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临床试验/CTRI/2017/09/009607
CTRI/2017/09/009607招募中2 期

CYTOREDUCTIVE SURGERY WITH HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY (HIPEC) FOR RECURRENT CARCINOMA OF OVARY - HIPEC-ovary

Investigator initiated trial0 个研究点目标入组 15 人开始时间: 待定最近更新:

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
15

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

入选标准

  • A. Patients affected by a peritoneal recurrence of ovarian cancer.
  • B. DISEASE AMENABLE TO COMPLETE CYTOREDUCTIVE SURGERY AS INDICATED BY:
  • Ovarian cancer limited to the abdominal cavity with or without extra-peritoneal spread considered resectable at preoperative and intra-operative evaluation.
  • No clinical, biochemical or radiological signs of biliary obstruction, ascites.
  • Small volume of disease in the gastro-hepatic ligament defined as mass less than 5 cm in the epigastric region on cross-sectional imaging.
  • No cross-sectional imaging findings indicative of multi-segmental (More than- 1 site) small bowel obstruction, small bowel loops matted together, or gross disease of the small bowel mesentery characterized by distortion, thickening, or loss of mesenteric vascularity.
  • Absence of unresectable deposits over the small intestinal serosa/ mesentery or more than 1/3 rd of small bowel involvement,
  • No clinical or radiological evidence of distant disease excluding the supraclavicular, inguinal metastases and pleural effusion.
  • C. PATIENT CHARACTERISTICS:
  • Age over 18 and under 70 years
  • ECOG-performance status <= 2
  • Absolute neutrophil count > 1,500/mm³
  • WBC > 4,000/mm³ and Platelet count 150,000/mm³
  • INR <= 1.5 Patients on therapeutic anticoagulant for unrelated medical condition such as atrial fibrillation or anti-thrombocyte treatment allowed provided treatment can be withheld for operation
  • Total serum bilirubin <= 1.5 mg/dL
  • Alkaline phosphatase < 2.5 times upper limit of normal (ULN)
  • SGOT < 1.5 times ULN
  • Serum creatinine and Blood Urea Nitrogen are normal
  • No history of severe congestive heart failure or severe pulmonary diseases.
  • Patients who are status post-revascularization procedures with satisfactory cardiac function are eligible
  • No acute myocardial infarction within the past 6 months
  • No significant history of a medical problem or co-morbidity (e.g., severe congestive heart failure or active ischemic heart disease) that would preclude a major abdominal operation
  • No concurrent second malignancy requiring systemic therapy
  • No psychiatric or addictive disorders, or other conditions that would preclude the patient from meeting the study requirements

排除标准

  • Patients who have platinum resistant recurrence ( < 6 months of protocol first line treatment )
  • Non-epithelial ovarian cancer or borderline ovarian tumor
  • Patients affected by major depressive disorder even in treatment or minor mood disorders
  • Patients with severe impairment of respiratory, hepatic or renal function
  • Patients with cardiac, neurological or metabolic uncontrolled pharmacologically disease
  • Patients with active infection or other neoplastic disease in progress
  • Patients with bowel obstruction
  • Inadequate bone marrow function
  • No clear-peritoneal disease at surgical exploration
  • Patients on maintenance therapy with Antiangiogenic drugs

研究者

发起方
Investigator initiated trial

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