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NCT02811523RecruitingPhase 1

In Vivo Lung Perfusion for Pulmonary Metastases of Sarcoma

In Vivo Lung Perfusion (IVLP) as an Adjuvant Treatment for Patients Undergoing Surgical Resection of Pulmonary Metastases of Bone and Soft Tissues Sarcomas

Source: ClinicalTrials.gov · Last updated 26 Nov 2025

Brief summary (registry, in English)

Sarcoma which has spread to the lungs is most often treated with surgery. Even with surgery, most patients will not be cured and will die from their disease, probably because of small cancer cells that are present in the lungs at the time of surgery, but cannot be seen or detected. It is for this reason that we are looking for a better treatment. Giving chemotherapy after surgery is generally not recommended because it has significant side effects and no benefit has been proven. This study is investigating a new technique for delivering chemotherapy directly into the lungs at the time of surgery. Delivering chemotherapy directly to the lungs could potentially kill any microscopic cancer cells that are present in the lungs at the time of surgery, while sparing other major organs in the body from the side effects of chemotherapy. This technique is called In Vivo Lung Perfusion (IVLP). This is a Phase I, non-randomized, dose escalation study that will act as a pilot study for a larger prospective, multicenter, controlled clinical trial. Patients who have bilateral disease will have one lung undergo IVLP and the other lung will remain untreated with the IVLP (the other lung will be treated as current standard of care - either surgery or radiation) as a control lung. The patients will undergo a posterolateral thoracotomy. Lung metastases will be identified by visualization or palpation. After surgical isolation of the lung by proximal control of pulmonary artery and veins, IVLP will be initiated. After 3 hours of IVLP, the lung metastases will be removed in the usual fashion. Patients will be cared for post-surgery according to institutional standards. The patients will be followed for up to 2 years. The primary endpoint is safety. Secondary endpoints include additional safety endpoints and efficacy.

Status (registry)
Recruiting
Phase (registry)
Phase 1
Study type
Interventional
Enrollment
17 (estimated)
First submitted
21 Jun 2016
Start date
1 Feb 2016
Primary completion date
30 Sept 2030
Lead sponsor
University Health Network, Toronto
NCT number
NCT02811523

What you commit to

  • Study type: Interventional · Phase 1
  • Planned participants: 17
  • From 1 Feb 2016 to the primary completion date, 30 Sept 2030
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Patient has previously received more than 450 mg of doxorubicin
  • Previous lung metastatectomy

Other illness

  • History of significant pulmonary disease or pneumonitis

Lab values

  • Left Ventricular Ejection Fraction \<50%

Age

  • Age 65 years or older, or less than 18 years

Other

  • Pregnant or lactating females
  • Inability to understand the informed consent process
  • Hypersenstivity to doxorubicin
  • Current participation in another therapeutic clinical trial

Who the study is looking for

  • Diagnosis of Soft Tissue or Osteogenic Sarcoma
  • Presence of bilateral pulmonary metastases
  • 3 or more lung lesions in total
  • Age less than 65 years
  • ECOG 0-2
  • Absence of extra-pulmonary disease
  • Contralateral disease amenable to surgery or radiation
  • All lung lesions in the lung to be treated with IVLP can be resected with wedge or segmental resections (non-IVLP treated lung will be treated with radiation or surgery 4-12 weeks prior to IVLP)

Age in the registry: 0 years to 64 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Princess Margaret Cancer Centre
Coordinator of this site? Confirm its status
TorontoCanadaRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.