A Randomised Trial of Pulmonary Metastasectomy in Colorectal Cancer (PulMiCC)
Recruitment status was Not yet recruiting
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Purpose
Patients who have been treated successfully for bowel cancer (colorectal cancer) sometimes go on to develop nodules of disease in another part of the body. If this disease is found to be related to the original cancer it is called a metastasis. Some patients develop one or more metastases particularly in the lungs or the liver.
There is a growing trend to remove lung metastases with an operation, in the belief that this will help patients live longer, however there have not been any scientific studies to prove this. There is also very little published information about the side effects of this surgery and how it affects subsequent daily living. This is a feasibility study to determine whether it will be possible to conduct a large randomised controlled trial investigating the value of pulmonary metastasectomy (surgery to remove lung metastases) in patients who have been successfully treated for colorectal cancer. There is a two stage consent and randomisation process. Firstly, patients will be invited to consent to having a full range of investigations to assess their suitability for surgery. If found to be suitable, they will then be invited to consent to randomisation between active monitoring of their disease or active monitoring with pulmonary metastasectomy. Patients will be followed up regularly for 5 years to assess their disease status and to measure their quality of life and lung function.
| Condition | Intervention |
|---|---|
|
Colorectal Cancer Pulmonary Metastases |
Procedure: Metastasectomy Procedure: Active monitoring |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Randomised Trial of Pulmonary Metastasectomy in Colorectal Cancer |
- Feasibility of recruitment [ Time Frame: 2 years ] [ Designated as safety issue: No ]We wish to measure the monthly recruitment rate from approximately 11-12 centres over 2 years. This feasibility study aims to determine whether it will be possible to recruit sufficient patients to conduct a larger randomised trial which would be powered to measure survival as the primary outcome.
- Survival [ Time Frame: 5 years ] [ Designated as safety issue: Yes ]Overall survival, Relapse free survival, Lung function (measured by FEV1), Patient reported quality of life (STAI, FACT-An-L and EQ-5D questionnaires), Health economic assessment
| Estimated Enrollment: | 80 |
| Study Start Date: | April 2010 |
| Estimated Study Completion Date: | October 2012 |
| Estimated Primary Completion Date: | April 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Pulmonary metastasectomy
Pulmonary metastasectomy
|
Procedure: Metastasectomy
Pulmonary Metastasectomy
|
|
Active Comparator: Active monitoring
Active monitoring
|
Procedure: Active monitoring
Active monitoring
|
Eligibility| Ages Eligible for Study: | 16 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with primary colorectal cancer who have undergone resection of the primary cancer with intent to cure, local control has been confirmed and no clinical indications of other active colorectal cancer other than the known lung metastases.
Exclusion Criteria:
- Previous malignancy likely to interfere with protocol treatment or measurement of endpoints, any concurrent illness which could interfere with the treatment protocol or confound survival, unavailable for follow up and assessment according to protocol, psychiatric or mental incapacity that precludes fully informed consent
Contacts and Locations| Contact: Tom Treasure, MD MS FRCS | 07957 168754 | tom.treasure@googlemail.com |
| United Kingdom | |
| Clinical Trials and Evaluation Unit | Not yet recruiting |
| London, United Kingdom, SW3 6NP | |
| Contact: Belinda Lees, PhD 0207 351 8827 b.lees@rbht.nhs.uk | |
| Principal Investigator: | Tom Treasure, MD, MS, FRCS | UCL |
More Information
No publications provided
| Responsible Party: | Research Governance Manager, University College London |
| ClinicalTrials.gov Identifier: | NCT01106261 History of Changes |
| Other Study ID Numbers: | Reference No: 08/0390, CRUK/09/022 |
| Study First Received: | April 13, 2010 |
| Last Updated: | April 16, 2010 |
| Health Authority: | United Kingdom: Research Ethics Committee |
Additional relevant MeSH terms:
|
Colorectal Neoplasms Neoplasm Metastasis Lung Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Neoplasms Digestive System Diseases Gastrointestinal Diseases |
Colonic Diseases Intestinal Diseases Rectal Diseases Neoplastic Processes Pathologic Processes Respiratory Tract Neoplasms Thoracic Neoplasms Lung Diseases Respiratory Tract Diseases |
ClinicalTrials.gov processed this record on May 23, 2013