serum creatinine (mg/dl) before as well as during the first 7 postoperative days

Renal function (urine output (ml/24h))Before as well as during the first 7 days postoperative

Screening for acute renal insufficiency by measuring urine output (ml/24h) before as well as during the first 7 postoperative days

Microbiome (Bacterial 16S ribosomal RNA gene sequences will be amplified, sequenced, and analyzed in comparison to publicly available data obtained from healthy volunteers)Before as well as at postoperative day 2 and 7

Longitudinal analysis of the microbial burden within samples will be quantified with droplet digital polymerase chain reaction. Bacterial 16S ribosomal RNA gene sequences will be amplified, sequenced, and analyzed in comparison to publicly available data obtained from healthy volunteers.

Renal function (urea (mg/dl))Before as well as during the first 7 days postoperative

Screening for acute renal insufficiency by measuring serum chemistry (serum urea (mg/dl) before as well as during the first 7 days postoperative

Quality of life (Questionnaire-WHOQOL-BREF)Before surgery and through study completion, an average of 3 years

Prospective analysis of quality of life after CRS/HIPEC for peritoneal carcinomatosis. Questionnaire-WHOQOL-BRE produces a quality of life profile. It is possible to derive four domain scores. There are also two items that are examined separately: question 1 asks about an individual's overall perception of quality of life and question 2 asks about an individual's overall perception of their health. The four domain scores denote an individual's perception of quality of life in each particular domain (Physical health (Score 7-35), Psychological (Score 6-30), Social relationships (Score 3-15), Environment (Score 8-40)). Domain scores are scaled in a positive direction (i.e. higher scores denote higher quality of life). The mean score of items within each domain is used to calculate the domain score transformed to 4-20 or 20-100.

Cellular immune response (Frequency of NK cell subpopulations within lymphocyte populations measured by flow cytometry)Before as well as at postoperative day 2 and 7

Longitudinal analysis of cellular immune responses in blood and peritoneal tissue by flow cytometry. Measuring frequency of NK cell populations within total lymphocyte population

Trial Locations

Locations (2)

Krankenhaus der Barmherzigen Brüder Regensburg

🇩🇪

Regensburg, Bavaria, Germany

University Hospital Regensburg

🇩🇪

Regensburg, Germany

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