Evidence map›Paper›PMID 39285036›Full record

Trial reportSurgical endoscopy2024

Patient-reported outcomes during first-line palliative systemic therapy alternated with pressurized intraperitoneal aerosol chemotherapy for unresectable colorectal peritoneal metastases: a single-arm phase II trial (CRC-PIPAC-II).

Vincent C J van de Vlasakker, Paulien Rauwerdink, Koen P B Rovers, Emma C Wassenaar, Geert-Jan Creemers, Maartje Los, Jacobus W A Burger, Simon W Nienhuijs, Onno Kranenburg, Marinus J Wiezer and 3 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Pressurised intraperitoneal aerosol chemotherapy (PIPAC) for peritoneal metastases: a scoping review of clinical evidence across emerging indications.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Vincent C J van de Vlasakker *Department of Surgery, Catharina Hospital, Catharina Cancer Institute, PO Box 1350, 5602, Eindhoven, ZA, The Netherlands.
Paulien Rauwerdink *Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Koen P B RoversDepartment of Surgery, Catharina Hospital, Catharina Cancer Institute, PO Box 1350, 5602, Eindhoven, ZA, The Netherlands.
Emma C WassenaarDepartment of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Geert-Jan CreemersDepartment of Medical Oncology, Catharina Hospital, Eindhoven, The Netherlands.
Maartje LosDepartment of Medical Oncology, St. Antonius Hospital, Nieuwegein, The Netherlands.
Jacobus W A BurgerDepartment of Surgery, Catharina Hospital, Catharina Cancer Institute, PO Box 1350, 5602, Eindhoven, ZA, The Netherlands.
Simon W NienhuijsDepartment of Surgery, Catharina Hospital, Catharina Cancer Institute, PO Box 1350, 5602, Eindhoven, ZA, The Netherlands.
Onno KranenburgLab Translational Oncology, Division Imaging and Cancer, University Medical Center Utrecht, Utrecht, The Netherlands.
Marinus J WiezerDepartment of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Robin J LurvinkDepartment of Surgery, Catharina Hospital, Catharina Cancer Institute, PO Box 1350, 5602, Eindhoven, ZA, The Netherlands.
Djamila Boerma *Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Ignace H J T de Hingh *Department of Surgery, Catharina Hospital, Catharina Cancer Institute, PO Box 1350, 5602, Eindhoven, ZA, The Netherlands. ignace.d.hingh@catharinaziekenhuis.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe CRC-PIPAC-II study prospectively assessed bidirectional therapy (BT) consisting of first-line palliative systemic therapy and electrostatic precipitation oxaliplatin-based pressurized intraperitoneal aerosol chemotherapy (ePIPAC-OX) in patients with unresectable colorectal peritoneal metastases (CPM). This study describes the exploration of patient-reported outcomes (PROs).

methodsIn this phase II trial, 20 patients with isolated CPM were treated with up to three cycles of BT, each cycle consisting of two to three courses of systemic therapy, followed by ePIPAC-OX (92 mg/m

resultsTwenty patients underwent a total of 52 cycles of bidirectional therapy. Most PROs (29 of 37, 78%) were not significantly affected during trial treatment. In total, only eight PROs (22%) were significantly affected during trial treatment: Six PROs (index value, global health status, emotional functioning, C30, appetite, and insomnia) showed transient improvement at different time points. Two PROs transiently deteriorated: pain initially improved during the first BT cycle [- 16, p < 0.001] yet worsened temporarily one week after the first two BT cycles (+ 20, p < 0.001; + 17, p = 0.004; respectively). Abdominal pain worsened temporarily one week after the first BT cycle (+ 16, p = 0.004), before improving again four weeks after treatment ended (- 10, p = 0.004). All significant effects on Pros were clinically significant and all deteriorations in PROs were of temporary nature. DISCUSSION: Patients undergoing BT for unresectable CPM had significant, but reversible alterations in several PROs. Most affected PROs concerned improvements and only two PROs showed deteriorations. Both deteriorated PROs returned to baseline after trial treatment and were of a temporary nature. These outcomes help to design future studies on the role of ePIPAC in the palliative setting.

Indexed as

AerosolsColorectal NeoplasmsOxaliplatinPalliative CarePatient Reported Outcome MeasuresPeritoneal NeoplasmsAdultAgedAntineoplastic AgentsFemaleHumansMaleMiddle AgedProspective StudiesQuality of LifeAerosolsAntineoplastic AgentsOxaliplatinColorectal peritoneal metastasesLinear mixed modelingPatient reported outcomesPIPACQuality of life

Identifiers

PMID39285036
PMCPMC11525311

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.