Implementation and Evaluation of Pressurized Intrathoracic Aerosol Chemotherapy (PITAC) for the Treatment of Patients With Malignant Pleural Effusion. A Danish Phase I Study (OPC5 Study)

Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

This study will monitor and evaluate patient and personnel safety and toxicity during the implementation and evaluation of Pressurized IntraThoracic Aerosol Chemotherapy (PITAC) directed treatment. Furthermore, this study will focus on Quality of Life questionnaires, LENT score, and evaluate pain and breathlessness using af visual analogue scales (VAS).

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Symptomatic MPE visible with bedside ultrasound

• Histologically or cytologically verified malignancy

• Status CT-scan not older than four weeks

• MPE requiring at least one drainage procedure

• Drained ≥ 14 days before the first PITAC directed treatment

• Bidirectional systemic chemotherapy or immunotherapy ≥ 14 days before the first PITAC directed treatment or no simultaneous systemic chemotherapy or immunotherapy

• ECOG Performance status 0-2

• Life expectancy ≥ 3 months

• Age ≥ 18 years

• Danish-speaking and reading patients

• Written informed consent according to the local Ethics Committee requirements

Locations
Other Locations
Denmark
Odense PIPAC Center, Department of Surgery, Odense University Hospital
RECRUITING
Odense
Contact Information
Primary
Pernille Schjødt Hansen, Student
pernille.schjodt.hansen@rsyd.dk
+45 65411857
Time Frame
Start Date: 2023-09-15
Estimated Completion Date: 2024-12-31
Participants
Target number of participants: 20
Treatments
Experimental: PITAC
Malignant Pleural Effusion (MPE) from colorectal or appendix cancer will be treated with Pressurized IntraThoracic Aerosol Chemotherapy (PITAC) using oxaliplatin 92 mg/m2 in 150 ml dextrose. MPE from non-colorectal or -appendix cancer will be treated with PITAC using cisplatin 10.5 mg/m2 in 150 ml saline and 2.1 mg/m2 in 50 ml saline.~PITAC is performed with a intrapleural pressure of 12 mmHg and the aerosolised chemotherapy will be nebulized at a maximum pressure of 300 PSI and a flow-rate of 0.5-1.8 ml/min. The PITAC directed treatment will be planned with 4 week intervals and patients may receive bi-directional systemic chemotherapy simultaneously.
Sponsors
Leads: Odense University Hospital

This content was sourced from clinicaltrials.gov