Lab-Grown tumor models may predict who benefits from heated chemotherapy
NCT ID NCT05652348
First seen Aug 27, 2026 · Last updated Aug 28, 2026 · Updated 1 time
Summary
This study tests whether tumor organoids grown from biopsies can predict how well patients with gastric or colon cancer and peritoneal carcinomatosis respond to hyperthermic intraperitoneal chemotherapy (HIPEC). Researchers collect tumor samples during standard surgery, grow them in the lab, and expose them to chemotherapy under heated conditions. They also analyze the organoids' genetics to find targets for potential targeted drugs. The goal is to develop a laboratory test that guides personalized treatment decisions.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Patient-derived tumor organoid cultures and in vitro sensitivity testing
- What this could lead to
- If successful, this could help doctors predict which patients with peritoneal carcinomatosis will benefit from HIPEC and guide targeted therapy choices.
- What could go wrong
- This is an early laboratory-based study with a small number of participants. Organoid responses may not perfectly mirror real tumor behavior in the body, and the findings may not change clinical practice immediately.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 48 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2022
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Eligible patients are recruited consecutively during of the initial surgical treatment planning
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * (Suspected) synchronous or metachronous peritoneal metastasis of adenocarcinoma of the stomach / gastroesophageal junction (GEJ) or of the colon or rectum * intraoperative histological confirmation of synchronous or metachronous peritoneal carcinomatosis in gastric carcinoma (incl. GEJ) or colon carcinoma (incl. rectal carcinoma) * Intraoperative peritoneal cancer index (PCI) ≤ 15 for gastric carcinoma and ≤ 20 for colon carcinoma. * Possibility of surgical resection of peritoneal carcinomatosis (cytoreductive surgery) in curative intention with achievement of a Completeness of Cytoreduction Score (CCS) of 0-1 * No contraindication to surgery * No contraindication against the performance of HIPEC * Expected survival of 6 months at least * ECOG ≤ 2 * Female and male patients ≥ 18 years of age * Patient is able and willing to give written informed consent and comply with the study protocol Exclusion Criteria: * Presence of non-resectable distant metastases * Patients with extensive metastasis (e.g., multiple bilobular liver metastases, hepatic and pulmonary metastases, multiple retroperitoneal lymph node metastases; oligometastasis is allowed) * Patients with recurrence of peritoneal carcinomatosis (e.g., previous peritonectomy in the course of primary tumor resection) * Patients after previous palliative chemotherapy or radiation of the tumor (exception: neoadjuvant and/or adjuvant therapies) * Hypersensitivity/allergy to components of the planned intraperitoneal chemotherapy * Patients not eligible for surgery/HIPEC (e.g., heart failure NYHA ≥III, myocardial infarction within the last 3 months before surgery, high-risk cardiac arrhythmias) * Secondary malignant disease that occurred \<5 years ago (exception: early stage of a localized tumor with in-sano resection, for example in situ carcinoma of the cervix, Adequately treated basal cell carcinoma of the skin) * Patients who are housed in a closed facility * Pregnant or breastfeeding patients, or patients who plan to become pregnant within 7 Months after the end of treatment to become pregnant
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
5 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum
RECRUITINGBerlin, 13353, Germany
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Department of Visceral, Thoracic and Vascular Surgery, University Hospital Carl Gustv Carus Dresden
RECRUITINGDresden, Germany
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Universitätsklinikum Köln (AöR), Klinik und Poliklinik für Allgemein-, Viszeral-, Thorax- und Gefäßchirurgie
RECRUITINGCologne, 50937, Germany
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Universitätsklinikum Ulm, Klink für Innere Medizin I
NOT_YET_RECRUITINGUlm, 89081, Germany
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Universitätsklinikum Würzburg, Chirurgie I - Klink und Poliklinik für Allgemein-, Viszeral-, Transplantations-, Gefäß- und Kinderchirurgie
RECRUITINGWürzburg, 97080, Germany
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