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Colorectal CancerPhase 3HIPECT4NCT02614534

Clinical Trial to Evaluate Safety and Efficacy of Hyperthermic Intra-peritoneal Chemotherapy (HIPEC) With Mitomycin C Used During Surgery for Treatment of Locally Advanced Colorectal Carcinoma

A Phase 3 study testing MITOMYCIN-C 30 mg and Proactive cytoreductive surgery in people with Colorectal Cancer, run by Maimónides Biomedical Research Institute of Córdoba at 19 sites in Spain.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to determine whether Hyperthermic Intra-peritoneal Chemotherapy (HIPEC) with Mitomycin C used during surgery for treatment of locally advanced colorectal carcinoma is effective in the treatment of locally advanced colorectal carcinoma. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Colorectal Cancer
What is being tested?
MITOMYCIN-C 30 mg and Proactive cytoreductive surgery
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
19 sitesSpain
Study dates
16 Nov 2015to Mar 2024
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female patients between the ages of 18 and 75 years;
  • Adenocarcinoma of the colon, sigma and colon-sigma joint which represent cT4a/b in line with The American Joint Committee on Cancer: the 7th edition of the AJCC cancer staging manual;
  • Lymph node involvement: N0, the presence of N1/2 according to the 7th edition of the AJCC is allowed, provided that they can be resectable;
  • Metastatic extent: M0;
  • Karnofsky index >70 or Performance status ≤2;
  • Informed consent properly completed.

Who cannot join

  • Presence of metastases (M1), in case of liver or peritoneal metastases at the time of surgery, the patient will be excluded from the trial and treated according to their new stage.
  • Presence of unresectability criteria;
  • Urgent intervention due to obstruction or perforation if there is tumor removal, prior interventions will be accepted as referrals without primary tumor removal or drainage of collections prior to scheduled surgery.
  • Extraperitoneal rectal cáncer (avoiding alterations for neoadyuvance);
  • Coexistence of another malignant neoplastic disease (synchronous tumors of the colon and upper rectum are accepted as long as the stage is equal to or less than the treated tumor).
  • Severely altered liver, kidney and cardiovascular function;
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  • Intolerance to treatment;
  • Administration of chemotherapy before the trial (use of neoadyuvance is discarded);
  • Pregnant or breastfeeding women.

Trial locations and contacts

19 sites in 1 country.

19 sites in 1 country

Spain19 sites
  • Hospital Universitario Príncipe de Asturias

    Alcalá de Henares, Madrid

  • Hospital Universitario Torrecárdenas

    Almería, 04009

  • Hospital Universitario de Badajoz

    Badajoz, 06080

  • Hospital Provincial de Castellón

    Castellon, Castellón, 12002

  • Hospital General Universitario de Ciudad Real

    Ciudad Real, 13005

  • Hospital Universitario Reina Sofía

    Córdoba, 14004

  • Hospital Universitario de Fuenlabrada

    Fuenlabrada, Madrid, 28942

  • Hospital Universitario de Gran Canaria "Dr. Negrín"

    Las Palmas de Gran Canaria, Canary Islands, 35019

  • MD Anderson Cancer Center

    Madrid, 28033

  • Hospital Universitario Fundación Jiménez Díaz

    Madrid, 28040

  • Hospital Universitario La Paz

    Madrid, 28046

  • Hospital Universitario HM Sanchinarro

    Madrid, 28050

  • Hospital Regional Universitario de Málaga

    Málaga

  • Hospital General Universitario Reina Sofía

    Murcia, 30003

  • Hospital Universitario Son Espases

    Palma de Mallorca, Balearic Islands

  • Hospital de Sant Joan Despí. Moisès Broggi

    Sant Joan Despí, Barcelona, 08970

  • Hospital Universitario Nuestra Señora de Candelaria

    Santa Cruz de Tenerife, Canary Islands, 38010

  • Instituto Valenciano de Oncología

    Valencia, 46009

  • Hospital Clínico Universitario de Valencia

    Valencia, 46010

Other trials in Spain

About this study

Official title: Multicentre, Randomized Clinical Trial to Evaluate Safety and Efficacy of Hyperthermic Intra-peritoneal Chemotherapy (HIPEC) With Mitomycin C Used During Surgery for Treatment of Locally Advanced Colorectal Carcinoma

The purpose of this study is to determine whether Hyperthermic Intra-peritoneal Chemotherapy (HIPEC) with Mitomycin C used during surgery for treatment of locally advanced colorectal carcinoma is effective in the treatment of locally advanced colorectal carcinoma.

