Abstract

It is anticipated that photodynamic therapy (PDT) using PHOTOFRIN at 2.0 mg/kg and a uniform laser light application will reduce the esophageal stricture rate seen and potentially reduce the intensity of the inflammatory reaction without compromising efficacy. The primary objective is to assess the efficacy of PDT with PHOTOFRIN (porfimer sodium) for injection plus omeprazole compared to omeprazole alone in the complete ablation of highgrade dysplasia in patients with Barrett's esophagus, in conjunction with a strict endoscopic surveillance and biopsy protocol. Ablation of HGD should confer a significant clinical benefit to the patient as it eliminates the immediate precursor to invasive cancer and removes the indication for esophagectomy which is associated with mortality and morbidity risks. The secondary objectives are to assess the safety and efficacy of PHOTOFRIN PDT plus omeprazole and systematic endoscopic surveillance compared to omeprazole therapy alone plus systematic endoscopic surveillance in terms of: quality of complete response; duration of complete response; delaying progression to cancer (time to progression); delaying the need for esophagectomy treatment failure; survival.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Center for Research Resources (NCRR)
Type
General Clinical Research Centers Program (M01)
Project #
5M01RR000080-40
Application #
6566891
Study Section
National Center for Research Resources Initial Review Group (RIRG)
Project Start
2001-12-01
Project End
2002-11-30
Budget Start
Budget End
Support Year
40
Fiscal Year
2002
Total Cost
Indirect Cost

  Institution

Name
Case Western Reserve University
Department
Type
DUNS #
077758407
City
Cleveland
State
OH
Country
United States
Zip Code
44106

  Publications

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Saade, G R; Thom, E A; Grobman, W A et al. (2018) Cervical funneling or intra-amniotic debris and preterm birth in nulliparous women with midtrimester cervical length less than 30 mm. Ultrasound Obstet Gynecol 52:757-762
Inker, Lesley A; Grams, Morgan E; Levey, Andrew S et al. (2018) Relationship of Estimated GFR and Albuminuria to Concurrent Laboratory Abnormalities: An Individual Participant Data Meta-analysis in a Global Consortium. Am J Kidney Dis :
Juraschek, Stephen P; Miller 3rd, Edgar R; Appel, Lawrence J (2018) Orthostatic Hypotension and Symptoms in the AASK Trial. Am J Hypertens 31:665-671
Di Fiore, Juliann M; Martin, Richard J; Li, Hong et al. (2017) Patterns of Oxygenation, Mortality, and Growth Status in the Surfactant Positive Pressure and Oxygen Trial Cohort. J Pediatr 186:49-56.e1
Osman, Ahmed Fageer; Thomas, Biju; Singh, Nakul et al. (2017) Impact of Infant-Polysomnography Studies on Discharge Management and Outcomes: A 5 Year Experience from a Tertiary Care Unit. J Neonatal Biol 6:
Tita, Alan T N; Lai, Yinglei; Landon, Mark B et al. (2017) Predictive Characteristics of Elevated 1-Hour Glucose Challenge Test Results for Gestational Diabetes. Am J Perinatol 34:1464-1469
Grams, Morgan E; Yang, Wei; Rebholz, Casey M et al. (2017) Risks of Adverse Events in Advanced CKD: The Chronic Renal Insufficiency Cohort (CRIC) Study. Am J Kidney Dis 70:337-346

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