Registry Study of Neoadjuvant Chemoradiation & Transplant for Cholangiocarcinoma Patients



Status:Recruiting
Conditions:Liver Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:7/25/2018
Start Date:August 12, 2005
End Date:December 31, 2022
Contact:William Chapman, MD
Email:chapmanwc@wustl.edu
Phone:314-362-7792

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Prospective Registry Study of Neoadjuvant Chemoradiation in Conjunction With Liver Transplantation for Cholangiocarcinoma With Induction Gemcitabine, Followed by 3D Conformal Radiation With 5-FU as a Radiosensitizer, and Maintenance Xeloda Therapy Until Liver Transplantation

This is an observational study intended to validate results of a previous study done at the
Mayo Clinic. Patients are treated with combination chemotherapy and radiation and maintained
on oral Xeloda until they can receive liver transplant. A staging laparotomy is performed
before chemoradiation in order to identify patients who will most benefit from the treatment
and to improve outcomes.


Inclusion Criteria:

1. Diagnosis of cholangiocarcinoma that has been established preoperatively by at least
one of the following criteria:

1. A positive brush cytology or biopsy result obtained at the time of
cholangiography;

2. Fluorescence in situ hybridization demonstrating aneuploidy;

3. A serum CA 19-9 value greater than 100 U/mL in the presence of a radiographically
characteristic malignant stricture in the absence of cholangitis.

2. Tumor/stricture is above the cystic duct and is unresectable.

3. A suitable candidate for orthotopic liver transplantation as judged by the liver
transplant team. All 3 treatment modalities are not needed to confirm eligibility for
this registry trial.

4. >/= 18 years of age.

5. Willing and able to provide written informed consent.

Exclusion Criteria:

1. Intrahepatic metastasis or other metastatic disease (except peri-hilar nodes).

2. Prior treatment for this disease (including attempts at resection, irradiation, or
chemotherapy)
We found this trial at
1
site
660 S Euclid Ave
Saint Louis, Missouri 63110
(314) 362-5000
Principal Investigator: William C. Chapman, M.D.
Phone: 314-362-7792
Washington University School of Medicine Washington University Physicians is the clinical practice of the School...
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