Feasibility of Interval Debulking Surgery by Laparoscopy for Peritoneal Carcinosis in Chemosensitive Patients (CILOVE)
Prospective Study Assessing the Feasibility of Interval Debulking Surgery by Laparoscopy for Peritoneal Carcinomatosis of Ovarian Origin, Tubal or Primary Peritoneal, in Chemosensitive Patients Treated by Neoadjuvant Chemotherapy.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Angers, France, 49100
- Institut de Cancérologie de l'Ouest, site Paul Papin
-
Clermont-Ferrand, France, 63011
- Centre Jean Perrin
-
Clermont-Ferrand, France, 63003
- CHU Estaing
-
Marseille, France, 13009
- Institut Paoli Calmettes
-
Paris, France, 75015
- Hôpital Européen Georges-Pompidou
-
Paris, France, 75005
- Institut Curie
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Saint Cloud, France, 92210
- Institut Curie - Hopital Rene Huguenin
-
St Herblain, France, 44805
- Institut de Cancérologie de l'Ouest
-
Strasbourg, France, 67000
- Hôpital de Hautepierre
-
Toulouse, France, 31052
- Institut Claudius Regaud
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age > or = 18 years
- performance status WHO < 2
- Epithelial ovarian, fallopian tubes or primary peritoneal carcinoma (histologically confirmed)
- Unresectable disease because of FIGO stage IV disease proven by imaging (CT Scan or PET CT) and/or diffuse extensive carcinosis considered unresectable for advanced FIGO stage IIIc; or patients unable to support a radical primary surgery because of age, comorbidities or altered general condition.
- No previous debulking surgery before neoadjuvant chemotherapy.
- Patients treated with a minimum of 3 cycles of platinum-based neoadjuvant chemotherapy.
- Response to chemotherapy was radiologically confirmed (Scan-TAP) prior to interval surgery:
No evidence of peritoneal supra-mesocolic carcinomatosis ; Residual pelvic masses smaller than 10 cm ; Absence of suspect supra-centimeter retroperitoneal lymphadenopathy
- able to read, write and understand French.
- Member of a Social Security scheme.
- written informed consent.
Exclusion Criteria:
- Patient unable to support laparoscopy
- psychiatric condition or social or geographic situation that would impede appropriate study participation
- Concomitant participation in another clinical trial evaluating surgical treatment (interfering with the evaluation of the main endpoint)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: laparoscopic management
Tumor Debulking Surgery by laparoscopy
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
the rate of conversion to laparotomy
Time Frame: surgery
|
Feasibility of the surgical laparoscopic management of interval debulking surgery will be assessed by the rate of conversion to laparotomy.
|
surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Port site metastases
Time Frame: during 1 year post surgery
|
during 1 year post surgery
|
|
|
Morbidity: intraoperative and postoperative complications
Time Frame: during surgery and 1 year post surgery
|
during surgery and 1 year post surgery
|
|
|
Pain
Time Frame: during the hospital stay (an expected average of 5 days), at 1 week, 1 month, 3 and 6 months post surgery
|
during the hospital stay (an expected average of 5 days), at 1 week, 1 month, 3 and 6 months post surgery
|
|
|
Quality of life using EORTC QLQ-C30
Time Frame: before surgery (an expected average of 7 days before surgery), 1 week , 1 month, 3 and 6 months post-surgery
|
before surgery (an expected average of 7 days before surgery), 1 week , 1 month, 3 and 6 months post-surgery
|
|
|
Economic evaluation
Time Frame: 1 year post-surgery
|
economic evaluation will be assess by a quantification of the additional costs of surgery, duration and cost of hospitalization, number of possible re-interventions or hospitalizations.
|
1 year post-surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Christophe POMEL, Pr, Centre Jean Perrin
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2012-A01391-42
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