NCT02106559

Photodynamic Therapy During Surgery in Treating Patients With Pleural Malignancy

A Pilot Study of Pleural Photodynamic Therapy for Patients With Pleural Malignancy

• Status: Withdrawn
• Phase: N/A
• Study type: Interventional
• Enrollment: 0 (actual)
• Sponsor: Ohio State University Comprehensive Cancer Center · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This pilot clinical trial studies photodynamic therapy during surgery in treating patients with pleural (the protective lining or membrane that covers the lungs and chest cavity) malignancy. Photodynamic therapy is an anti-cancer treatment that combines a photosensitizer (a substance that makes cells more sensitive to light), such as porfimer sodium, together with oxygen and visible light to kill tumor cells and/or damage the tumor's blood supply. Intraoperative (during surgery) photodynamic therapy may kill any tumor cells that remain after surgery.

Detailed description

PRIMARY OBJECTIVES; I. To determine the feasibility and toxicities of incorporating surgical resection and intra-operative Photofrin (porfimer sodium)-mediated photodynamic therapy in patients (pts) with malignant pleural mesothelioma (MPM) or non-small cell lung cancer (NSCLC) with pleural spread. SECONDARY OBJECTIVES: I. To determine the overall survival rate of pts with NSCLC and pleural spread treated with standard frontline chemotherapy followed by surgical resection and intra-operative Photofrin-mediated photodynamic therapy. II. To determine the overall survival rate of pts with MPM after radical pleurectomy and intraoperative Photofrin-mediated photodynamic therapy (PDT). III. To determine the progression-free survival and pleural progression-free survival in the above mentioned pts. IV. To determine the absolute Photofrin levels in tumor and normal tissues resected from pts using spectrofluorometric assay. Photofrin levels in tumor to normal tissue ratios will be determined. OUTLINE: Patients receive porfimer sodium intravenously (IV) over 3-5 minutes. Beginning 24 hours later, patients undergo tumor resection and/or radical pleurectomy followed by intraoperative PDT to the pleural space. After completion of treatment, patients are followed up at 3, 6, 9, 12 and 24 months.

Conditions

• Stage III Malignant Mesothelioma
• Stage IIIB Non-small Cell Lung Cancer
• Stage IV Malignant Mesothelioma
• Stage IV Non-small Cell Lung Cancer

Interventions

Type	Name	Description
DRUG	porfimer sodium	Given IV
PROCEDURE	therapeutic conventional surgery	Undergo tumor resection and/or radical pleurectomy
DRUG	photodynamic therapy	Undergo PDT

Timeline

• Start date: 2014-09-04
• Primary completion: 2016-01-29
• Completion: 2016-01-29
• First posted: 2014-04-08
• Last updated: 2019-03-21