Extrapleural Pneumonectomy /Pleurectomy Decortication, IHOC Cisplatin and Gemcitabine With Amifostine and Sodium Thiosulfate Cytoprotection for Resectable Malignant Pleural Mesothelioma
NCT00571298 · Status: COMPLETED · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 141
Last updated 2017-01-23
Summary
RATIONALE: After removal of visible cancer in the chest, chemotherapy drugs are used to kill or stop tumor cells from dividing, so that they stop growing or/and die. Cisplatin is currently used safely as in intra-operative treatment for malignant pleural mesothelioma. This study is aimed to determine if the addition of gemcitabine as a second intracavitary chemotherapy can be accomplished safely.
PURPOSE: This is a Phase I trial to study the efficacy of combination chemotherapy consisting of gemcitabine and cisplatin administered in the operating room and put into the chest and abdomen for one hour. We are also looking at the effects of heating the chemotherapy to a temperature of 42 degrees Celsius and the effect of cytoprotection agents: amifostine and sodium thiosulfate to counteract potential side effects of chemotherapy.
Conditions
- Malignant Pleural Mesothelioma
Interventions
- PROCEDURE
-
Extrapleural pneumonectomy (EPP)
Resection of the lung, the lining of the lung (pleura), the covering of the heart (pericardium), and the muscle that separates the chest and abdomen (diaphragm)
- DRUG
-
Given after the tumor is removed as a bath (perfusion) for one-hour
- DRUG
-
Given after the tumor is removed as a bath (perfusion) for one-hour
- DRUG
-
amifostine
Given intravenously before perfusion chemotherapy and then 2 hours after the first dose
- DRUG
-
sodium thiosulfate
Given intravenously immediately at the end of perfusion chemotherapy
- PROCEDURE
-
Pleurectomy/Decortication
Resection of the lining of the lung (pleura), while the lung remains intact.
Sponsors & Collaborators
- collaborator OTHER
-
Brigham and Women's Hospital
lead OTHER
Principal Investigators
-
Raphael Bueno, MD · Brigham and Women's Hospital
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2007-11-30
- Primary Completion
- 2011-11-30
- Completion
- 2015-06-30
Countries
- United States
Study Locations
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