A Randomized, Open, Prospective Clinical Research of Fluorouracil Implant to Improve Surgical Gallbladder Cancer and Bile Duct Cancer

Study Overview
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Brief Summary
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Through clinical practice, to explore if the application of Fluorouracil implant could effectively delay the local tumor recurrence and improvement the postoperative survival time in patients with gallbladder cancer and bile duct cancer.

Detailed Description
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Major Objective Through clinical practice, to explore if the application of Fluorouracil implant could effectively delay the local tumor recurrence and improvement the postoperative survival time in patients with gallbladder cancer and bile duct cancer. Secondary objective 1) If Fluorouracil implants application in clinical surgery could lead to the incidence of complications increased in biliary-enteric anastomosis. 2）Assess drug safety according to drug-related clinical and / or laboratory adverse events. 3）Observe the postoperative complication rate of Fluorouracil implants. 4）Observe the quality of life of patients used Fluorouracil implants.

Official Title
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A Randomized, Open, Prospective Clinical Research Programs of Fluorouracil Implant (Sinofuan) to Improve Surgical Gallbladder Cancer and Bile Duct Cancer

Conditions
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Gallbladder Cancer, Bile Duct Cancer

Intervention / Treatment
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* Drug: Fluorouracil implant


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The patients with gallbladder and bile duct cancer diagnosis by surgical exploration, or intraoperative frozen biopsy (Annex 2). Aged 18 to 70 years old, male or female, body condition score generally ECOG 0～2, expected survival ≥ 3 months. Subjects were no major organ dysfunction, blood, liver, kidney and heart function was normal, the specific requirements of laboratory indicators: Blood: WBC count > 3.0 × 109 / L, Platelet count> 100 × 109 / L, Hb > 8.0g/dl. Liver function：serum bilirubin less than 1.5 times the upper limit of normal; ALT and AST less than 3 times the upper limit of normal. Renal function: creatinine less than 1.5 times the upper limit of normal. Participants have used other chemotherapy drugs, subject to the 30-day washout period before proceeding with the test. Patients had no anaphylactic reaction with oxaliplatin and fluorouracil in the past. Patients who can understand the circumstances of this study and signed informed consent. Exclusion Criteria: Currently is receiving effective treatment； Pregnancy, breast-feeding patients； Primary brain tumors or central nervous system metastatic tumor is not controlled; Patients received chemotherapy, radiotherapy, biological therapy, other drugs or instrument therapy 30 days before enrollment. Patients with purulent and chronic infected wounds which delayed healing. Patients with liver, kidney and heart failure and coronary heart disease, angina, myocardial infarction, arrhythmia, cerebral thrombosis, stroke and other serious cardiovascular and cerebrovascular disease; Patients has a history of mental illness and difficult to control; Patients who was considered inappropriate to participate in the trials by the researchers.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Fluorouracil implant<br> | Drug: Fluorouracil implant<br>* Before the abdomen was closed, fluorouracil implant 1000mg was sprayed evenly on the surface of tumor resection area, and some of the drugs were put into mesenteric root based on the location<br>* Other names: Sinofuan;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| duration of survival after operation |  | 3 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| disease free survival |  | 1 years |