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临床试验/NL-OMON53100
NL-OMON53100已完成不适用

EORTC randomized phase II study of pleurectomy/decortication preceded or followed by chemotherapy in patients with early stage malignant pleural mesothelioma. - Pleurectomy/decortication in mesothelioma

European Organisation for Research in Treatment of Cancer (EORTC)0 个研究点目标入组 18 人开始时间: 待定最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
18

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

年龄范围
18 至 99(—)

入选标准

  • 1. Patients are aged 18 years or older, with pathologically proven malignant
  • pleural mesothelioma (MPM). All histological subtypes are accepted.
  • 2. Stage cT1-3, N0-2, M0 according to UICC TNM classification. FDG-PET-CT scan
  • showing absence of M1, N3, supraclavicular and coeliac node involvement is
  • required. No clinical or radiological invasion of mediastinal structures
  • (heart, aorta, spine, esophagus, etc.) and no widespread chest wall invasion
  • (T4) are acceptable. Focal chest wall lesions are acceptable.
  • 3. No prior treatment of any kind for mesothelioma is allowed, especially
  • prophylactic track irradiations after diagnostic procedures.
  • 4. WHO performance status 0-1.
  • 5. Fit to receive chemotherapy and undergo a P/D with optional removal of
  • hemidiaphragm and pericardium. The responsible surgeon and chest physician
  • should judge the required fitness prior to registration, taking into account
  • the results of all the relevant (i.e. pulmonary, cardiac) examinations.
  • 6. No history of other malignancy within the last three years, except for
  • carcinoma in situ of the cervix or basal cell or spinocellular carcinoma of the
  • 7. No pre-existing peripheral sensory or motor neuropathy > grade I according
  • to CTCAE v4.0.
  • 8. No clinically significant pleural effusion that cannot be managed with
  • thoracentesis or pleurodesis (according to institutional practice). If
  • pleurodesis is considered, it should be done before randomization.
  • 9. No significant cardiovascular morbidity (assessed by cardiologist)
  • precluding surgery.
  • 10. Adequate organ function, evidenced by the following laboratory results
  • within two weeks (+/- 3 days) prior to randomization with a buffer range from
  • the normal values of +/- 5% for hematology and +/- 10% for biochemistry [with
  • the EXCEPTION of Glomerular Filtration Rate] are acceptable):
  • *absolute neutrophil count >1500/l;
  • *Platelet count >100,000/l;
  • *Hemoglobin >11.0g/dL or 7 mmol/L;
  • *Total bilirubin <=1.5 upper limit of normal (ULN);
  • *SGOT (AST), SGPT (ALT), and alkaline phosphatase <=2.5×ULN;
  • *Glomerular Filtration Rate (GFR)>= 50 ml/min according to Cockcroft and Gault
  • 11. No current severe, uncontrolled systemic disease (e.g., clinically
  • significant cardiovascular, pulmonary, or metabolic disease, wound healing
  • disorders; ulcers; or bone fractures, known infection with HIV, active
  • hepatitis B and/or hepatitis C virus).
  • 12. No major surgical procedure or significant traumatic injury within 28 days
  • prior to randomization or anticipation of the need for major surgery (other
  • than P/D) during the course of study treatment.
  • 13. No history of receiving any investigational treatment within 28 days of
  • randomization.
  • 14. No known hypersensitivity to pemetrexed or cisplatin or carboplatin or
  • their components.
  • 15. Women of child bearing potential (WOCBP) must have a negative serum (or
  • urine) pregnancy test within 3 days prior to the start of chemotherapy/surgery.
  • Patients of childbearing/reproductive potential should use adequate birth
  • control measures, as defined by the investigator, during the study treatment
  • period and for at least three months after the last study treatment. A highly
  • effective method of birth control is defined as those which result in low
  • 另有 1 项未显示

排除标准

  • Mentioned earlier (inclusion criteria).

研究者

发起方
European Organisation for Research in Treatment of Cancer (EORTC)

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