Codman Catheter/Synchromed Pump Hepatic Artery Chemotherapy for Unresectable Colorectal Metastases/Intrahepatic Cholangiocarcinoma
NCT04276090 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 21
Last updated 2023-07-25
Summary
Due to discontinuation of the Codman C3000 pump, an alternate device is necessary to continue serving patients in need of hepatic arterial infusion chemotherapy. This study aims to test the safety of hepatic artery infusion pump placement, a standard surgical procedure, and intraarterial chemotherapy initiation with the standard medication floxuridine (FUDR), using the Medtronic Synchromed II pump combined with the Codman arterial catheter in patients with unresectable (not removable by surgery) liver metastases from colorectal cancer and unresectable intrahepatic cholangiocarcinoma. This study will determine if complication and pump loss rates will be similar to previously published rates for the Codman system.
Conditions
- Bile Duct Neoplasms
- Colorectal Neoplasms
Interventions
- DEVICE
-
Hepatic artery infusion pump placement using the Synchromed II pump and the Codman tapered arterial catheter.
Patients will undergo surgical hepatic artery infusion pump placement using the Synchromed II pump and the Codman tapered arterial catheter.
- DRUG
-
Hepatic artery infusion pump floxuridine and dexamethasone
Patients will receive infusion of floxuridine (FUDR) and dexamethasone via hepatic artery infusion through the implanted pump
- DRUG
-
Systemic chemotherapy for colorectal liver metastases
Patients will receive disease-appropriate systemic chemotherapy for colorectal liver metastases (FOLFOX, FOLFIRI, or irinotecan/oxaliplatin, or panitumumab if KRAS/NRAS wild type)
- DRUG
-
Systemic chemotherapy for intrahepatic cholangiocarcinoma
Patients will receive disease-appropriate systemic chemotherapy for intrahepatic cholangiocarcinoma (gemcitabine/oxaliplatin or gemcitabine alone)
Sponsors & Collaborators
-
Michael J Cavnar, MD
lead OTHER
Principal Investigators
-
Michael J Cavnar, MD · University of Kentucky
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-05-01
- Primary Completion
- 2022-01-04
- Completion
- 2022-06-14
- FDA Device
- Yes
Countries
- United States
Study Locations
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