Second Look Laparoscopy in Colorectal Cancer

NCT ID: NCT01628211

Last Updated: 2023-03-24

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

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2024-12-31

Brief Summary

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The purpose of this study is to evaluate whether a second-look laparoscopy, followed by peritonectomy, hyperthermic intraperitoneal chemotherapy (HIPEC) or systemic chemotherapy in case of peritoneal carcinosis, improves the overall survival of patients who have had radical resection of mucinous colorectal cancer.

Detailed Description

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Patients will be entered into the study after radical resection of mucinous colorectal cancer, and reevaluated by CT scan after 6 months. Patients with no evidence of disease will be randomized to receive either standard follow up, or to have a second look laparoscopy to evaluate for peritoneal carcinosis. After laparoscopy, those patients who do not have peritoneal carcinosis will continue with standard follow up. Patients with peritoneal carcinosis diagnosed by laparoscopy will be treated according to their peritoneal carcinosis index (PCI). For patients with PCI \> 20, systemic chemotherapy will be given according to Italian Association of Medical Oncology (AIOM) guidelines. Patients with PCI \< 20 will undergo peritonectomy and then receive intravenous chemotherapy immediately followed by HIPEC.

Conditions

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Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Second look laparoscopy

Second look laparoscopy to evaluate for and treat peritoneal carcinosis

Group Type EXPERIMENTAL

Laparoscopy

Intervention Type PROCEDURE

second look laparoscopy to evaluate for peritoneal carcinosis

peritonectomy

Intervention Type PROCEDURE

for patients with PCI \< 20

Folinic Acid

Intervention Type DRUG

20 mg/m2 IV given just before HIPEC for patients with PCI \< 20

5-Fluorouracil

Intervention Type DRUG

400 mg/m2 IV given just before HIPEC in patients with PCI \< 20

Oxaliplatin

Intervention Type DRUG

460 mg/m2 intraperitoneal hyperthermic perfusion for patients with PCI \< 20

systemic chemotherapy

Intervention Type DRUG

according to national Italian (AIOM) guidelines and may include biotherapies for patients with PCI \> 20

standard follow up

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Laparoscopy

second look laparoscopy to evaluate for peritoneal carcinosis

Intervention Type PROCEDURE

peritonectomy

for patients with PCI \< 20

Intervention Type PROCEDURE

Folinic Acid

20 mg/m2 IV given just before HIPEC for patients with PCI \< 20

Intervention Type DRUG

5-Fluorouracil

400 mg/m2 IV given just before HIPEC in patients with PCI \< 20

Intervention Type DRUG

Oxaliplatin

460 mg/m2 intraperitoneal hyperthermic perfusion for patients with PCI \< 20

Intervention Type DRUG

systemic chemotherapy

according to national Italian (AIOM) guidelines and may include biotherapies for patients with PCI \> 20

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologic diagnosis colorectal adenocarcinoma
* Mucinous histotype
* Stage I-III
* Radical (R0) surgical resection of primary tumor
* CT scan with contrast showing no evidence of disease recurrence 6 months after primary surgery
* Age ≥ 18 ≤ 65 years
* Performance Status ECOG ≤1
* Normal hepatic, renal and hematologic function
* Adjuvant chemotherapy permitted
* Signed informed consent

Exclusion Criteria

* Residual disease after surgical resection of primary tumor
* Distant metastasis
* Active systemic infection
* Chronic cardiovascular illness that would contraindicate abdominal dilatation with pneumoperitoneum
* Concomitant or previous malignancy with 5 years of surgical resection of primary tumor (except for adequately treated non-melanoma skin cancer and in situ cervical cancer)
* Pregnancy or lactation
* Refusal or incapability of providing informed consent
* Impossibility of complying with study schedules and follow-up
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute, Naples

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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C. Sassaroli, M.D.

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute, Naples

A Cassata, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Campania Luigi Vanvitelli

M.C. Piccirillo, M.D.

Role: PRINCIPAL_INVESTIGATOR

NCI Naples

Locations

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Istituto Nazionale dei Tumori , Oncologia Medica - Dipartimento Entero-proctologico

Napoli, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Francesco Perrone, M.D., Ph.D.

Role: CONTACT

+39 081 5903571

Marilina Piccirillo, M.D.

Role: CONTACT

+39 081 5903383

Other Identifiers

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HIPEC

Identifier Type: -

Identifier Source: org_study_id

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