Safety Study of Combining Ultrasound Microbubbles and Chemotherapy to Treat Malignant Neoplasms of Digestive System

NCT ID: NCT02233205

Last Updated: 2015-07-24

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

PHASE1/PHASE2

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Study Completion Date

2016-06-30

Brief Summary

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Ultrasonic sonoporation can increase the release of chemotherapeutics, thus increasing the therapeutic effects. The main purpose is to identify the safety of combining ultrasonic microbubbles and chemotherapeutics to treat malignant neoplasms of hepatic metastases from alimentary system and pancreatic carcinoma.

Detailed Description

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Ultrasonic sonoporation can increase the release of chemotherapeutics, thus increasing the therapeutic effects.

1. Main purpose

1. To identify the safety of combining ultrasonic microbubbles and chemotherapeutics to treat malignant neoplasms of hepatic metastases from alimentary system and pancreatic carcinoma.
2. To explore the largest mechanical index and ultrasonic treatment time which patients can endure.
2. Secondary purpose

1. To observe tumor clinical benefit rate (CR+PR+SD).
2. To evaluate the preliminary effect,such as time to failure(TTF), time to death(TTD)

Conditions

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Gastrointestinal Neoplasms

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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microbubbles & platinum and gemcitabine

In 30min after chemotherapy, inject ultrasonic microbubbles 1 ml once and inject 5 times in 20min and locate the ultrasonic probe on the lesion The chemotherapy of pancreatic is gemcitabine.The chemotherapy of liver metastases is oxaliplatin with taxol.

Group Type EXPERIMENTAL

ultrasonic microbubbles

Intervention Type DEVICE

inject 1ml once and five times in 20min, locate the probe on the lesion at the same time

platinum and gemcitabine

Intervention Type DRUG

Chemotherapy drug of pancreatic carcinoma is gemcitabine. Chemotherapy drug of liver metastases is oxaliplatin and taxol.

Interventions

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ultrasonic microbubbles

inject 1ml once and five times in 20min, locate the probe on the lesion at the same time

Intervention Type DEVICE

platinum and gemcitabine

Chemotherapy drug of pancreatic carcinoma is gemcitabine. Chemotherapy drug of liver metastases is oxaliplatin and taxol.

Intervention Type DRUG

Other Intervention Names

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Sonovue

Eligibility Criteria

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Inclusion Criteria

* Pathological diagnosis of liver metastases from alimentary system and pancreatic carcinoma
* Failed routine chemotherapy
* Neoplasms can be evaluated by imaging
* ECOG《2

Exclusion Criteria

* Have systematic chemotherapy in 2 weeks
* Be allergic to ultrasonic microbubbles and chemotherapeutics
* Uncontrolled high blood pressure, cardiovascular disease
* Active bleeding
* Have serious mental and psychological disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University Cancer Hospital & Institute

OTHER

Sponsor Role lead

Responsible Party

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Kun Yan

chief director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kun Yan, Master

Role: PRINCIPAL_INVESTIGATOR

Peking University Cancer Hospital & Institute

Lin Shen, Doctor

Role: PRINCIPAL_INVESTIGATOR

Peking University Cancer Hospital & Institute

Locations

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Beijing Cancer Hospital

Beijing, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yang Wei, Doctor

Role: CONTACT

0086-10-88196195

Yanjie Wang, Doctor

Role: CONTACT

0086-10-88196941

Facility Contacts

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Wei Yang, Doctor

Role: primary

0086-10-88196195

Yanjie Wang, Doctor

Role: backup

0086-10-88196941

References

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Kotopoulis S, Dimcevski G, Gilja OH, Hoem D, Postema M. Treatment of human pancreatic cancer using combined ultrasound, microbubbles, and gemcitabine: a clinical case study. Med Phys. 2013 Jul;40(7):072902. doi: 10.1118/1.4808149.

Reference Type RESULT
PMID: 23822453 (View on PubMed)

Dewitte H, Van Lint S, Heirman C, Thielemans K, De Smedt SC, Breckpot K, Lentacker I. The potential of antigen and TriMix sonoporation using mRNA-loaded microbubbles for ultrasound-triggered cancer immunotherapy. J Control Release. 2014 Nov 28;194:28-36. doi: 10.1016/j.jconrel.2014.08.011. Epub 2014 Aug 22.

Reference Type RESULT
PMID: 25151979 (View on PubMed)

Fan Z, Kumon RE, Deng CX. Mechanisms of microbubble-facilitated sonoporation for drug and gene delivery. Ther Deliv. 2014 Apr;5(4):467-86. doi: 10.4155/tde.14.10. No abstract available.

Reference Type RESULT
PMID: 24856171 (View on PubMed)

Feichtinger GA, Hofmann AT, Slezak P, Schuetzenberger S, Kaipel M, Schwartz E, Neef A, Nomikou N, Nau T, van Griensven M, McHale AP, Redl H. Sonoporation increases therapeutic efficacy of inducible and constitutive BMP2/7 in vivo gene delivery. Hum Gene Ther Methods. 2014 Feb;25(1):57-71. doi: 10.1089/hgtb.2013.113. Epub 2013 Nov 27.

Reference Type RESULT
PMID: 24164605 (View on PubMed)

Other Identifiers

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2014YJZ11

Identifier Type: -

Identifier Source: org_study_id

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