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Gemcitabine/Oxaliplatin and Photodynamic Therapy in Cholangiocarcinoma (GemOx-PDT)

This study has been withdrawn prior to enrollment.
(recruiting failed)
Münchner Studienzentrum
Information provided by:
Technische Universität München Identifier:
First received: July 7, 2008
Last updated: August 9, 2012
Last verified: July 2008
In patients with cholangiocarcinoma therapeutic effects have been reported for Gemcitabine/Oxaliplatin. Furthermore, photodynamic therapy (PDT) has significantly improved patients survival in two randomised trials. PDT induces tumor necrosis only in an area of few millimetres, while tumor parts which are located beyond this area remain untreated. An additive effect could result from PDT as a local therapy in combination with systemic chemotherapy.

Condition Intervention Phase
Drug: Gemcitabine, Oxaliplatin, Photodynamic therapy (Photosan®)
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Sequential Combination of Chemotherapy With Gemcitabine/Oxaliplatin and Photodynamic Therapy in Advanced Cholangiocarcinoma

Resource links provided by NLM:

Further study details as provided by Technische Universität München:

Primary Outcome Measures:
  • Progression free survival 6 months after study start [ Time Frame: 6 months after study start ]

Secondary Outcome Measures:
  • Progression free survival 12 months after study start Progression free interval Overall survival Life quality [ Time Frame: Until 12 months after study start ]

Enrollment: 0
Study Start Date: August 2008
Estimated Study Completion Date: December 2011
Arms Assigned Interventions
Experimental: 1
Treatment by combination of photodynamic therapy and chemotherapy
Drug: Gemcitabine, Oxaliplatin, Photodynamic therapy (Photosan®)
  1. Photodynamic therapy (PDT) after successful drainage:

    Photosan® 2 mg/kg i.v. 48 hrs before laser activation

  2. 9 cycles of GemOx chemotherapy (start 4 weeks after PDT):

    • Gemcitabine 1000 mg/m² 100 min infusion on day 1 of chemotherapy
    • Oxaliplatin 100 mg/m² 2h infusion on day 2 of chemotherapy
    • iteration every 14 days
    • afterwards 4 weeks intermission
  3. Iteration of 1. and 2. in case of good compatibility
Other Name: No other names

Detailed Description:
Patients entered in the study receive a sequential therapy consisted of photodynamic therapy followed by systemic chemotherapy (Gemcitabine/Oxaliplatin) 4 weeks later. Systemic chemotherapy every 2 weeks is scheduled 9 times in each cycle. Thereafter, another cycle of PDT followed by chemotherapy is intended.

Ages Eligible for Study:   18 Years to 90 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Histologic/cytologic verified cholangiocarcinoma or cholangiocarcinoma-typical findings in >= 2 diagnostic methods
  • Bile duct stenoses which are technically successful treated with biliary drainage
  • Irresectability/inoperability
  • Karnofsky-Index >= 60%
  • Age >= 18
  • Written consent

Before chemotherapy:

  • Bilirubin <= 5 mg/dl
  • GOT/GPT < 5x upper standard
  • Creatinine < 2x upper standard
  • Thrombocytes > 100 G/l
  • Neutrophils > 2,00 G/l
  • Haemoglobin > 9 g/dl
  • No occurence of complications during endoscopic procedures (abscess, bilioma, cholecystitis, cholangitis, pancreatitis, biliary leakage)

Exclusion Criteria:

  • Implantation of a metal stent in the bile duct
  • Previous PDT or chemotherapy
  • Neoplasia
  • Porphyria
  • Pregnant or breastfeeding women
  • Women of childbearing age and potent men who are not using highly effective contraceptives
  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: NCT00713687

Technical University of Munich at the Klinikum rechts der Isar II. Medizinische Klinik Ismaninger Str. 22
Munich, Germany, 81675
Sponsors and Collaborators
Technische Universität München
Münchner Studienzentrum
Principal Investigator: Matthias Ebert, Prof. Dr. Head of the gastroenterological department of the Klinikum rechts der Isar
Study Chair: Roland M. Schmid, Prof. Dr. Head of the gastroenterological department of the Klinikum rechts der Isar
  More Information

Rajagopalan V, Daines WP, Grossbard ML, Kozuch P. Gallbladder and biliary tract carcinoma: A comprehensive update, Part 1. Oncology 2004;18:889-896. Patel T. Cholangiocarcinoma. Nat Clin Pract Gastroenterol Hepatol 2006;3:33-42. de Groen PC, Gores GJ, LaRusso NF, Gunderson LL, Nagorney DM. Biliary tract cancers. N Engl J Med. 1999;341:1368-1378. Eckel F, Schmid RM. Chemotherapy in advanced biliary tract carcinoma: a pooled analysis of clinical trials. Br J Cancer 2007;96:896-902. Ortner ME, Caca K, Berr F, Liebetruth J, Mansmann U, Huster D, Voderholzer W, Schachschal G, Mössner J, Lochs H. Successful photodynamic therapy for nonresectable cholangiocarcinoma: a randomized prospective study. Gastroenterology 2003;125:1355-1363. Zoepf T, Jakobs R, Arnold JC, Apel D, Riemann JF. Palliation of nonresectable bile duct cancer: improved survival after photodynamic therapy. Am J Gastroenterol 2005;100:2426-2430. Wiedmann M, Caca K, Berr F, Schiefke I, Tannapfel A, Wittekind C, Mössner J, Hauss J, Witzigmann H. Neoadjuvant photodynamic therapy as a new approach to treating hilar cholangiocarcinoma: a phase II pilot study. Cancer. 2003;97:2783-2790. Dougherty TJ, Gomer CJ, Henderson BW, Jori G, Kessel D, Korbelik M, Moan J, Peng Q. Photodynamic therapy. J Natl Cancer Inst. 1998;90:889-905. Gollnick SO, Vaughan L, Henderson BW. Generation of effective antitumor vaccines using photodynamic therapy. Cancer Res 2002;62:1604-1608. Wiedmann M, Berr F, Schiefke I, Witzigmann H, Kohlhaw K, Mössner J, Caca K. Photodynamic therapy in patients with non-resectable hilar cholangiocarcinoma: 5-year follow-up of a prospective phase II study. Gastrointest Endosc 2004;60:68-75. Identifier: NCT00713687     History of Changes
Other Study ID Numbers: GEM-658-EBE-0024-I
EudraCT-Nr.: 2008-001560-37
Study First Received: July 7, 2008
Last Updated: August 9, 2012

Keywords provided by Technische Universität München:
photodynamic therapy

Additional relevant MeSH terms:
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Antiviral Agents
Anti-Infective Agents
Enzyme Inhibitors
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs processed this record on April 24, 2017