Patient perspectives on peritoneal metastasis treatments

ISRCTN ISRCTN12469865
DOI https://doi.org/10.1186/ISRCTN12469865
Secondary identifying numbers 1.0
Submission date
06/11/2017
Registration date
05/01/2018
Last edited
15/11/2018
Recruitment status
Stopped
Overall study status
Stopped
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
The aim of this study is to assess the perception of patients towards three different treatment options for the palliative treatment of cancer which has spread within the abdominal cavity (disseminated peritoneal adenocarcinoma). Adjuvant chemotherapy involves medication (chemotherapy) being given in addition to surgery in order to reduce the risk of the cancer coming back. Pressurised intra peritoneal aerosol chemotherapy (PIPAC) involves chemotherapy being sprayed in the abdomen, while hyperthermic intraperitoneal chemotherapy (HIPEC) involves heated chemotherapy treatment delivered directly to the abdomen. PIPAC is currently only able to be offered to patients in a limited feasibility capacity.

Who can participate?
Patients aged over 18 who are being treated with adjuvant chemotherapy, HIPEC or PIPAC for disseminated peritoneal adenocarcinoma

What does the study involve?
Participants are interviewed about their perspective and attitudes to the treatment option and their quality of life is assessed before treatment starts and for up to 3 months during treatment. Demographic data is collected from those patients who are offered PIPAC to determine if there are any factors associated with take up of the new treatment.

What are the possible benefits and risks of participating?
In order to allow future research and expansion of the treatment options available for patients, it is important to understand patients’ concerns, questions and expectations before and how they may change following treatment. This study will enable the development of patient information material for future studies and also to identify which patient groups (if any) are more or less likely to opt for new/innovative treatments.

Where is the study run from?
1. Cwm Taf University Health Board (UK)
2. Cardiff and Vale University Health Board (UK)

When is the study starting and how long is it expected to run for?
September 2017 to November 2018

Who is funding the study?
Tenovus (UK)

Who is the main contact?
Julie Cornish

Contact information

Mrs Julie Cornish
Scientific

University Hospital of Wales
Cardiff
CF14 4XW
United Kingdom

Study information

Study designQualitative study
Primary study designObservational
Secondary study designQualitative study
Study setting(s)Hospital
Study typeQuality of life
Participant information sheet Not available in web format, please use contact details to request a patient information sheet
Scientific titlePatient Perspectives on Peritoneal Metastasis Treatments
Study acronymPerMeT
Study objectivesThe trialists will approach all patients found to have intraperitoneal adenocarcinoma who are being considered for one of the three treatments (palliative chemotherapy, ePIPAC or HIPEC).
The aim of this study is to assess patient attitudes and perspectives on new innovations for cancer surgery before and after treatment. In addition information on key concerns of patients around each treatment option will be captured.
Ethics approval(s)Wales REC, 14/09/2017, ref: 17/WA/0247
Health condition(s) or problem(s) studiedAdenocarcinoma with peritoneal metastases
Intervention4-8 patients are recruited from each of the three treatment groups:
1. Adjuvant chemotherapy
2. HIPEC (hyperthermic intraperitoneal chemotherapy)
3. PIPAC

Over a 12-month period face to face interviews are performed and quality of life data are collected before treatment commences and for up to 3 months during treatment. Baseline demographic data of those patients being offered PIPAC are collected to determine if there are any associated factors with take up of the new treatment.
Intervention typeOther
Primary outcome measurePatient’s perspective and attitudes to the treatment option, assessed using qualitative interviews and focus groups at baseline and 3 months
Secondary outcome measures1. Quality of life, measured using EQ5D
2. Personality profile of the patient and attitude of risk, assessed using Ten Item Personality inventory
3. Side effects experienced, assessed using patient diary and qualitative interviews
Measured at baseline and 3 months, with the patient diary also being assessed at 6 weeks
Overall study start date01/09/2017
Completion date01/11/2018
Reason abandoned (if study stopped)Participant recruitment issue

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants8-12 per group (max 24)
Key inclusion criteria1. Patients with disseminated peritoneal adenocarcinoma (of ovarian or colorectal origin)
2. Patients who are due to undergo treatment with; palliative chemotherapy OR HIPEC (Hyperthermic intraperitoneal chemotherapy) OR ePIPAC (electrostatic pressurised intra peritoneal aerosol chemotherapy)
3. Patients >18 years of age
4. Patients who are able to give informed consent
Key exclusion criteriaUnable to give informed consent
Date of first enrolment01/10/2017
Date of final enrolment01/10/2018

Locations

Countries of recruitment

  • United Kingdom
  • Wales

Study participating centres

Cwm Taf University Health Board
Royal Glamorgan Hospital
Llantrisant
CF72 8XR
United Kingdom
Cardiff and Vale University Health Board
Cardiff
CF14 4XW
United Kingdom

Sponsor information

Cwm Taf University Health Board
Hospital/treatment centre

Royal Glamorgan Hospital
Llantrisant
CF72 8XR
Wales
United Kingdom

ROR logo "ROR" https://ror.org/00rh52j13

Funders

Funder type

Charity

Tenovus
Private sector organisation / Other non-profit organizations
Alternative name(s)
Tenovus Cancer Care
Location
United Kingdom

Results and Publications

Intention to publish date01/11/2019
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPublication and dissemination plan as of 15/11/2018:
A final report will be published through Tenovus, the charity that funded the study.

Previous publication and dissemination plan:
Planned submission of the protocol for publication in the next 3 months. Planned publication of the results in a high impact peer reviewed journal around one year after the end of the trial.
IPD sharing planThe data sharing plans for the current study are unknown and will be made available at a later date.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No

Editorial Notes

15/11/2018: The trial was stopped due to poor recruitment in one arm and lack of availability of the other two treatment arms (HIPEC and PIPAC) which have been denied funding in Wales. The publication and dissemination plan was updated.