Efficacy and Safety Study of PDT Using Deuteporfin for Unresectable Advanced Perihilar Cholangiocarcinoma
Phase 2
Terminated
- Conditions
- Hilar Cholangiocarcinoma
- Interventions
- Combination Product: PDT-Deuteporfin（6 hour)Combination Product: PDT-Deuteporfin（9 hour)Device: stenting
- Registration Number
- NCT02955771
- Brief Summary
This is a multi-center, randomized, controlled, open-label, phase IIa clinical study.The study will observe the efficacy and safety of Deuteporfin photodynamic therapy in addition to stenting compared to stenting alone in patients with unresectable advanced Perihilar Cholangiocarcinoma.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 7
Inclusion Criteria
- Males or females aged 18 or older.
- Diagnosed with radiologically and biopsy or cytology confirmed inoperable perihilar cholangiocarcinoma Bismuth Tumor Stage Ⅲ/Ⅳ.
- KPS≥70.
- Total Bilirubin<85.5 umol/L.
- Informed consent obtained.
Exclusion Criteria
- The first diagnosis time of cholangiocarcinoma > 3 months before randomization.
- Expected survival <3 months.
- Patients with abnormal laboratory parameters: white blood cell<3.0×10(9)/L；hemoglobin <80g/L；Neutrophil Differential Count<1.5×10(9)/L；blood platelets<75×10(9)/L；or patients have other diseases of the blood system.
- Creatinine clearance >1.5×upper limit of normal range.
- Patients with severe liver function damage，or aspartate transaminase (AST) and/or alanine transaminase (ALT) >5×upper limit of normal range.
- Patients have intrahepatic metastasis, or distant metastasis (including distant lymph node metastasis); or bile duct cancer patients with other parts of the primary malignant tumor.
- Patients have activities of viral hepatitis, liver cirrhosis, liver abscess, alcoholic fatty liver, primary hepatocellular carcinoma, and other liver diseases; or patients have immunoglobulin G4 (IgG4) sclerosing cholangitis, primary sclerosing cholangitis, autoimmune cholangitis, and other cholangitis.
- Malignancies other than cholangiocarcinoma within 5 years prior to randomization, except for adequately treated carcinoma in situ of the cervix, basal or squamous cell skin cancer.
- Patients had received PDT treatment prior to randomization.
- Patients had received bile duct carcinoma resection prior to randomization.
- Patients had received chemotherapy, or brachytherapy，or radiotherapy prior to randomization.
- Patients had received metal stent treatment prior to randomization.
- Presence of infection (active, untreated infection and/or acute bacterial or fungal infection) other than the infection of the bile duct (cholangitis).
- Uncontrolled severe hypertension [sitting systolic blood pressure (SBP) >180 mmHg and/or sitting diastolic blood pressure (DBP) >110 mmHg after medication]; have severe complications of hypertension or diabetes.
- Presence of severe heart, lung and central nervous system diseases.
- Presence of mental illness, or mental disorders can not accurately describe their feelings, or not according to the doctor's advice to take medication.
- History of alcohol abuse, drug abuse in the past 1 years.
- Presence of allergic diseases，or known to have light skin allergies or porphyria, or known to allergic to study drug(porphyrin drugs) or other similar compounds, cephalosporin antibiotics, other types penicillin, β lactamase inhibitors.
- Patients need to use prohibited drugs in proposal during the first 2 weeks of screening, or during the trial period.
- Patients having been enrolled in other clinical trial within 3 months prior to this clinical trial.
- Pregnant, lactating women or women of childbearing potential and men who are sexually active and not willing/able to use medically acceptable forms of contraception.
- The researchers weren't allowed to participate in this study as subjects.
- Patients unsuitable for enrollment in the clinical trial according to investigators decision.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description PDT-Deuteporfin（6 hour）plus stenting PDT-Deuteporfin（6 hour) Deuteporfin (7.5mg/kg) was injected intravenously 6 hours before intraluminal photoactivation (wavelength,630 nm;light dose, 180 J/cm(2)). After PDT, endoscopic or percutaneous stenting will be performed.The second treatment may be given after 3 months. PDT-Deuteporfin（9 hour）plus stenting stenting Deuteporfin (7.5mg/kg) was injected intravenously 9 hours before intraluminal photoactivation (wavelength,630 nm;light dose, 180 J/cm(2)). After PDT, endoscopic or percutaneous stenting will be performed.The second treatment may be given after 3 months. Stenting stenting Endoscopic or percutaneous stenting alone will be performed. PDT-Deuteporfin（6 hour）plus stenting stenting Deuteporfin (7.5mg/kg) was injected intravenously 6 hours before intraluminal photoactivation (wavelength,630 nm;light dose, 180 J/cm(2)). After PDT, endoscopic or percutaneous stenting will be performed.The second treatment may be given after 3 months. PDT-Deuteporfin（9 hour）plus stenting PDT-Deuteporfin（9 hour) Deuteporfin (7.5mg/kg) was injected intravenously 9 hours before intraluminal photoactivation (wavelength,630 nm;light dose, 180 J/cm(2)). After PDT, endoscopic or percutaneous stenting will be performed.The second treatment may be given after 3 months.
- Primary Outcome Measures
Name Time Method Overallsurvival Up to 12 months From the date of randomization until the date of death or the last date the subject was known to be alive
- Secondary Outcome Measures
Name Time Method 1-year survival rate Up to 12 months From the date of randomization until the date of death or the last date the subject was known to be alive
The change rate of Bile duct stricture Up to 6 months The date at the phase of baseline，at the end of first month, third month and sixth month
The change rate of serum bilirubin Up to 1 month The date at the phase of baseline，at the first week ，at the end of first month
The change rate of carbohydrate antigen 199(CA199) Up to 6 months The date at the phase of baseline，at the end of first month, third month and sixth month
The change rate of Karnofsky Performance Scale(KPS) Up to 12 months From the date of randomization until the date of death or the last date the subject was known to be alive
The change rate of European Organization for Research and Treatment of Cancer Quality Of Life Questionnaire C30 (EORTC QLQ-C30) Up to 12 months From the date of randomization until the date of death or the last date the subject was known to be alive
Trial Locations
- Locations (4)
The First Affiliated Hospital, Sun Yat-sen University
🇨🇳Guangzhou, Guangdong, China
Shanghai Eastern Hepatobiliary Surgery Hospital
🇨🇳Shanghai, Shanghai, China
Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School
🇨🇳Nanjing, Jiangsu, China
The Second Affiliated Hospital of Guangzhou Medical University
🇨🇳Guangzhou, Guangdong, China