Radiation Therapy in Preventing Metastatic Cancer in Patients Who Have Diagnostic Procedures to Identify Malignant Mesothelioma

NCT ID: NCT00006231

Last Updated: 2013-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

1998-02-28

Study Completion Date

2002-12-31

Brief Summary

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RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. It is not yet known if radiation therapy is effective in preventing metastatic cancer following surgery.

PURPOSE: Randomized phase III trial to determine the effectiveness of radiation therapy in preventing metastatic cancer in patients who have undergone diagnostic procedures to identify malignant mesothelioma.

Detailed Description

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OBJECTIVES:

* Determine the efficacy of radiotherapy in the prevention of metastatic skin nodules or tumor seeding following invasive diagnostic procedures, such as chest drain insertion, pleural aspiration, pleural biopsy, and thoracoscopy, in patients with malignant mesothelioma.
* Determine whether the nodules that develop after radiotherapy are symptomatic in these patients.
* Compare the quality of life of patients treated with radiotherapy vs standard care alone.

OUTLINE: This is a randomized study.

Patients are randomized to 1 of 2 treatment arms.

* Arm I: Patients receive radiotherapy on 3 consecutive days beginning within 3 weeks after chest drain insertion, pleural aspiration, pleural biopsy, or thoracoscopy and once the wounds have healed.
* Arm II: Patients receive standard supportive care alone. Quality of life is assessed at baseline, and then at 1, 2, 4, 6, 9, and 12 months.

Patients are followed at 1, 2, 4, 6, 9, and 12 months.

PROJECTED ACCRUAL: A total of 44 patients (22 per arm) will be accrued for this study within 2 years.

Conditions

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Malignant Mesothelioma Perioperative/Postoperative Complications

Keywords

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localized malignant mesothelioma advanced malignant mesothelioma perioperative/postoperative complications

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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quality-of-life assessment

Intervention Type PROCEDURE

standard follow-up care

Intervention Type PROCEDURE

radiation therapy

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Histologically proven malignant pleural mesothelioma by chest drain insertion, pleural aspiration, pleural biopsy, and/or thoracoscopy within the past 3 weeks

PATIENT CHARACTERISTICS:

Age:

* Not specified

Performance status:

* Not specified

Life expectancy:

* At least 3 months

Hematopoietic:

* Not specified

Hepatic:

* Not specified

Renal:

* Not specified

PRIOR CONCURRENT THERAPY:

Biologic therapy:

* Not specified

Chemotherapy:

* No prior systemic chemotherapy for malignant mesothelioma

Endocrine therapy:

* Not specified

Radiotherapy:

* No prior local radiotherapy for malignant mesothelioma

Surgery:

* See Disease Characteristics
* No other invasive procedures to the same chest site during and for 1 year after study
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Glasgow

OTHER

Sponsor Role lead

Principal Investigators

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Noelle O'Rourke, MD

Role: STUDY_CHAIR

University of Glasgow

Locations

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West of Scotland Cancer Centre

Glasgow, Scotland, United Kingdom

Site Status

Gartnavel General Hospitall

Glasgow, Scotland, United Kingdom

Site Status

Stobhill General Hospital

Glasgow, Scotland, United Kingdom

Site Status

Countries

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United Kingdom

References

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O'Rourke N, Paul J, Hill J: Radiotherapy to mesothelioma drain sites may not be worthwhile: interim report of a randomized study. Lung Cancer 29(1 Suppl 1): A-568, 168, 2000.

Reference Type RESULT

Other Identifiers

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CRC-BOC-L52

Identifier Type: -

Identifier Source: secondary_id

EU-20033

Identifier Type: -

Identifier Source: secondary_id

CDR0000068155

Identifier Type: -

Identifier Source: org_study_id