Intraperitoneal PX in Combination With Nab-Paclitaxel in Patients With Peritoneal Metastatic Mucinous Adenocarcinoma
An Investigator-Initiated Clinical Study to Evaluate the Safety, Tolerability, and Preliminary Efficacy of Intraperitoneal PX in Combination With Nab-Paclitaxel in Patients With Peritoneal Metastatic Mucinous Adenocarcinoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Lin Shen, Prof.
- Phone Number: 01088196088
- Email: oncogene@163.com
Study Contact Backup
- Name: Jian Li, Dr.
- Phone Number: 861088196088
- Email: oncogene@163.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 18 years, regardless of sex;
- Histologically confirmed peritoneal metastatic mucinous adenocarcinoma;
- Considered suitable for intraperitoneal therapy based on investigator assessment;
- ECOG performance status 0-2;
- Adequate organ function confirmed by laboratory tests within 7 days prior to enrollment:
- Hematology: ANC ≥ 1.5 × 10⁹/L; PLT ≥ 100 × 10⁹/L; Hb ≥ 85 g/L; Liver function: TBIL ≤ 1.5 × ULN (≤ 3 × ULN for Gilbert's syndrome);AST/ALT ≤ 3 × ULN (≤ 5 × ULN in patients with liver metastases); Renal function: creatinine clearance ≥ 60 mL/min (Cockcroft-Gault) or serum creatinine ≤ 1.5 × ULN; Coagulation: PT, INR, and APTT ≤ 1.5 × ULN;
- Life expectancy ≥ 3 months;
- Ability to understand and willingness to sign written informed consent.
Exclusion Criteria:
- Planned concomitant systemic anti-tumor therapy during intraperitoneal treatment;
- Massive ascites not expected to be adequately drained prior to dosing;
- Chemotherapy or radiotherapy within 4 weeks prior to enrollment (≥ 6 weeks for nitrosoureas or mitomycin C);
- Pregnancy or lactation, or unwillingness to use effective contraception;
- Severe abdominal infection or gastrointestinal obstruction;
- Known peritoneal adhesions deemed unsuitable for catheter placement;
- Active bleeding, uncorrected coagulation disorders, or inability to safely interrupt therapeutic anticoagulation;
- Known hypersensitivity to PX, nab-paclitaxel, or excipients;
- Pre-existing ≥ Grade 2 peripheral sensory neuropathy;
- Severe or uncontrolled comorbidities that may increase study risk or interfere with evaluation;
- Active or severe autoimmune disease, or ongoing systemic immunosuppressive therapy;
- Positive for HBsAg, anti-HCV, syphilis antibody, or HIV antibody;
- Psychiatric or cognitive disorders affecting compliance;
- Any other condition deemed unsuitable by the investigator.
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: PX in combination with nab-paclitaxel
intraperitoneal PX in combination with nab-paclitaxel in patients with peritoneal metastatic mucinous adenocarcinoma
|
intraperitoneal PX in combination with nab-paclitaxel in patients with peritoneal metastatic mucinous adenocarcinoma,
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
adverse events
Time Frame: up to 21 days
|
adverse events after treatment
|
up to 21 days
|
|
the maximum tolerated dose
Time Frame: up to 21 days
|
Each dose level will initially enroll 3 participants.
If 1 of 3 participants experiences a DLT, the cohort will be expanded to 6 participants.
If ≤1 of 6 participants experiences a DLT, dose escalation will proceed.
If ≥2 participants experience DLTs, the dose level will be considered above the MTD, and the previous dose level will be used as the primary reference for RP2D determination.
|
up to 21 days
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
Other Study ID Numbers
Other Study ID Numbers
- SZBL-PX-PMA-001
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
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