Metastatic Tumor Cell Trap Device in Patients With Advanced Ovarian Cancer
Safety and Performance of Metastatic Tumor Cell Trap Device in Patients With Advanced Ovarian Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Barcelona, Spain, 08036
- Hospital Clinic De Barcelona
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Barcelona, Spain, 08035
- Hospital Universitari Vall d'Hebron
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Castelló, Spain, 12004
- Castellon University General Hospital
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Madrid, Spain, 28033
- MD Anderson Cancer Center
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Madrid, Spain, 28046
- Hospital La Paz Madrid
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Santiago de Compostela, Spain, 15706
- Complexo Hospitalario Universitario De Santiago
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Valencia, Spain, 46014
- Valencia-Hospital General
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Valencia, Spain, 46026
- Hospital Universitrio y Politècnico La Fe
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Is a female ≥18 years old.
- Presents with a diagnosis of Stage IIIC ovarian cancer.
- Presents with high-grade serous carcinoma.
Has one of the following:
- Visible residual tumor ≤1 cm after primary tumor debulking surgery.
- Three cycles of neoadjuvant chemotherapy and complete resection after interval tumor debulking surgery.
- Three cycles of neoadjuvant chemotherapy and visible residual tumor ≤1 cm after interval tumor debulking surgery.
- ECOG performance status of 0 or 1.
- Is willing to comply with required follow-up study visits.
- Is willing and able to provide written informed consent.
Exclusion Criteria:
- Has a life expectancy of <3 months.
- Is pregnant, as confirmed through a blood test prior to any study procedure, planning on becoming pregnant during the study, or is lactating.
- Will be receiving intraperitoneal chemotherapy.
- Has undergone prior treatment with abdominal and/or pelvic radiotherapy.
- Has significant active concurrent medical illnesses 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.
- Presence of central nervous system or cerebral metastases.
- Recurrent ovarian cancer.
- Complete resection with no residual tumor after primary tumor debulking surgery.
- Suboptimal resection with >1 cm residual tumor after primary or interval tumor debulking surgery.
- Is simultaneously enrolled in another investigational study.
- Has a history of cancer within 5 years other than in-situ uterine cervix cancer or non-melanoma skin cancer.
- Has a known hypersensitivity to carboplatin or paclitaxel.
- Is concurrently using other antineoplastic agents.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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EXPERIMENTAL: M-Trap
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Device(s) will be surgically implanted in the peritoneal cavity.
Up to three (3) M-Trap devices will be surgically implanted via laparotomy in the right and left paracolic (pelvic) gutters and behind segment 6 of the liver within the peritoneal cavity of the patient at the time of surgical resection.
Patients will receive standard platinum-based chemotherapy.
If the cancer is diagnosed to have recurred, M-Trap devices with captured tumor cells will be removed via minimally invasive surgery (laparoscopy).
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Safety: Number of Participants With Freedom From Device and Procedure-related Major Adverse Events
Time Frame: 6 months
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The primary objective is to demonstrate that the safety of M-Trap, as measured by freedom from device- and procedure-related major adverse events through 6-months post-implantation, is non-inferior to historical controls (Patankar 2015).
Freedom from device and procedure-related major adverse events is defined as severe complications based on Clavian Class IV complications, through 6-months post-implantation, including shock, cardiac arrest, myocardial infarction, pulmonary embolism, prolonged intubation, unplanned reintubation, or adverse events leading to removal of the device, including infection, seroma formation, mesh migration, bowel obstruction, adhesions, and local cancer progression through the abdominal wall at M-Trap suture sites.
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6 months
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Safety: Number of Participants With Freedom From Device and Procedure-related Major Adverse Events
Time Frame: 30 days
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An additional analysis was performed to assess safety of M-Trap in comparison to historical controls at a comparable 30 day timepoint, as measured by freedom from device- and procedure-related major adverse events through 30 days post-implantation.
Freedom from device and procedure-related major adverse events is defined as severe complications based on Clavian Class IV complications, through 30-days post-implantation, including shock, cardiac arrest, myocardial infarction, pulmonary embolism, prolonged intubation, unplanned reintubation, or adverse events leading to removal of the device, including infection, seroma formation, mesh migration, bowel obstruction, adhesions, and local cancer progression through the abdominal wall at M-Trap suture sites, adjusted based on the breakdown of the historical control population by number of extended procedures
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30 days
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Performance: Number of Participants With Histological Evidence of Tumor Cell Capture
Time Frame: Time of device removal, an average of 13.3 months
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Histological evidence of tumor cell capture in at least one device in patients who underwent successful device removal
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Time of device removal, an average of 13.3 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Safety: Number of Participants With Device-related Long-term Adverse Event Reporting
Time Frame: 18 months
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Device-related long-term adverse events and serious adverse events reported through 18 months
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18 months
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Safety: Number of Participants With Procedure-related Long-term Adverse Event Reporting
Time Frame: 18 months
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Procedure-related long-term adverse events and serious adverse events reported through 18 months
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18 months
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Performance: Disease Focalization Score Categorized as I, I or II, I or II or III, and I or II or III or IV by Recurrence Status
Time Frame: Time of recurrence, an average of 14.5 months
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Disease focalization score - Disease focalization scores of I, II, III, IV, or V were assigned by the evaluating clinician, representing the approximate percentage 100%, 75%, 50%, 25%, or 0%, respectively, of recurrent tumor contained in the M-Trap device.
Results are presented as described in secondary objective: patient count of score I; score I or II; score I, II or III; score I, II, III or IV; or No focalization.
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Time of recurrence, an average of 14.5 months
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Devices Implanted
Time Frame: Immediately post-procedure
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Number of devices implanted at conclusion of debulking surgery.
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Immediately post-procedure
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Disease Focalization Score by Recurrence Status
Time Frame: Time of recurrence, an average of 14.5 months
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Disease focalization score - Disease focalization scores of I, II, III, IV, or V were assigned by the evaluating clinician, representing the approximate percentage 100%, 75%, 50%, 25%, or 0%, respectively, of recurrent tumor contained in the M-Trap device
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Time of recurrence, an average of 14.5 months
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Number of Participants With Reasons for Device Removal
Time Frame: Time of device removal, an average of 13.3 months
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Reason that device removal was planned, regardless of whether or not it was completed.
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Time of device removal, an average of 13.3 months
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Antonio Gil-Moreno, MD, Hospital Vall d'Hebron
Study record dates
Study Major Dates
Study Start (ACTUAL)
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 (ACTUAL)
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
- Pathologic Processes
- Neoplasms by Histologic Type
- Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Genital Neoplasms, Female
- Endocrine System Diseases
- Ovarian Diseases
- Adnexal Diseases
- Gonadal Disorders
- Endocrine Gland Neoplasms
- Neoplastic Processes
- Neoplasm Metastasis
- Ovarian Neoplasms
- Carcinoma, Ovarian Epithelial
Other Study ID Numbers
Other Study ID Numbers
- MTRAP-2016-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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