Efficacy and Safety Study of PDT Using Photofrin in Unresectable Advanced Perihilar Cholangiocarcinoma (OPUS)

PHASE3TerminatedINTERVENTIONAL
Enrollment

28

Participants

Timeline

Start Date

November 12, 2014

Primary Completion Date

January 12, 2017

Study Completion Date

January 12, 2017

Conditions
Hilar Cholangiocarcinoma
Interventions
DRUG

Photodynamic therapy-Photofrin

Photodynamic therapy (PDT) involves the i.v. injection of Photofrin (2 mg/kg) followed by the illumination of the tumor using a fiber optic device during an endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic cholangiography (PTC). Two days after the injection, a laser light (180 J/cm(2)) will be applied to the tumor. A second light application will be given 96-120 hours after Photofrin injection if PDT could not initially be performed on all sides of the tumor. Post illumination, all patients will undergo stenting as part of standard medical care procedure. Up to 3 additional courses of PDT using a light dose of 120 J/cm(2) may be given at 3-month intervals.

PROCEDURE

Stenting procedure

As per standard medical procedures, stenting procedure consists in the placement of stents above the main tumors of the right and left hepatic bile ducts via endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic cholangiography (PTC) when the ERCP approach has been unsuccessful.

DRUG

Chemotherapy regimen

The regimen will comprise gemcitabine (1 000 mg/m(2)) followed by cisplatin (25 mg/m(2)), each administered on days 1 and 8 every 3 weeks (21 day-cycle) for four cycles. An additional 12 weeks of the same chemotherapy regimen may be administered if there is no disease progression or intolerable toxicity.

Trial Locations (31)

8091

UniversitätsSpital Zürich, Zurich

10021

Weill Cornell Medical College, New York

10032

Columbia University Medical Center, New York

11203

SUNY Downstate Medical Center, Brooklyn

14263

Roswell Park Cancer Institute, Buffalo

15212

Allegheny Center for Digestive Health - AHN ASRI, Pittsburgh

19107

Thomas Jefferson University, Philadelphia

27710

Duke University Medical Center, Durham

30625

Medizinische Hochschule Hannover, Hanover

48202

Henry Ford Health System, Detroit

60590

Johann-Wolfgang-Goethe Universität Frankfurt, Frankfurt am Main

68167

Klinikum Mannheim GmbH, Mannheim

70065

Oschner Medical Center, Kenner

71640

Klinikum Ludwigsburg, Ludwigsburg

74133

Southwestern Regional Medical Center, Inc., Tulsa

75208

Methodist Dallas Medical Center, Dallas

80045

University of Colorado Denver, Aurora

85338

Western Regional Medical Center, Inc., Goodyear

95817

UC Davis Medical Center, Sacramento

98101

Virginia Mason Medical Center, Seattle

99204

Providence Sacred Heart Medical Center and Children's Hospital, Spokane

85259-5499

Mayo Clinic Cancer Center, Scottsdale

90033-1026

University of Southern California Keck School of Medicine, Los Angeles

M5B 1W8

St. Michael's Hospital, Toronto

H2X 3J4

CHUM Hôpital St-Luc, Montreal

D-45147

Universitätsklinikum Essen (AöR), Essen

143-729

Konkuk University Medical Center, Seoul

420-767

Soonchunhyang University Bucheon Hospital, Bucheon-si

463-707

Seoul National University Bundang Hospital, Seongnam-si

120-752

Severance Hospital, Yonsei University Health System, Seoul

110-744

Seoul National University Hospital, Seoul

Sponsors
All Listed Sponsors
lead

Concordia Laboratories Inc.

INDUSTRY