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LOTCOL Study: Local Treatment of Colo-rectal Liver Met

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Oslo University Hospital

关键词

抽象

In this study the investigators will include colo-rectal cancer (CRC) patients starting last line of standard palliative chemotherapy. Eligible patients include patients with KRAS mutation starting line or KRAS wild type starting line treatment. Standard treatment today for these patients is chemotherapy only and median overall survival (OS) is about 10 months. The hypothesis is that local treatment in addition to systemic treatment will increase time to progression, progression free survival and overall survival compared to patients who receive systemic chemotherapy only. The investigators experience with local treatment of liver metastases in CRC patients is that side-effects of treatment in general are minor, although gastric bleeding have been observed after stereotactic body radiation therapy.

日期

最后验证: 12/31/2016
首次提交: 05/02/2013
提交的预估入学人数: 05/22/2013
首次发布: 06/03/2013
上次提交的更新: 01/05/2017
最近更新发布: 01/08/2017
实际学习开始日期: 04/30/2013
预计主要完成日期: 11/30/2016
预计完成日期: 11/30/2016

状况或疾病

Metastatic Colo-rectal Cancer

干预/治疗

Procedure: Cheomotherapy and local treatment

Drug: Cheomotherapy

-

手臂组

干预/治疗
Experimental: Cheomotherapy and local treatment
Standard chemotherapy + local treatment
Procedure: Cheomotherapy and local treatment
Radiofrequency ablation Microwave ablation Radiation therapy
Placebo Comparator: Cheomotherapy
Standard chemotherapy
Drug: Cheomotherapy

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria:

- Histologically verified adenocarcinoma of colon or rectum

- Ambulatory with an ECOG performance status 0-2

- At least 18 years of age

- Non-resectable liver metastases

- Progressive disease on or within 4 months after 1.line chemotherapy for KRAS mutant or after 2.line chemotherapy in KRAS wild type patients

- 1-4 liver metastases with largest diameter of up to 6 cm on CT-scan

- Up to 20 lesions in liver with no more than 4 lesions larger than 4 cm

- The patients will start 2./3. line chemotherapy (KRAS mutant/KRAS wt)

- Laboratory values as the following:

- ANC ³ 1.5 x 109/L

- Platelets ³ 100 x 109/L

- Hb ³ 9g/dL

- Creatinine £ 2x upper limit of normal

- Bilirubin < 2.0x the upper limit of normal

- ASAT and ALAT £ 5x the upper limit of normal

- Albumin levels > 30 g/L

- INR<1.3

- Signed informed consent and expected cooperation of the patients for the treatment and follow up must be obtained and documented according to ICH GCP, and national/local regulations

Exclusion Criteria:

- Previous treatment with 2. or 3. line chemotherapy (KRAS mutant/KRAS wt)

- History of prior metastatic disease the last 3 years

- History of CNS or bone metastases

- Significant cardiac or other medical illness that would limit activity or survival, such as severe congestive heart failure, unstable angina, or serious cardiac arrhythmia

- Largest liver mets >6 cm, more than 4 liver lesions >4 cm

- Pulmonary mets>3 cm

- Lymph node mets >2.5 cm

- Chemotherapy/radiation therapy or major surgery within the last 4 weeks before start of treatment

- Any reason why, in the opinion of the investigator, the patient should not participate.

结果

主要结果指标

1. Overall survival from time of randomization [6 months]

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