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Unspecified Adult Solid Tumor, Protocol SpecificPhase 2NCT00607880

Study Comparing Two Types of Ports in Patients With Cancer Receiving Intravenous Chemotherapy

A Phase 2 study testing vascular access device placement in people with Unspecified Adult Solid Tumor, Protocol Specific and Vascular Access Device Complications, run by Mayo Clinic at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

RATIONALE: Giving chemotherapy drugs through an implanted port reduces the need for multiple needle sticks. It is not yet known whether one type of port is more effective than another in reducing infections and other side effects associated with long-term port use. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
vascular access device placement
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
1 siteUnited States
Study dates
Jun 2004to Mar 2009
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

DISEASE CHARACTERISTICS:

  • Diagnosis of malignancy requiring intravenous chemotherapy for ≥ 6 months
  • Must undergo entire course of chemotherapy at the Mayo Clinic in Jacksonville, unless the outside treating institution agrees to submit the research data sheet to Mayo Clinic
  • Scheduled time frame for regular use of the vascular access port ≥ 3 months after port insertion

PATIENT CHARACTERISTICS:

  • Life expectancy ≥ 6 months
  • No active skin condition implicating an elevated risk of local or systemic infectious or non-infectious complications, including any of the following:
  • Current skin infection
  • Cutaneous lymphoma
  • Auto-immune disorders
  • Active vasculitis
  • Connective tissue diseases
  • No known active infection requiring antibiotic therapy at the time of port implantation
  • Patients without an active infection who are on chronic antibiotic suppressive therapy are eligible
  • No concurrent illness requiring chronic anticoagulation
  • Patients who develop other comorbidities requiring chronic anticoagulation during the study period are eligible

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Mayo Clinic - Jacksonville

    Jacksonville, Florida, 32224

Other trials in United States

About this study

Official title: A Prospective Randomized Study of the Vortex® Implantable Access Port Versus the BardPort™ Implantable Port in Cancer Patients Receiving Adjuvant Intravenous Chemotherapy

RATIONALE: Giving chemotherapy drugs through an implanted port reduces the need for multiple needle sticks. It is not yet known whether one type of port is more effective than another in reducing infections and other side effects associated with long-term port use.

PURPOSE: This randomized clinical trial is comparing two types of ports in patients with cancer receiving intravenous chemotherapy.

Read the detailed description

OBJECTIVES:

Primary

  • To compare the rate of port failure, defined as the occurrence of port malfunction or port infection within 12 months after port insertion, in patients with cancer requiring long-term adjuvant intravenous chemotherapy undergoing insertion of a newly designed, FDA-approved Vortex® implantable vascular access port vs a conventional vascular access port.

Secondary

  • To compare the rate of port malfunction or port infection at 6 and 12 months after port insertion.
  • To compare the rate of central vein thrombosis at 6 and 12 months after port insertion.
  • To compare the rate of port removal for any reason other than infection or occlusion at 6 and 12 months after port insertion.
  • To compare the rate of termination of use of the indwelling port at 6 and 12 months after port insertion.
  • To compare the death from all causes.
  • To compare the incidence of port-related interventions at 6 and 12 months after port insertion.

OUTLINE: Patients are randomized to 1 of 2 intervention arms.

  • Arm I: Patients undergo insertion of a conventional vascular access port. Patients then receive standard chemotherapy.
  • Arm II : Patients undergo insertion of the Vortex® implantable vascular access port. Patients then receive standard chemotherapy.

All episodes of access to the port are documented for 12 months after port insertion. Information including the reason for port access and difficulty in access is collected. Complications, such as occlusion and infection, implant duration, and incidence of port-related interventions are assessed at 6 and 12 months after port insertion.

Being tested
vascular access device placement
Keywords
vascular access device complications, unspecified adult solid tumor, protocol specific

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • vascular access device placementProcedure or surgery

Study groups in NCT00607880
Study groupRoleWhat they receive
Standard PortActive comparatorPatients undergo insertion of the conventional vascular access port (C. R. Bard, Inc., Murray Hill, NJ). Patients then receive standard chemotherapy.
Receives: Procedure: vascular access device placement
Vortex Implantable Access PortExperimentalPatients undergo insertion of the Vortex® implantable vascular access port (Horizon Medical Products, Manchester, GA). Patients then receive standard chemotherapy.
Receives: Procedure: vascular access device placement

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Port Failure Within 12 Months of Port Insertion

    We report the proportion of patients in each treatment group who have some degree of port failure. Port failure is defined as the composite outcome of port malfunction due to partial or total occlusion and any infection related to the port, within 12 months of port insertion. The percentages reported here are the number of patients that had reported a port failure within 12 months out of the number of patients with port failure within 12 months plus the number of patients that were followed 12 months without port failure.

    Measured: Up to 12 months from port insertion

Secondary outcomes (3)
  1. Death From All Causes

    Number of patients that died during treatment due to any cause.

    Measured: Up to 12 months after port insertion

  2. Port Removal for Any Reason Other Than Infection or Occlusion Within 12 Months After Port Insertion

    We report the number of patients that terminated use of port due to any reason other than infection or occlusion within 12 months.

    Measured: Up to 12 months after port insertion

  3. Termination of Use of the Indwelling Port at 12 Months After Port Insertion

    The number of patients that discontinued use of inserted port for any reason at the 12 month timepoint.

    Measured: Up to 12 months after port insertion

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Feb 2008 (estimated)
  2. Study startJun 2004
  3. Primary completionMar 2009
  4. Study completionMar 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00607880
Sponsor's protocol ID
P30CA015083
Other IDs
P30CA015083, 52-04
Status last verified
Apr 2014
First submitted
1 Feb 2008
Last updated
9 May 2014
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing vascular access device placement in people with Unspecified Adult Solid Tumor, Protocol Specific and Vascular Access Device Complications, run by Mayo Clinic at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 May 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 May 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Port Failure Within 12 Months of Port Insertion (time frame: Up to 12 months from port insertion). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 May 2014.

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