Methods for delivery of therapeutic materials to treat cancer
Disclosed is a localized method for treatment of cancer including the steps of providing a drug delivery catheter; navigating the catheter to the bile duct; and delivering a therapeutic agent into the bile duct. According to one aspect of the method, the drug delivery catheter is a multi-occlusion balloon catheter. The multi-occlusion balloon catheter may include at least two balloons. The multi-occlusion balloon catheter may optionally include a pressure transducer between the balloons to optimize delivery technique.
1. A method of treatment, the method comprising:
inserting a catheter into a bile duct including a cholangiocarcinoma;
occluding the bile duct with a first occluder on a distal end region of the catheter and a second occluder on the distal end region of the catheter proximal to the first occluder, to isolate a region of the bile duct including the cholangiocarcinoma;
passing a guidewire through a lumen of the catheter to focally perforating a tissue within the isolated region before delivering a therapeutic agent;
delivering the therapeutic agent into the isolated region of the bile duct including the cholangiocarcinoma; and
maintaining a pressure in the isolated region of the bile duct to diffuse the therapeutic agent into the cholangiocarcinoma within the bile duct.
2. The method of claim 1 , further comprising placing a stent to open the bile duct prior to delivering the therapeutic agent.
3. The method of claim 1 , wherein maintaining the pressure of the isolated region of the bile duct comprises delivering the therapeutic agent into the isolated region of the bile duct under pressure.
4. The method of claim 1 , further comprising increasing or decreasing the pressure in the isolated region of the bile duct to change a penetration depth of the therapeutic agent into the cholangiocarcinoma within the bile duct.
5. The method of claim 1 , wherein inserting the catheter comprises advancing the catheter over the guidewire within the bile duct.
6. The method of claim 1 , wherein inserting the catheter comprises inserting the catheter into the bile duct to a region of the bile duct that includes the cholangiocarcinoma.
7. The method of claim 1 , wherein inserting the catheter comprises inserting the catheter through an endoscopic retrograde cholangiopancreatogram (ERCP) catheter.
8. The method of claim 1 , wherein inserting the catheter comprises inserting the catheter percutaneously.
9. The method of claim 1 , wherein inserting the catheter comprises adjusting a distance between the first occluder and the second occluder by advancing the first occluder distally, wherein the first occluder is on an inner catheter slidably disposed within a lumen of the catheter.
10. The method of claim 1 , wherein occluding the bile duct comprises inflating the first occluder and the second occluder.
11. The method of claim 1 , wherein the therapeutic agent is selected from a group of: 5-fluorouracil (5-FU), Aldesleukin, Axitinib, Bleomycin, Carboplatin, Cetuximab, Cisplatin, Cyclophosphamide, Dacarbazine, Doxorubicin Hydrochloride, doxorubicin liposomal non-pegylated (un-coated), doxorubicin liposomal pegylated (PEG coated), Floxuridine, Gemcitabine Hydrochloride, Irinotecan Hydrochloride Liposome, Lanreotide Acetate, leucovorin (antidote to folic acid antagonist used with 5FU), Methotrexate, Mitomycin, Mitoxantrone, Nivolumab, Olaparib, Oxaliplatin, Sorafenib Tosylate, Temsirolimus, Thiotepa, Topotecan Hydrochloride, Vinblastine Sulfate, vincristine sulfate.
12. A method of treatment, the method comprising:
inserting a catheter into a bile duct to a region of the bile duct including a cholangiocarcinoma;
isolating the region of the bile duct including the cholangiocarcinoma by occluding the bile duct with a first occluder on a distal end region of the catheter and a second occluder on the distal end region of the catheter proximal to the first occluder;
passing a guidewire through a lumen of the catheter to focally perforating a tissue within the isolated region before delivering a therapeutic agent;
delivering the therapeutic agent into the isolated region of the bile duct from out of an opening in a side wall of the catheter between the first occluder and the second occluder; and
diffusing the therapeutic agent into the cholangiocarcinoma by maintaining the pressure in the isolated region of the bile duct.
13. The method of claim 12 , further comprising increasing or decreasing the pressure in the isolated region of the bile duct to change a penetration depth of the therapeutic agent into the cholangiocarcinoma.
14. The method of claim 12 , wherein inserting the catheter comprises advancing the catheter over the guidewire within the bile duct.
15. The method of claim 12 , wherein inserting the catheter comprises inserting the catheter through an endoscopic retrograde cholangiopancreatogram (ERCP) catheter.
16. The method of claim 12 , wherein inserting the catheter comprises adjusting a distance between the first occluder and the second occluder by advancing the first occluder distally, wherein the first occluder is on an inner catheter slidably disposed within a lumen of the catheter.
17. The method of claim 12 , wherein the therapeutic agent is selected from a group of: 5-fluorouracil (5-FU), Aldesleukin, Axitinib, Bleomycin, Carboplatin, Cetuximab, Cisplatin, Cyclophosphamide, Dacarbazine, Doxorubicin Hydrochloride, doxorubicin liposomal non-pegylated (un-coated), doxorubicin liposomal pegylated (PEG coated), Floxuridine, Gemcitabine Hydrochloride, Irinotecan Hydrochloride Liposome, Lanreotide Acetate, leucovorin (antidote to folic acid antagonist used with 5FU), Methotrexate, Mitomycin, Mitoxantrone, Nivolumab, Olaparib, Oxaliplatin, Sorafenib Tosylate, Temsirolimus, Thiotepa, Topotecan Hydrochloride, Vinblastine Sulfate, vincristine sulfate.
18. A method of treatment, the method comprising:
inserting a catheter into a bile duct to a region of the bile duct including a cholangiocarcinoma;
isolating the region of the bile duct including the cholangiocarcinoma by occluding the bile duct with a first occluder on a distal end region of the catheter and a second occluder on the distal end region of the catheter proximal to the first occluder;
passing a guidewire through a lumen of the catheter to focally perforating a tissue within the isolated region before delivering a therapeutic agent;
delivering the therapeutic agent into the isolated region of the bile duct from out of an opening in a side wall of the catheter between the first occluder and the second occluder, whereby the therapeutic agent diffuses into the cholangiocarcinoma within the bile duct.