Trial Outcomes & Findings for Study Comparing Two Types of Ports in Patients With Cancer Receiving Intravenous Chemotherapy (NCT NCT00607880)

NCT ID: NCT00607880

Last Updated: 2014-05-09

Results Overview

We report the proportion of patients in each treatment group who have some degree of port failure. Port failure is defined as the composite outcome of port malfunction due to partial or total occlusion and any infection related to the port, within 12 months of port insertion. The percentages reported here are the number of patients that had reported a port failure within 12 months out of the number of patients with port failure within 12 months plus the number of patients that were followed 12 months without port failure.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

100 participants

Primary outcome timeframe

Up to 12 months from port insertion

Results posted on

2014-05-09

Participant Flow

All patients considered for port implantation for intravenous chemotherapy were consulted and evaluated for port implantation. This evaluation was not study specific. If the implantation of a port system was feasible, the patient fulfilled inclusion criteria and the patient consented to the study, then they were randomly assigned a treatment port.

One patient in the Standard Access Port group was unable to have the port placed due to chronic left internal jugular occlusion and was excluded from the analyses.

Participant milestones

Participant milestones
Measure
Standard Access Port
Patients undergo insertion of the conventional vascular access port (C. R. Bard, Inc., Murray Hill, NJ). Patients then receive standard chemotherapy.
Vortex Implantable Access Port
Patients undergo insertion of the Vortex® implantable vascular access port (Horizon Medical Products, Manchester, GA). Patients then receive standard chemotherapy.
Overall Study
STARTED
50
50
Overall Study
COMPLETED
49
50
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Standard Access Port
Patients undergo insertion of the conventional vascular access port (C. R. Bard, Inc., Murray Hill, NJ). Patients then receive standard chemotherapy.
Vortex Implantable Access Port
Patients undergo insertion of the Vortex® implantable vascular access port (Horizon Medical Products, Manchester, GA). Patients then receive standard chemotherapy.
Overall Study
Unable to place port due to occlusion
1
0

Baseline Characteristics

Study Comparing Two Types of Ports in Patients With Cancer Receiving Intravenous Chemotherapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Access Port
n=50 Participants
Patients undergo insertion of the conventional vascular access port (C. R. Bard, Inc., Murray Hill, NJ). Patients then receive standard chemotherapy.
Vortex Implantable Access Port
n=50 Participants
Patients undergo insertion of the Vortex® implantable vascular access port (Horizon Medical Products, Manchester, GA). Patients then receive standard chemotherapy.
Total
n=100 Participants
Total of all reporting groups
Age, Continuous
65 years
n=99 Participants
64 years
n=107 Participants
65 years
n=206 Participants
Sex: Female, Male
Female
21 Participants
n=99 Participants
24 Participants
n=107 Participants
45 Participants
n=206 Participants
Sex: Female, Male
Male
29 Participants
n=99 Participants
26 Participants
n=107 Participants
55 Participants
n=206 Participants
Region of Enrollment
United States
50 participants
n=99 Participants
50 participants
n=107 Participants
100 participants
n=206 Participants

PRIMARY outcome

Timeframe: Up to 12 months from port insertion

Population: Patients with port failure within 12 months and patients that were followed 12 months without port failure were included in this analysis.

We report the proportion of patients in each treatment group who have some degree of port failure. Port failure is defined as the composite outcome of port malfunction due to partial or total occlusion and any infection related to the port, within 12 months of port insertion. The percentages reported here are the number of patients that had reported a port failure within 12 months out of the number of patients with port failure within 12 months plus the number of patients that were followed 12 months without port failure.

Outcome measures

Outcome measures
Measure
Standard Access Port
n=31 Participants
Patients undergo insertion of the conventional vascular access port (C. R. Bard, Inc., Murray Hill, NJ). Patients then receive standard chemotherapy.
Vortex Implantable Access Port
n=29 Participants
Patients undergo insertion of the Vortex® implantable vascular access port (Horizon Medical Products, Manchester, GA). Patients then receive standard chemotherapy.
Port Failure Within 12 Months of Port Insertion
16.1 percentage of patients
Interval 3.2 to 29.0
13.8 percentage of patients
Interval 1.2 to 26.4

SECONDARY outcome

Timeframe: Up to 12 months after port insertion

Number of patients that died during treatment due to any cause.

