Adjuvant Pressurized IntraPeritoneal Aerosol Chemotherapy (PIPAC) in resected high risk colon cancer patients. - The PIPAC-OPC3 CC trial

2024-519189-31-00 Protocol PIPACOPC3CC Therapeutic exploratory (Phase II) Ongoing, recruitment ended

Start 4 Dec 2024 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 1 sites · Protocol PIPACOPC3CC

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruitment ended
Participants planned 60
Countries 1
Sites 1

Colon cancer

As PIPAC seems to have an effect on visible peritoneal metastasis in colon cancer patients, we hypothesize that PIPAC can minimize the risk of PM recurrence in resected high risk colon cancer patients. The main objective of this trial is to test this hypothesis.

Key facts

Sponsor
Odense University Hospital
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
4 Dec 2024 → ongoing
Decision date (initial)
2024-12-03
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-519189-31-00
EudraCT number
2017-002637-37
ClinicalTrials.gov
NCT03280511

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Prophylaxis

As PIPAC seems to have an effect on visible peritoneal metastasis in colon cancer patients, we hypothesize that PIPAC can minimize the risk of PM recurrence in resected high risk colon cancer patients. The main objective of this trial is to test this hypothesis.

Conditions and MedDRA coding

Colon cancer

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 PIPAC OX
One armed study. Patients will receive two adjuvant PIPAC treatments with oxaliplatin one month after resection or one month after systemic treatment, if indicated.
2 None

Regulatory references

Scientific advice from competent authorities
Danish Medicines Agency
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Radically resected colon cancer patients with adeno- or signet ring cell carcinomas with high-risk tumors defined as: perforated / pT4NanyM0 (UICC 8th edition) / pTanyNanyM1 with radically resected PM including ovarian metastases
  2. Performance status 0-1
  3. Age > 18 years

Exclusion criteria 3

  1. Radiologically or clinically proven relapse.
  2. Previous cytoreductive surgery (CRS) with HIPEC
  3. Other malignant diagnosis within the last 2 years

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The proportion of patients with peritoneal recurrence on contrast enhanced CT of the thorax and abdomen 36 months after resection of high-risk colon cancer

Secondary endpoints 6

  1. Treatment related toxicity and complication rate
  2. Completion rate of two adjuvant PIPAC treatments
  3. 1- and 2-year peritoneal recurrence free survival, based on CT of the thorax and abdomen
  4. 1-, 2- and 3-year recurrence free survival, based on CT of the thorax and abdomen
  5. 1-, 3- and 5-year overall survival rate
  6. The number of conversions from positive to negative peritoneal lavage cytology after one PIPAC procedure

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Oxaliplatin

SCP128961 · ATC

Active substance
Oxaliplatin
Route of administration
INTRAPERITONEAL USE
Max daily dose
46 mg milligram(s)
Max total dose
92 mg milligram(s)
Max treatment duration
2 Month(s)
Authorisation status
Authorised
ATC code
L01XA03 — OXALIPLATIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Odense University Hospital

Sponsor organisation
Odense University Hospital
Address
J B Winsloews Vej 4
City
Odense C
Postcode
5000
Country
Denmark

Scientific contact point

Organisation
Odense University Hospital
Contact name
Clinical trial mail address

Public contact point

Organisation
Odense University Hospital
Contact name
Clinical trial mail address

Third parties 1

OrganisationCity, countryDuties
Odense University Hospital
ORG-100007716
Odense C, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruitment ended 60 1
Rest of world 0

Investigational sites

Denmark

1 site · Ongoing, recruitment ended
Odense University Hospital
Department of Surgery, J B Winsloews Vej 4, 5000, Odense C

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2024-12-04 2024-12-04 2024-12-04

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 6 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protocol 2024-519189-31-00 4.1
Recruitment arrangements (for publication) PLACEHOLDER DOCUMENT Recruitment material patients 1
Subject information and informed consent form (for publication) ICF all patients 4
Subject information and informed consent form (for publication) SIS all patients 4
Summary of Product Characteristics (SmPC) (for publication) SmPC Oxaliplatin 1
Synopsis of the protocol (for publication) Protocol synopsis_DAN 2024-519189-31-00 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-11-15 Denmark Acceptable
2024-11-29
2024-12-03