Clinical Trials Directory

Trials / Completed

CompletedNCT03253939

Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy in Peritoneal Carcinomatosis From Gastric Cancer

Status
Completed
Phase
Study type
Observational
Enrollment
275 (actual)
Sponsor
Hospices Civils de Lyon · Academic / Other
Sex
All
Age
18 Years – 95 Years
Healthy volunteers
Not accepted

Summary

Gastric cancer associated peritoneal carcinomatosis has a poor prognosis with a median survival of less than one year. Systemic chemotherapy including targeted agents has not been found to significantly increase the survival in Gastric cancer associated peritoneal carcinomatosis. Since recurrent gastric cancer remains confined to the abdominal cavity in many patients, regional therapies like aggressive cytoreductive surgery and hyperthermic intraperitoneal chemotherapy have been investigated for Gastric cancer associated peritoneal carcinomatosis. Hyperthermic intraperitoneal chemotherapy has been used for three indications in Gastric Cancer- as an adjuvant therapy after a curative surgery, hyperthermic intraperitoneal chemotherapy has been shown to improve survival and reduce peritoneal recurrences in many randomised trials in Asian countries; as a definitive treatment in established PC, hyperthermic intraperitoneal chemotherapy along with cytoreductive surgery is the only therapeutic modality that has resulted in long-term survival in select groups of patients. While the results of randomised trials of adjuvant hyperthermic intraperitoneal chemotherapy from western centres are awaited, the role of hyperthermic intraperitoneal chemotherapy in the treatment of Gastric cancer associated peritoneal carcinomatosis is still evolving and needs larger studies before it is accepted as a standard of care.

Conditions

Interventions

TypeNameDescription
PROCEDURECytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy procedureCytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy procedure
PROCEDURECytoreductive surgery aloneExclusively Cytoreductive surgery approach

Timeline

Start date
2017-02-01
Primary completion
2017-07-01
Completion
2017-07-01
First posted
2017-08-18
Last updated
2017-08-18

Locations

1 site across 1 country: France

Source: ClinicalTrials.gov record NCT03253939. Inclusion in this directory is not an endorsement.