About this trial
This study is a prospective, randomized, comparative clinical trial conducted by Wuhan Union Hospital and aim to compare the therapeutic effects of Mitomycin and Lobaplatin in the treatment of advanced colorectal cancer patients with radical surgery combined with hyperthermic intraperitoneal chemotherapy
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
No chemoradiotherapy or other anti-tumor therapy before clinical trial performed;
Aged 18-75 years;
Male or non-pregnant or lactating women;
Pathological diagnosis of colorectal adenocarcinoma;
Disqualifiers
A history of other malignant tumors within 5 years;
Distant metastasis found during surgery;
Allergic to paclitaxel, lobaplatin and other related chemotherapeutic drugs;
Suffering from epilepsy or other mental illness, unable to control behavior;
Trial design
Parallel
Treatments tested in this trial
Mitomycin
DrugMitomycin is used as drug for hyperthermic intraperitoneal chemotherapy. Choice of perfusate: Normal saline. Drug selection and dose: Mitomycin 30mg/m2. Treatment course: 2 times (the first time is after surgery, the second time is 48h after first time).
Lobaplatin
DrugLobaplatin is used as drug for hyperthermic intraperitoneal chemotherapy. Choice of perfusate: Normal saline. Drug selection and dose: Lobaplatin 50mg/m2. Treatment course: 2 times (the first time is after surgery, the second time is 48h after first time).
Treatment groups
Trial outcomes
Primary outcomes
peritoneal metastasis
peritoneal metastasis-free survival (pRFS)
overall survival
overall survival (OS)
Secondary outcomes
Number of participants with immunosuppression events as assessed by blood immunological indicators
Before and After Hyperthermic Intraperitoneal Chemotherapy, collect 5mL blood samples of patients for detecting immunological indicators such as CD3, CD4 and CD8 lymphocyte population; Interferon-γ; tumor necrosis factor (TNF)-α; interleukin-2, 4, 8, 10, etc
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
postoperative adverse events (referring to CTCAE 5.0 \[including blood routine, liver and kidney function, patient reaction to HIPEC, adverse events\]) was analyzed
The positive rate of cancer cells of participants by exfoliative cytology examination
According to the positive rate of cancer cells measured in exfoliative cytology before and after HIPEC, the difference between the groups is analyzed.
Locations
Sponsors and contacts
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