Read the detailed description

The purpose of this study is to determine whether Hyperthermic Intra-peritoneal Chemotherapy (HIPEC) with Mitomycin C used during surgery for treatment of locally advanced colorectal carcinoma is effective in the treatment of locally advanced colorectal carcinoma.

The Hyperthermic Intra-peritoneal Chemotherapy (HIPEC) is expected to be an effective treatment with minimal side effects, it has already provided clear benefits in terms of overall survival in patients with advanced cancer.

This is an attractive option for the healthcare professionals who face daily to peritoneal recurrence after performing complex surgeries, however its application is difficult due to the cost and resources increase. This leads to the necessity of administering the treatment within a clinical trials and in order to obtain a significant power this clinical trials will be multicenter and it will be performed in several Oncological surgery Units highly specialised and with extensive experience in colorectal carcinoma.

Being tested
MITOMYCIN-C 30 mg, Proactive cytoreductive surgery
Keywords
HIPEC
Medical subject headings
Colorectal Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MITOMYCIN-C 30 mgDrug

    Proactive cytoreductive surgery: Tumoral cytoreductive surgery + apendicectomy + total omentectomy + round hepatic ligament + oophorectomy (postmenopausian women) plus HIPEC with Mytomicin C for 60 minutes.

  • Proactive cytoreductive surgeryProcedure or surgery

    Proactive cytoreductive surgery: Tumoral cytoreductive surgery + apendicectomy + total omentectomy + round hepatic ligament + oophorectomy (postmenopausian women)

Study groups in NCT02614534
Study groupRoleWhat they receive
Proactive cytoreductive surgery + HIPECExperimentalTumoral cytoreductive surgery + apendicectomy + total omentectomy + round hepatic ligament + oophorectomy (postmenopausian women) plus HIPEC (Mytomicin C - 60 minutes).
Receives: Drug: MITOMYCIN-C 30 mg
Proactive cytoreductive surgeryActive comparatorTumoral cytoreductive surgery + apendicectomy + total omentectomy + round hepatic ligament + oophorectomy (postmenopausian women).
Receives: Procedure: Proactive cytoreductive surgery

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Locoregional Control (LC)

    Time elapsed from the surgical intervention clinical up to the date the patient is free of clinical and radiological locoregional recurrence

    Measured: 3 years

Secondary outcomes (10)
  1. Overall survival

    Evaluate the effect of the addition of HIPEC with Mitomycin C to cytoreductive surgery in 12 months and 3 years overall survival rate (%OS).

    Measured: 12 months and 36 months after surgery

  2. Disease Free Survival

    Evaluate the effect of addition of HIPEC with Mitomycin C to cytoreductive surgery in 12 months and 3 years disease free survival rate (% DFS).

    Measured: 12 months and 36 months after surgery

  3. Evaluation of the morbidity and mortality related with the treatment

    Evaluate the safety (treatment-related morbidity and mortality) of addition of HIPEC with Mitomycin C to cytoreductive surgery in locally advanced colo-rectal cancer. It will be measured by the incidence rate of adverse events and deaths.

    Measured: 36 months after surgery

  4. HIPEC technique operating time

    Average operating time calculation.

    Measured: 36 months after surgery

  5. HIPEC technique length of hospital stay

    Average length of hospital stay calculation.

    Measured: 36 months after surgery

  6. HIPEC technique re-admission rate

    Average re-admission rate calculation.

    Measured: 36 months after surgery

  7. HIPEC technique laparoscopic vs laparotomy approach

    With this outcome it will be calculated the frequency of both surgery techniques and if it has any impact on the locoregional control of the disease.

    Measured: 36 months after surgery

  8. HIPEC technique open vs. closed HIPEC technique

    With this outcome it will be calculated the frequency of both surgery techniques and if it has any impact on the locoregional control of the disease.

    Measured: 36 months after surgery

  9. Quality of life questionnaire QLQ-C30

    With this outcome it will be calculated the effect on the quality of life of patients using questionnaire QLQ-C30.

    Measured: At baseline, 1 month after surgery, 6 months after surgery, 12 months after surgery, 24 months after surgery and 36 months after surgery

  10. Quality of life questionnaires QLQ-CR29

    With this outcome it will be calculated the effect on the quality of life of patients using questionnaire QLQ-CR29.

