Minimally Invasive Interval Debulking Surgery in Ovarian Neoplasm: a Feasibility Study

NCT ID: NCT02324595

Last Updated: 2016-04-13

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

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2016-02-29

Brief Summary

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Phase II multicentric study

Detailed Description

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The aim of this prospective Phase II multicentric study is to assess feasibility and early complications rate of "total laparoscopic/robotic" interval debulking surgery in patients with a clinical complete/partial response to neoadjuvant chemotherapy for advanced ovarian cancer.

Conditions

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Stage IV Ovarian Carcinoma Effects of Chemotherapy Peritoneal Cavity Cancer

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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Laparoscopic Interval Debulking Surgery

Patients affected by advanced epithelial ovarian cancer already submitted to neoadjuvant chemotherapy with evidence of complete/partial response

Group Type EXPERIMENTAL

Laparoscopic interval debulking surgery

Intervention Type PROCEDURE

Diagnostic laparoscopy with a careful exploration of peritoneal cavity: if available a 5 mm "flexible tip" videolaparoscope will be used to explore all peritoneal recesses.For eligible patients,will be placed 3 5mm trocar in standard position for pelvic surgery:cytoreduction will consist in total/radical hysterectomy,bilateral salpingo-oophorectomy,radical omentectomy.If needed pelvic/upper peritonectomy will be performed:in these cases additional trocar can be placed in right or left subcostal spaces. All surgical procedure requested will have be carried out by laparoscopy/robotic or by laparotomy,in case of increased surgical risk or technical impossibility:the case will be registered as laparotomic conversion.At the end of surgical procedures residual tumor will be registered

Interventions

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Laparoscopic interval debulking surgery

Diagnostic laparoscopy with a careful exploration of peritoneal cavity: if available a 5 mm "flexible tip" videolaparoscope will be used to explore all peritoneal recesses.For eligible patients,will be placed 3 5mm trocar in standard position for pelvic surgery:cytoreduction will consist in total/radical hysterectomy,bilateral salpingo-oophorectomy,radical omentectomy.If needed pelvic/upper peritonectomy will be performed:in these cases additional trocar can be placed in right or left subcostal spaces. All surgical procedure requested will have be carried out by laparoscopy/robotic or by laparotomy,in case of increased surgical risk or technical impossibility:the case will be registered as laparotomic conversion.At the end of surgical procedures residual tumor will be registered

Intervention Type PROCEDURE

Other Intervention Names

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Laparoscopy

Eligibility Criteria

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Inclusion Criteria

* Age \>18 years,
* Advanced ovarian cancer submitted to neoadjuvant chemotherapy,
* Clinical or serological complete/partial response (RECIST; GCIG),
* PS ≤ 2 (ECOG),
* Informed consent

Exclusion Criteria

* Borderline and non-epithelial ovarian tumors,
* Stable/progressive disease,
* ASA 3-4,
* Severe cardiopulmonary disease,
* BMI \> 40
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Fagotti, Anna, M.D.

INDIV

Sponsor Role collaborator

Fanfani, Francesco, M.D.

INDIV

Sponsor Role collaborator

Salvatore Gueli Alletti

UNKNOWN

Sponsor Role collaborator

Catholic University of the Sacred Heart

OTHER

Sponsor Role lead

Responsible Party

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Prof. Giovanni Scambia

Director, Dip per la Tutela della Salute della Donna e della Vita Nascente, del Bambino e dell'Adolescente

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Giovanni Scambia, Prof

Role: PRINCIPAL_INVESTIGATOR

Catholic University of the Sacred Heart

Locations

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Catholic University of Sacred Heart Rome,

Rome, Rome, Italy

Site Status

Policlinico Agostino Gemelli

Rome, Rome, Italy

Site Status

Countries

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Italy

References

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Gueli Alletti S, Bottoni C, Fanfani F, Gallotta V, Chiantera V, Costantini B, Cosentino F, Ercoli A, Scambia G, Fagotti A. Minimally invasive interval debulking surgery in ovarian neoplasm (MISSION trial-NCT02324595): a feasibility study. Am J Obstet Gynecol. 2016 Apr;214(4):503.e1-503.e6. doi: 10.1016/j.ajog.2015.10.922. Epub 2015 Oct 31.

Reference Type DERIVED
PMID: 26529370 (View on PubMed)

Other Identifiers

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10279/14

Identifier Type: -

Identifier Source: org_study_id

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