Intra-hepatic Chemotherapy in Patient With Non-resectable Liver Metastases From Cholangiocarcinoma
Study Details
Study Description
Brief Summary
A phase II trial evaluating intra-hepatic chemotherapy with oxaliplatin every second week in combination with systemic gemcitabine and capecitabine in combination with cetuximab in patient with non-resectable liver metastases from cholangiocarcinoma.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Single arm chemotherapy treatment
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Drug: Oxaliplatin, capecitabine, gemcitabine, cetuximab
Intrahepatic oxaliplatin
Drug: Oxaliplatin, capecitabine, gemcitabine cetuximab
Oxaliplatin given intravenous
|
Outcome Measures
Primary Outcome Measures
- PFS [6 months after last patient included]
Time from treatment start to progression or death.
Secondary Outcome Measures
- Response rate. [6 months after last patient included]
- Survival [6 months after last patient included]
- Toxicity [28 days after last treatment of last patient]
Eligibility Criteria
Criteria
Inclusion Criteria:• Informed consent
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Age > 18 years
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Performance status 0-1; expected survival ≥ 3 months
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Patient with histologically or cytologically adenocarcinoma developed from cells in the gall bladder, extra- or intrahepatic bile ducts or malignant cells consistent with above mentioned and radiologic findings consistent with cholangiocarcinoma
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Liver metastases not suitable for surgery or other local treatment
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Extrahepatic disease should be excluded by PET-CT-scan.
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Prior treatment with chemotherapy or no progression on first line treatment
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Metastases < 70 % of the liver
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neutrophile granulocytes ≥ 1.5 x 109/l og thrombocytes ≥ 100 x 109/l
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bilirubin < 2.0 x UNL (upper normal limit).
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creatinine-clearance ≥ 30 ml/min.
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INR < 2.
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Intrahepatic treatment can be accomplished
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The patients is approved by a multidisciplinary team
Exclusion Criteria:• Other current or prior malignant disease except adequately treated and cured carcinoma in situ of the cervix or squamous cell carcinoma of the skin.
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Cytotoxic or experimental treatment within a 14 days period before start of trial medication
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The patient is not allowed to participate in other clinical trials.
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Any clinical symptoms suggesting peripheral neuropathy grade 2
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Other severe medical conditions
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Severe cardial disease or AMI < 1 year
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Presence of diseases preventing oral therapy
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Patients with uncontrolled infection
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Pregnant or lactating women
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Women capable of childbearing not using a sufficient method of birth control
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Patients not able to understand the treatment or to collaborate
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Prior serious or unsuspected reaction after treatment with fluoropyrimidine
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Known prior hypersensitivity reactions to the agents
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Interstitial pneumonitis or pulmonary fibrosis
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Herlev Hospital | Herlev | Denmark | 2730 |
Sponsors and Collaborators
- Dorte Nielsen
Investigators
- Principal Investigator: Magnus Bergenfeldt, Consultan, Department og Gastroenterology
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- GI 1003