    Measured: At baseline, 1 month after surgery, 6 months after surgery, 12 months after surgery, 24 months after surgery and 36 months after surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Nov 2015 (estimated)
  2. Study start16 Nov 2015
  3. Primary completionMar 2024 (estimated)
  4. Study completionMar 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02614534
Sponsor's protocol ID
FCO-HIP-2015-01
Acronym
HIPECT4
Status last verified
Sep 2022
First submitted
9 Nov 2015
Last updated
28 Sep 2023
Results posted
No
Data monitoring committee
No
Individual data sharing
Yes: The individual participant data will be available. Individual parcicipant data that underlie the results reportes in this article, after deidenttification (text, tables, figures and appendices) The other documents that will be available: study protocol, Statistical Analysis Plan, Informed Consent Form. The data will be available beginning 9 months and ending 36 months following article publication. With whom? Researchers who provide a methodologically sound proposal. For what types of analyses? for individual participant data meta-analysis.

Publications

  • Arjona-Sanchez A, Gutierrez-Calvo A, Segura-Sampedro JJ, Morales R, Perez-Viejo E, Concepcion-Martin V, Sanchez-Garcia S, Garcia-Fadrique A, Prieto-Nieto I, Bijelic L, Torres-Melero J, Ramirez-Faraco M, Prada-Villaverde A, Carrasco-Campos J, Artiles-Armas M, Villarejo-Campos P, Ortega-Perez G, Boldo-Roda E, Sanchez-Hidalgo JM, Casado-Adam A, Rodriguez-Ortiz L, Rufian-Andujar B, Aranda E, Cano-Osuna MT, Diaz-Lopez C, Romero-Ruiz A, Vazquez-Borrego MC, Rufian-Pena S. Efficacy and safety of intraoperative hyperthermic intraperitoneal chemotherapy for locally advanced colorectal cancer (HIPECT4): final analysis of randomized clinical trial. BJS Open. 2025 Mar 5;10(2):zrag002. doi: 10.1093/bjsopen/zrag002.

    PubMed 41891861
  • Arjona-Sanchez A, Espinosa-Redondo E, Gutierrez-Calvo A, Segura-Sampedro JJ, Perez-Viejo E, Concepcion-Martin V, Sanchez-Garcia S, Garcia-Fadrique A, Prieto-Nieto I, Barrios-Sanchez P, Torres-Melero J, Ramirez Faraco M, Prada-Villaverde A, Carrasco-Campos J, Artiles-Armas M, Villarejo-Campos P, Ortega-Perez G, Boldo-Roda E, Sanchez-Hidalgo JM, Casado-Adam A, Rodriguez-Ortiz L, Aranda E, Cano-Osuna MT, Diaz-Lopez C, Romero-Ruiz A, Briceno-Delgado J, Rufian-Pena S; Grupo Espanol de Carcinomatosis Peritoneal. Efficacy and Safety of Intraoperative Hyperthermic Intraperitoneal Chemotherapy for Locally Advanced Colon Cancer: A Phase 3 Randomized Clinical Trial. JAMA Surg. 2023 Jul 1;158(7):683-691. doi: 10.1001/jamasurg.2023.0662.

    PubMed 37099280
  • Arjona-Sanchez A, Barrios P, Boldo-Roda E, Camps B, Carrasco-Campos J, Concepcion Martin V, Garcia-Fadrique A, Gutierrez-Calvo A, Morales R, Ortega-Perez G, Perez-Viejo E, Prada-Villaverde A, Torres-Melero J, Vicente E, Villarejo-Campos P, Sanchez-Hidalgo JM, Casado-Adam A, Garcia-Martin R, Medina M, Caro T, Villar C, Aranda E, Cano-Osuna MT, Diaz-Lopez C, Torres-Tordera E, Briceno-Delgado FJ, Rufian-Pena S. HIPECT4: multicentre, randomized clinical trial to evaluate safety and efficacy of Hyperthermic intra-peritoneal chemotherapy (HIPEC) with Mitomycin C used during surgery for treatment of locally advanced colorectal carcinoma. BMC Cancer. 2018 Feb 13;18(1):183. doi: 10.1186/s12885-018-4096-0.

    PubMed 29439668

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing MITOMYCIN-C 30 mg and Proactive cytoreductive surgery in people with Colorectal Cancer, run by Maimónides Biomedical Research Institute of Córdoba at 19 sites in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 28 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Locoregional Control (LC) (time frame: 3 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02614534, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Sep 2023.

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