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Petitoneal catheter placement and space-making radiotherapy with artificial ascites for abdominal or pelvic malignant tumors

Phase 1
Recruiting
Conditions
abdominal or pelvic malignant tumors
Registration Number
JPRN-jRCTs042210139
Lead Sponsor
Onoe Tsuyoshi
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
18
Inclusion Criteria

(1) Histologically or clinically confirmed primary or metastatic malignant tumors (carcinoma or sarcoma) located in the abdomen and pelvis.
(2) The presence of a bowel within a 10 mm distance from GTV
(3) ability to maintain a prone or supeine position during radiotherapy
(4) Age of 18 years or older
(5) Eastern Cooperative Oncology Group performance status 0, 1, and 2
(6) prognosis of > 6 months, based on New Katagiri score
(7) provision of written informed consent

Exclusion Criteria

(1) Patients who potentially have severe tissue adhesion in the area where catheter will be placed
(2) Patients with disseminated metastasis of the peritoneum detected by cytology or radiography in the area of catheter insertion and/or placemen
(3) patients with radiation-sensitive tumors, including malignant lymphoma, myeloma, or germ cell tumor
(4) Platelet count<50,000 / mm3
(5 )
1. Heart disease, hypertension, diabetes, psychiatric disease, seizure and seizure disease, intractable infectious disease whose medical treatment is difficult to control.
2. Patients who take antiplatelet drugs ,anticoagulants, and is difficult to discontinue them
(6)Woman who is pregnant , lactating or wishing to have children
(7)Patient who is deemed inappropriate by the doctor due to medical or psychological factors

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Phase I part: Morbidity (Rate of toxicity greater than grade IIIb which is obviously attributed to percutaneous catheter insertion and placement)<br><br>Phase II part: Succeful rate (Rate of the distance between bowel and GTV of at least 10-mm distance at Simulation)
Secondary Outcome Measures
NameTimeMethod
(1)The shortest distance between bowel and GTV at each radiation therapy session<br>(2)Dosimetric outcomes (PTV,Bowel)<br>(3)all adverse events during radiation therapy<br>(4)Severe adverse events until the 10th week after the end of radiation therapy
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