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Isolated hepatic perfusion as a treatment for uveal melanoma liver metastases (the SCANDIUM trial) : study protocol for a randomized controlled trial

Authors :
Olofsson, Roger
Ny, Lars
All-Ericsson, Charlotta
Eilard, Malin Sternby
Rizell, Magnus
Cahlin, Christian
Stierner, Ulrika
Lönn, Ulf
Hansson, Johan
Ljuslinder, Ingrid
Lundgren, Lotta
Ullenhag, Gustav
Kiilgaard, Jens Folke
Nilsson, Jonas
Lindnér, Per
Olofsson, Roger
Ny, Lars
All-Ericsson, Charlotta
Eilard, Malin Sternby
Rizell, Magnus
Cahlin, Christian
Stierner, Ulrika
Lönn, Ulf
Hansson, Johan
Ljuslinder, Ingrid
Lundgren, Lotta
Ullenhag, Gustav
Kiilgaard, Jens Folke
Nilsson, Jonas
Lindnér, Per
Publication Year :
2014

Abstract

Background: Uveal melanoma is the most common primary intraocular malignancy in adults. Despite successful control of the primary tumor, metastatic disease will ultimately develop in approximately 50% of patients, with the liver being the most common site for metastases. The median survival for patients with liver metastases is between 6 and 12 months, and no treatment has in randomized trials ever been shown to prolong survival. A previous phase II trial using isolated hepatic perfusion (IHP) has suggested a 14-month increase in overall survival compared with a historic control group consisting of the longest surviving patients in Sweden during the same time period (26 versus 12 months). Methods/Design: This is the protocol for a multicenter phase III trial randomizing patients with isolated liver metastases of uveal melanoma to IHP or best alternative care (BAC). Inclusion criteria include liver metastases (verified by biopsy) and no evidence of extra-hepatic tumor manifestations by positron emission tomography-computed tomography (PET-CT). The primary endpoint is overall survival at 24 months, with secondary endpoints including response rate, progression-free survival, and quality of life. The planned sample size is 78 patients throughout five years. Discussion: Patients with isolated liver metastases of uveal melanoma origin have a short expected survival and no standard treatment option exists. This is the first randomized clinical trial to evaluate IHP as a treatment option with overall survival being the primary endpoint.<br />Correction in: TRIALS, Volume: 16, Article Number: 334DOI: 10.1186/s13063-015-0809-8

Details

Database :
OAIster
Notes :
application/pdf, English
Publication Type :
Electronic Resource
Accession number :
edsoai.on1233822765
Document Type :
Electronic Resource
Full Text :
https://doi.org/10.1186.1745-6215-15-317