Status:
RECRUITING
Safety and Feasibility of HIPEC for High-Risk Gallbladder Adenocarcinoma
Lead Sponsor:
West Virginia University
Conditions:
Gallbladder Adenocarcinoma
Eligibility:
All Genders
18+ years
Phase:
EARLY_PHASE1
Brief Summary
Gallbladder adenocarcinoma is a devastating disease associated with a poor prognosis. Gallbladder and other biliary cancers will be responsible for an estimated 11,980 new cases, and 4,090 deaths in t...
Eligibility Criteria
Inclusion
- Subjects must have histologically or cytologically confirmed gallbladder adenocarcinoma AND inadvertent spillage of bile or intentional decompression during cholecystectomy OR tumors extending through the serosa of the gallbladder (T3/T4) OR poorly differentiated gallbladder adenocarcinoma.
- ECOG Performance status ≤ 2
- Subjects must have normal organ and marrow function as defined below:
- Hemoglobin ≥ 10.0 g/dl
- Leukocytes ≥ 3,000/mcL
- Absolute neutrophil count ≥ 1,500/mcL
- Platelet count ≥ 100,000/mcL
- Total bilirubin within normal institutional limits
- AST (SGOT) ≤ 2.5 X institutional upper limit of normal
- ALT (SGPT) ≤ 2.5 X institutional upper limit of normal
- Serum Creatinine within normal institutional limits
- Eligible TNM staging includes \>T1b meeting above criteria, any N, and M0
- Eligible candidates for standard surgical management which includes central liver resection (+ cholecystectomy if not already performed) and portal lymphadenectomy
- Subjects must have the ability to understand and the willingness to sign a written informed consent document
Exclusion
- Prior systemic therapy for gallbladder adenocarcinoma
- Subjects receiving any other investigational agents.
- Subjects with known or suspected metastatic disease
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to MMC or other agents used in this study.
- Subjects with uncontrolled intercurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
- Pregnant or breastfeeding are excluded from this study because MMC has the potential for teratogenic or abortifacient effects. Because there is known risk for adverse events in nursing infants secondary to treatment of the mother with MMC, breastfeeding should be discontinued if the mother is treated with MMC.
- Subjects with past medical history of hepatitis B or C
- Subjects with evidence of biliary obstruction thought to be cancer related, including subjects requiring biliary stent
Key Trial Info
Start Date :
June 23 2022
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
July 1 2029
Estimated Enrollment :
10 Patients enrolled
Trial Details
Trial ID
NCT05430035
Start Date
June 23 2022
End Date
July 1 2029
Last Update
February 24 2025
Active Locations (1)
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1
West Virginia University Cancer Institute Mary Babb Randolph Cancer Center
Morgantown, West Virginia, United States, 26506