HAI Via Interventionally Implanted Port Catheter Systems

NCT ID: NCT00356161

Last Updated: 2006-07-25

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-04-30

Study Completion Date

2008-04-30

Brief Summary

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Procedures to provide interventional implantation of a port catheter system into the hepatic artery and adjacent regional chemotherapy of the liver are optimized in the scope of an open, single-arm trial in patients with metastases and cancers confined to the liver. The primary objective is the improvement of indication, implantation procedure, and regional chemotherapy. Secondary objectives are port patency, comparison of complications with a historical collective of patients provided with a surgical hepatic arterial port device (colorectal cancer patients only), progression free and overall survival, efficacy of maintaining regional chemotherapy with 5-FU in combination with systemic treatment in patients with extrahepatic progression, quality of life.

Detailed Description

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Inclusion criteria:

* histologically confirmed hepatic cancer without symptomatic extrahepatic manifestation.
* non-resectable disease or hepatic resection or ablation in between the past 8 weeks.
* measurable disease (at least before hepatic resection)
* Karnofsky performance status =\> 70%, or ECOG status 0-2
* \>18 years of age
* life expectancy \> 6 months
* compliance of the patient
* written informed consent

Exclusion criteria:

* second neoplasia within the past 3 years, except for non-melanotic skin cancer, adequately treated Ca in situ of cervix uteri, or adequately resected second colorectal cancer (in patients with liver metastases of colorectal cancer)
* symptomatic extrahepatic disease, in particular disseminated bone metastases, brain metastases
* liver cirrhosis with portal hypertension, active hepatitis B or C, previous percutaneous radiotherapy of the liver
* active infection
* history of gastric or duodenal ulcer
* symptomatic or uncontrolled peripheral arterial occlusive disease, history of stenosis of the renal artery.
* history of dilatative cardiomyopathy, vitium of mitral or aortic valve, persisting foramen ovale, atrial fibrillation
* artificial heart valve or vascular
* history of diabetic microangiopathy
* uncontrolled hyperthyriodism
* other severe concomitant disease (heart failure \>NYHA 2°, respiratory failure, renal failure \>stage2, liver failure (TPZ \<50%).
* inherited or acquired immunodeficiency syndrome
* contraindication against 5-FU
* pregnancy and nursing, no contraception
* limited contractual capability.

After enrollment, an a port catheter catheter system is interventionally implanted into the hepatic artery and the patient is scheduled for regional chemotherapy according one out of 8 pre-defined chemotherapy schedules. All regimens are based on 5-fluorouracil and leucovorin, and optionally contain intraarterial mitomycin, oxaliplatin, or additional intravenous irinotecan.

Patients are followed up and evaluated for primary and secondary endpoints. After the inclusion of 50 patients treated and follow up at our institution, the study population has been extended to 100 patients in 8/2004.

Conditions

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Colorectal Cancer Liver Neoplasms Hepatocellular Carcinoma Gallbladder Cancer Bile Duct Cancer

Keywords

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colorectal neoplasms hepatocellular carcinoma gallbladder cancer bile duct cancer hepatic arterial infusion

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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interventionally implanted hepatic arterial port catheter

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

see above

Exclusion Criteria

see above
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Charite University, Berlin, Germany

OTHER

Sponsor Role lead

Principal Investigators

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Bert Hildebrandt, MD

Role: STUDY_CHAIR

Charté Centrum Tumormedizin, CVK, D-13344 Berlin

Hanno Riess, MD, PhD

Role: STUDY_CHAIR

Charité Centrum Tumormedizin, CVK, D-13344 Berlin

Jens Ricke, MD, PhD

Role: STUDY_CHAIR

Klinik für Radiologie und Nuklearmedizin, Universität Magdeburg, Leipziger Str. 44, D-39120 Magdeburg

Roland Felix, MD, PhD

Role: STUDY_CHAIR

Klinik für Strahlenheilkunde, CVK, Charité Universitätsmedizin Berlin, D-13344 Berlin

Peter Neuhaus, MD, PhD

Role: STUDY_CHAIR

Charité Centrum Chirurgische Medizin, CVK, D-13344 Berlin

Locations

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Charité Centrum Tumormedizin, Medizinische Klinik für Hämatologie und Onkologie, CVK

Berlin, , Germany

Site Status RECRUITING

Klinik für Radiologie und Nuklearmedizin, Otto-von-Guericke Universität Magdeburg

Magdeburg, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Bert Hildebrandt, MD

Role: CONTACT

Phone: ++49 30 450 553636

Email: [email protected]

Hanno Riess, MD, PhD

Role: CONTACT

Phone: ++49 30 450 553112

Email: [email protected]

Facility Contacts

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Bert Hildebrandt, MD

Role: primary

Maciej Pech, MD

Role: primary

References

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Ricke J, Hildebrandt B, Miersch A, Nicolaou A, Warschewske G, Teichgraber U, Lopez Hanninen E, Riess H, Felix R. Hepatic arterial port systems for treatment of liver metastases: factors affecting patency and adverse events. J Vasc Interv Radiol. 2004 Aug;15(8):825-33. doi: 10.1097/01.RVI.0000136992.96374.60.

Reference Type BACKGROUND
PMID: 15297586 (View on PubMed)

Other Identifiers

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CVK-HAI 1

Identifier Type: -

Identifier Source: org_study_id