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Mesothelioma And Radical Surgery

Not Applicable
Completed
Conditions
Mesothelioma
Cancer
Registration Number
ISRCTN95583524
Lead Sponsor
Guy's and St. Thomas' Hospitals NHS Foundation Trust (UK)
Brief Summary

1. 2006 protocol in http://www.ncbi.nlm.nih.gov/pubmed/17670513 2. 2009 results in http://www.ncbi.nlm.nih.gov/pubmed/19661833 3. 2011 results in http://www.ncbi.nlm.nih.gov/pubmed/21723781

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
100
Inclusion Criteria

Two phase eligibility:

Registration Eligibility criteria at registration:
1. 18 years of age or older
2. Histologically proven mesothelioma
3. Fit to undergo extrapleural pneumonectomy (EPP) as per British Thoracic Society (BTS) guidelines
4. Fit to undergo the planned post-operative radiotherapy
5. Able to complete Quality of Life questionnaires
6. Able to comply with follow-up requirements
7. Written informed consent for registration
8. Positron emission tomography (PET) or mediastinoscopy negative
9. No distant metastases

Once chemotherapy has been completed a further eligibility criteria is checked to determine continued eligibility for randomisation.
Eligibility criteria for randomisation:
1. Still fulfil eligibility criteria for registration
2. Completion of 3 cycles of chemotherapy
3. Operable disease (T1-3, N0-1, M0)
4. Biopsy proven malignant mesothelioma on histology and immuno-histochemistry
5. Normal renal function
6. World Health Organisation (WHO) performance status 0 or 1
7. Written informed consent for randomisation

Exclusion Criteria

1. Predicted post-operative forced expiratory volume in 1 second (FEV1) of less than 40% and carbon monoxide transfer factor (TLCO) of less than 40%
2. Significant pulmonary hypertension
3. Cardiac ejection fraction of less than 40%

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
ot provided at time of registration
Secondary Outcome Measures
NameTimeMethod
ot provided at time of registration
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