Outcome measures

Outcome measures
Measure
Standard Access Port
n=49 Participants
Patients undergo insertion of the conventional vascular access port (C. R. Bard, Inc., Murray Hill, NJ). Patients then receive standard chemotherapy.
Vortex Implantable Access Port
n=50 Participants
Patients undergo insertion of the Vortex® implantable vascular access port (Horizon Medical Products, Manchester, GA). Patients then receive standard chemotherapy.
Death From All Causes
9 participants
6 participants

SECONDARY outcome

Timeframe: Up to 12 months after port insertion

Population: All patients accrued to this study that had their port removed within12 months for any reason other than infection/occlusion were included in this analysis. 28 patients using the Standard Access Port and 30 patients using the Vortex Implantable Access Port had port removal prior to 12 months due to reasons other than infection or occlusion..

We report the number of patients that terminated use of port due to any reason other than infection or occlusion within 12 months.

Outcome measures

Outcome measures
Measure
Standard Access Port
n=28 Participants
Patients undergo insertion of the conventional vascular access port (C. R. Bard, Inc., Murray Hill, NJ). Patients then receive standard chemotherapy.
Vortex Implantable Access Port
n=30 Participants
Patients undergo insertion of the Vortex® implantable vascular access port (Horizon Medical Products, Manchester, GA). Patients then receive standard chemotherapy.
Port Removal for Any Reason Other Than Infection or Occlusion Within 12 Months After Port Insertion
Thrombosis
0 participants
1 participants
Port Removal for Any Reason Other Than Infection or Occlusion Within 12 Months After Port Insertion
Death
9 participants
6 participants
Port Removal for Any Reason Other Than Infection or Occlusion Within 12 Months After Port Insertion
End of Chemotherapy
7 participants
6 participants
Port Removal for Any Reason Other Than Infection or Occlusion Within 12 Months After Port Insertion
Skin Erosion
1 participants
0 participants
Port Removal for Any Reason Other Than Infection or Occlusion Within 12 Months After Port Insertion
Unhealed Incision
1 participants
0 participants
Port Removal for Any Reason Other Than Infection or Occlusion Within 12 Months After Port Insertion
Patient Moved/Transferred Care
4 participants
7 participants
Port Removal for Any Reason Other Than Infection or Occlusion Within 12 Months After Port Insertion
Patient Request
1 participants
0 participants
Port Removal for Any Reason Other Than Infection or Occlusion Within 12 Months After Port Insertion
Unknown
5 participants
10 participants

SECONDARY outcome

Timeframe: Up to 12 months after port insertion

The number of patients that discontinued use of inserted port for any reason at the 12 month timepoint.

Outcome measures

Outcome measures
Measure
Standard Access Port
n=49 Participants
Patients undergo insertion of the conventional vascular access port (C. R. Bard, Inc., Murray Hill, NJ). Patients then receive standard chemotherapy.
Vortex Implantable Access Port
n=50 Participants
Patients undergo insertion of the Vortex® implantable vascular access port (Horizon Medical Products, Manchester, GA). Patients then receive standard chemotherapy.
Termination of Use of the Indwelling Port at 12 Months After Port Insertion
31 participants
31 participants

Adverse Events

Standard Access Port

Serious events: 5 serious events
Other events: 0 other events
Deaths: 0 deaths

Vortex Implantable Access Port

Serious events: 4 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Standard Access Port
n=49 participants at risk
Patients undergo insertion of the conventional vascular access port (C. R. Bard, Inc., Murray Hill, NJ). Patients then receive standard chemotherapy.
Vortex Implantable Access Port
n=50 participants at risk
Patients undergo insertion of the Vortex® implantable vascular access port (Horizon Medical Products, Manchester, GA). Patients then receive standard chemotherapy.
Vascular disorders
Vascular - Other
8.2%
4/49 • Number of events 4
4.0%
2/50 • Number of events 2
Infections and infestations
Infection with unknown ANC: Blood
4.1%
2/49 • Number of events 2
4.0%
2/50 • Number of events 3

Other adverse events

Adverse event data not reported

Additional Information

Albert G. Hakaim, M.D.

Mayo Clinic

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place