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Radiation Therapy in Preventing Metastatic Cancer in Patients Who Have Diagnostic Procedures to Identify Malignant Mesothelioma

This study has been completed.
Information provided by:
National Cancer Institute (NCI) Identifier:
First received: September 11, 2000
Last updated: December 18, 2013
Last verified: October 2000

RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. It is not yet known if radiation therapy is effective in preventing metastatic cancer following surgery.

PURPOSE: Randomized phase III trial to determine the effectiveness of radiation therapy in preventing metastatic cancer in patients who have undergone diagnostic procedures to identify malignant mesothelioma.

Condition Intervention Phase
Malignant Mesothelioma
Perioperative/Postoperative Complications
Procedure: quality-of-life assessment
Procedure: standard follow-up care
Radiation: radiation therapy
Phase 3

Study Type: Interventional
Study Design: Primary Purpose: Treatment
Official Title: A Randomized Study to Assess Whether Radiotherapy Prevents Skin Lumps at Sites Where Needles or Tubes Have Been Inserted in Patients With Malignant Mesothelioma

Resource links provided by NLM:

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Incidence of metastatic skin nodules [ Designated as safety issue: No ]

Estimated Enrollment: 44
Study Start Date: February 1998
Study Completion Date: December 2002
Detailed Description:


  • Determine the efficacy of radiotherapy in the prevention of metastatic skin nodules or tumor seeding following invasive diagnostic procedures, such as chest drain insertion, pleural aspiration, pleural biopsy, and thoracoscopy, in patients with malignant mesothelioma.
  • Determine whether the nodules that develop after radiotherapy are symptomatic in these patients.
  • Compare the quality of life of patients treated with radiotherapy vs standard care alone.

OUTLINE: This is a randomized study.

Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive radiotherapy on 3 consecutive days beginning within 3 weeks after chest drain insertion, pleural aspiration, pleural biopsy, or thoracoscopy and once the wounds have healed.
  • Arm II: Patients receive standard supportive care alone. Quality of life is assessed at baseline, and then at 1, 2, 4, 6, 9, and 12 months.

Patients are followed at 1, 2, 4, 6, 9, and 12 months.

PROJECTED ACCRUAL: A total of 44 patients (22 per arm) will be accrued for this study within 2 years.


Ages Eligible for Study:   Child, Adult, Senior
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No


  • Histologically proven malignant pleural mesothelioma by chest drain insertion, pleural aspiration, pleural biopsy, and/or thoracoscopy within the past 3 weeks



  • Not specified

Performance status:

  • Not specified

Life expectancy:

  • At least 3 months


  • Not specified


  • Not specified


  • Not specified


Biologic therapy:

  • Not specified


  • No prior systemic chemotherapy for malignant mesothelioma

Endocrine therapy:

  • Not specified


  • No prior local radiotherapy for malignant mesothelioma


  • See Disease Characteristics
  • No other invasive procedures to the same chest site during and for 1 year after study
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00006231

United Kingdom
West of Scotland Cancer Centre
Glasgow, Scotland, United Kingdom, G11 6NT
Gartnavel General Hospitall
Glasgow, Scotland, United Kingdom, G12 0YN
Stobhill General Hospital
Glasgow, Scotland, United Kingdom, G21 3UW
Sponsors and Collaborators
University of Glasgow
Study Chair: Noelle O'Rourke, MD University of Glasgow
  More Information

O'Rourke N, Paul J, Hill J: Radiotherapy to mesothelioma drain sites may not be worthwhile: interim report of a randomized study. Lung Cancer 29(1 Suppl 1): A-568, 168, 2000. Identifier: NCT00006231     History of Changes
Other Study ID Numbers: CDR0000068155  CRC-BOC-L52  EU-20033 
Study First Received: September 11, 2000
Last Updated: December 18, 2013
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
localized malignant mesothelioma
advanced malignant mesothelioma
perioperative/postoperative complications

Additional relevant MeSH terms:
Postoperative Complications
Lung Neoplasms
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms, Mesothelial
Pathologic Processes
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Lung Diseases
Respiratory Tract Diseases processed this record on October 26, 2016