Study to Evaluate the Non-inferiority of Low-dose HIPEC Versus High-dose HIPEC in the Treatment of PMP (HIPEC-PMP)
NCT06513065 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 176
Last updated 2026-02-19
Summary
The Investigators are researching how to improve the treatment currently available for patients diagnosed with Pseudomyxoma Peritonei (PMP). This is a rare cancer that usually starts in the appendix and spreads around the abdomen.
PMP is usually treated using a type of surgery called Cytoreductive Surgery (CRS). During the surgery heated chemotherapy will also be used to treat any cancer cells that cannot be seen and may be left behind. This is called Hyperthermic Intraperitoneal Chemotherapy (HIPEC).
This treatment is commonly used in the UK and in Europe, however, the chemotherapy can be given at two different doses: a lower dose over 60 minutes or a higher-dose over 90 minutes.
The Investigators want to understand if there is a difference between these two doses. The higher dose has been associated with a slightly increased rate of complications but may be better at killing cancer cells and preventing recurrence of cancer. In Basingstoke the lower dose over 60 minutes is used and survival results are similar to centres who use the higher dose.
Previous studies have shown that both doses are effective at treating PMP, but no research has shown which is better for patients. The Investigators hope to show that the lower-dose over 60-minutes is as good as the higher-dose over 90-minutes.
Conditions
- Pseudomyxoma Peritonei
Interventions
- DRUG
-
Mitomycin c
Mitomycin is a tumour antibiotic isolated from the broth of Streptomyces species. It has alkylating properties, which results in DNA cross-linking. Once MMC enters the tumour cell, it needs microsomal modification by various enzymes to be transformed into active state; free radicals constituted of semiquinones of MMC are responsible for its cytotoxic effects. Mitomycin is licenced in the UK and recommended by NICE for intraperitoneal chemotherapy.
Sponsors & Collaborators
-
University of Southampton
lead OTHER
Principal Investigators
-
Faheez Mohamed, MBChB, MD, FRCS · Peritoneal Malignancy Unit Hampshire Hospitals NHS Foundation Trust
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 16 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-12-04
- Primary Completion
- 2028-09-30
- Completion
- 2029-04-30
Countries
- United Kingdom
Study Locations
More Related Trials
-
Severe Neutropenia After HIPEC Using Mitomycin-C
NCT05513183 ·Status: COMPLETED
-
Radical Colorectal Resection and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in Locally Advanced Colorectal Cancer
NCT02830139 ·Status: COMPLETED ·Phase: PHASE2
-
One vs Three HIPEC Cycles After CRS for Pseudomyxoma Peritonei
NCT07328737 ·Status: RECRUITING ·Phase: NA
-
Study of Plasma Tumor-promoting Factors and Immune Function After Laparotomy, Cytoreductive Surgery and HIPEC vs. PIPAC in Patients With Peritoneal Metastasis
NCT04122885 ·Status: UNKNOWN
-
Perioperative Systemic Therapy for Isolated Resectable Colorectal Peritoneal Metastases
NCT02758951 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2/PHASE3
-
HIPEC and Systemic Chemotherapy in Unresectable Peritoneal Metastases From Colorectal Cancer
NCT03398512 ·Status: TERMINATED ·Phase: NA
-
HIPEC Using High Intra-abdominal Pressure
NCT02949791 ·Status: COMPLETED ·Phase: PHASE2
-
Safety and Efficacy of Mitomycin C-based HIPEC After srHCC and PM of HCC
NCT05544253 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Survival of Peritoneal Mesothelioma After Cytoreductive Surgery and Hyperthermic Intra-peritoneal Chemotherapy (HIPEC)
NCT01812148 ·Status: COMPLETED
-
Adjuvant HIPEC to Prevent Colorectal Peritoneal Metastases in High-risk Patients
NCT02575859 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Plasma 5hmC Signatures as a Marker of Colorectal / Appendiceal Peritoneal Metastasis
NCT04157322 ·Status: ACTIVE_NOT_RECRUITING
-
Cytoreductive Surgery and Intraperitoneal Chemotherapy for Stomach CAncer: a Feasibility Study
NCT03150628 ·Status: TERMINATED ·Phase: PHASE2
-
Efficacy of HIPEC in Patients With Colorectal Cancer at High Risk of Peritoneal Carcinomatosis
NCT04370925 ·Status: RECRUITING ·Phase: PHASE3
-
Adjuvant HIPEC in High Risk Colon Cancer
NCT02231086 ·Status: COMPLETED ·Phase: PHASE3
-
Cytoreduction Followed by Normothermic Versus Hyperthermic Intraperitoneal Intraoperative Chemoperfusion (HIPEC): a Study in Peritoneal Carcinomatosis
NCT01575730 ·Status: COMPLETED ·Phase: PHASE2
-
Prophylactic Surgery Plus HIPEC With CO2 in Patients Affected by Colorectal Carcinoma. CHECK Study.
NCT03914820 ·Status: RECRUITING ·Phase: NA
-
Prospective Randomized Trial Evaluating Mandatory Second Look Surgery With HIPEC and CRS vs. Standard of Care in Subjects at High Risk of Developing Colorectal Peritoneal Metastases
NCT01095523 ·Status: WITHDRAWN ·Phase: PHASE2
-
Are You in a Poor Country; HIPEC is Still in Reach
NCT04664218 ·Status: COMPLETED ·Phase: NA
-
Hyperthermic Intraperitoneal Chemoperfusion (HIPEC) in Gastric Cancer
NCT04180761 ·Status: WITHDRAWN ·Phase: PHASE2
-
Prophylactic HIPEC for Colorectal Cancers at High Risk of Developing Peritoneal Metastases
NCT03422432 ·Status: COMPLETED ·Phase: NA
-
A Minimally-invasive Approach to Cytoreduction and HIPEC for Peritoneal Surface Malignancy
NCT02463877 ·Status: COMPLETED ·Phase: PHASE2
-
The Intraoperative Physiologic Changes of Patients Under Hyperthermic Intraperitoneal Chemotherapy (HIPEC) Cytoreductive Surgery; Prospective Observational Study
NCT02325648 ·Status: COMPLETED
-
HIPEC For Peritoneal Surface Malignancies Including Carcinomatosis or Sarcomatosis - Data Registry
NCT02082886 ·Status: COMPLETED
-
Prophylactic Preoperative HIPEC in Advanced Gastric Cancer at High Risk of Peritoneal Recurrence
NCT04597294 ·Status: RECRUITING ·Phase: PHASE3
-
Prognostic Outcomes of Total Mesopancreas Excision for Pancreatic Head Cancer
NCT07232810 ·Status: RECRUITING ·Phase: NA