Registry Study of Neoadjuvant Chemoradiation & Transplant for Cholangiocarcinoma Patients

Registration Number
NCT00301379
Lead Sponsor
Washington University School of Medicine
Brief Summary

This is an observational study intended to validate results of a previous study done at the Mayo Clinic. Patients are treated with combination chemotherapy and radiation and maintained on oral Xeloda until they can receive liver transplant. A staging laparotomy is performed before chemoradiation in order to identify patients who will most benefit from the tr...

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
59
Inclusion Criteria
  1. Diagnosis of cholangiocarcinoma that has been established preoperatively by at least one of the following criteria:

    1. A positive brush cytology or biopsy result obtained at the time of cholangiography;
    2. Fluorescence in situ hybridization demonstrating aneuploidy;
    3. A serum CA 19-9 value greater than 100 U/mL in the presence of a radiographically characteristic malignant stricture in the absence of cholangitis.
    4. Listed for OLT for hilar cholangiocarcinoma
  2. Tumor/stricture is above the cystic duct and is unresectable.

  3. A suitable candidate for orthotopic liver transplantation as judged by the liver transplant team. All 3 treatment modalities are not needed to confirm eligibility for this registry trial.

  4. >/= 18 years of age.

  5. Willing and able to provide written informed consent.

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Exclusion Criteria

Not provided

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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
1Observation data collection study.Patients with unresectable cholangiocarcinoma.
Primary Outcome Measures
NameTimeMethod
Proportion of patients withdrawn due to toxicity and other treatment related events.Completion of treatment for all patients (estimated to be 18 years total)
Secondary Outcome Measures
NameTimeMethod
Proportion of patients who respond to treatmentCompletion of treatment for all patients (estimated to be 18 years total)

-Response is defined as an absence of progressive disease or metastasis, so that the patient remains a candidate for liver transplantation

Overall survivalCompletion of treatment for all patients (estimated to be 18 years total)
Disease-free survivalCompletion of treatment for all patients (estimated to be 18 years total)

Trial Locations

Locations (1)

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

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