Phase II Trial of Radical Pleurectomy With or Without Intraoperative PDT for Malignant Pleural Meā¦ (NCT02153229) | Clinical Trial Compass
Active ā Not RecruitingPhase 2
Phase II Trial of Radical Pleurectomy With or Without Intraoperative PDT for Malignant Pleural Mesothelioma
United States52 participantsStarted 2014-06-02
Plain-language summary
A randomized Phase II trial to test whether the addition of intraoperative Photofrin-mediated photodynamic therapy to radical pleurectomy and post-operative chemo.improves OS in the treatment of patients with epithelioid MPM. Subjects assigned to the PDT arm will be given the photosensitizer prior to surgery . All subjects will receive maximal surgical debulking. Subjects in the PDT arm will receive intraoperative treatment using real-time, isotropic light dosimetry.
Who can participate
Age range18 Years
SexALL
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Inclusion Criteria:
* Patients with a histologic diagnosis of MPM, epithelioid subtype, who in the opinion of the attending thoracic surgeon can receive a macroscopically complete resection of tumor.
* Patients must have disease limited to the hemithorax.
* Patients who have received prior surgery, gene therapy, or combination chemotherapy will be permitted if it has been at least 30 days since the last treatment.
* Subjects treated with pemetrexed previously will be eligible only if 30 days have elapsed between the last dose of pemetrexed and the date of surgery.
* ECOG performance status of 0-1.
* Medical suitability for resection, including documented medical and cardiac clearance.
* 18 years of age or older.
* Patients must sign a document that indicates that they are aware of the investigative nature of the treatment of this protocol, and the potential benefits and risks. Patients unwilling or unable due to cognitive impairment to sign informed consent are excluded from the study.
EXCLUSION CRITERIA
* Patients with active invasive cancers, other than MPM, that require additional treatment, except non-melanomatous skin cancer, superficial bladder or cervical cancer, and early-stage prostate cancer
* Pregnant or lactating patients.
* Patients who have a history of HIV disease.
* Patients who have a white count less than 2,500 per cubic mm or platelets less than 100,000/cubic mm.
* Serum creatinine equal or greater than 2.5 mg/deciliter.
* Patients who have severe liver ā¦