Single-arm Study of Photodynamic Laser Therapy Using Foscan for Non-curatively-resectable Bile Duct Carcinoma
A Phase II, Open-label, Single-arm Study of Photodynamic Laser Therapy Using Foscan for Non-curatively-resectable Bile Duct Carcinoma
2 other identifiers
interventional
35
2 countries
2
Brief Summary
The purpose of this study is to assess efficacy and safety of Foscan (temoporfin) photodynamic therapy in the treatment of locally advanced perihilar bile duct carcinoma without distant metastases.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2006
CompletedFirst Submitted
Initial submission to the registry
November 16, 2009
CompletedFirst Posted
Study publicly available on registry
November 18, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2011
CompletedNovember 18, 2009
November 1, 2009
5.9 years
November 16, 2009
November 16, 2009
Conditions
Outcome Measures
Primary Outcomes (1)
Rate of local response and depth of tumoricidal tissue penetration of Foscan-PDT
post treatment
Secondary Outcomes (2)
Progression-free survival time, overall survival time
Before first intervention and at months 1, 3, 6, 9, 12, 18 and 24 after intervention
Toxicity using WHO criteria and criteria for local toxicity in the biliary system
Before first intervention and at months 1, 3, 6, 9, 12, 18 and 24 after intervention
Study Arms (1)
Intervention
EXPERIMENTALInterventions
Drug treatment: Temoporfin 0.15 mg/kg body weight, intravenous injection within at least 6 min. Laser Treatment: 652nm wavelength; 30 Joules/cm diffusor length ( 200 sec at 150mW/cm diffusor length), within 96 h after Foscan
Eligibility Criteria
You may qualify if:
- bile duct carcinoma proven by histology in advanced or non-operable stage or tumor extension:
- Bismuth type III or IV ( not resectable with R0-margins )
- Bismuth type I or II, if resective surgery is contraindicated for old age or poor surgical risk of patient
- sufficient general condition to undergo PDT (Karnofsky status \> 30%)
- age \> 19 years
- access to common bile duct (either via endoscopy after sphincterotomy or percutaneously after transhepatic drainage),
- informed written consent
You may not qualify if:
- porphyria or other diseases exacerbated by light
- known intolerance or allergies to porphyrin derivatives
- a planned surgical procedure within the next 30 days
- coexisting ophthalmic disease likely to require slit lamp examination within the next 30 days
- impaired kidney or liver function (creatinine \> 2.5x elevated, INR \> 2.2 on vitamin K),
- leukopenia ( WBC \< 2000/cmm ) or thrombopenia ( \< 50000/cmm ),
- cytotoxic chemotherapy within the past 4 weeks.
- pregnancy ( and safe contraception for 6 months after PDT )
- accompanying/complicating disease with very poor prognosis (expected survival \< 6 weeks),
- proven advanced peritoneal carcinomatosis ( PET scan imaging, ascites positive for tumor cells)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Salzburglead
- Biolitec Pharma Ltd.collaborator
Study Sites (2)
Department of Internal Medicine I, Paracelsus Medical University Salzburg
Salzburg, Salzburg, 5020, Austria
Internal Medicine Dept., University Medical Center Hamburg-Eppendorf
Hamburg, Hamburg, 20246, Germany
MeSH Terms
Interventions
Study Officials
- PRINCIPAL INVESTIGATOR
Frieder Berr, Prof., MD
Department of Internal Medicine I, Paracelsus Medical University Salzburg, Muellner Hauptstrasse 48, 5020, Salzburg, Austria
- PRINCIPAL INVESTIGATOR
Lohse A, Prof., MD
University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 16, 2009
First Posted
November 18, 2009
Study Start
January 1, 2006
Primary Completion
December 1, 2011
Last Updated
November 18, 2009
Record last verified: 2009-11