- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00063960
Hepatic Arterial Infusion With Floxuridine and Systemic Irinotecan After Surgery in Treating Patients With Hepatic (Liver) Metastases From Colorectal Cancer
A Phase II Trial Of Toxicity Assessment In Two Cohorts Of Patients (Resection Alone Or Ablation With Or Without Resection Of Hepatic Metastases From Colorectal Cancer) Treated With Adjuvant Hepatic Arterial Infusion (HAI) FUDR Plus Systemic CPT-11
RATIONALE: Drugs used in chemotherapy such as floxuridine and irinotecan use different ways to stop tumor cells from dividing so they stop growing or die. Hepatic arterial infusion uses a catheter to deliver chemotherapy directly to the liver. Combining more than one drug and giving them in different ways may kill any tumor cells remaining after surgery.
PURPOSE: Phase II trial to study the effectiveness of systemic irinotecan and hepatic arterial infusion with floxuridine after surgery in treating patients who have hepatic (liver) metastases from colorectal cancer.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
OBJECTIVES:
- Determine the toxicity of hepatic arterial infusion with floxuridine and systemic irinotecan adjuvant to liver metastases resection or ablation with or without resection in patients with hepatic metastases secondary to colorectal cancer.
- Determine the overall survival of patients treated with this regimen.
- Determine the time to any hepatic recurrence or progression in patients treated with this regimen.
OUTLINE: This is a multicenter study. Patients are stratified according to prior therapy (liver metastases resection only vs ablation with or without resection).
Within 4-8 weeks after prior resection or ablation, patients receive hepatic arterial infusion of floxuridine continuously on days 1-14 and irinotecan IV over 30 minutes on days 1 and 15. Treatment repeats every 28 days for 6 courses in the absence of unacceptable toxicity.
Patients are followed every 3 months for 2 years.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Arkansas
-
Little Rock, Arkansas, United States, 72205
- Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
-
-
Kentucky
-
Lexington, Kentucky, United States, 40503-9985
- Central Baptist Hospital
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital Cancer Center
-
-
Minnesota
-
Minneapolis, Minnesota, United States, 55455
- University of Minnesota Cancer Center
-
-
New York
-
Buffalo, New York, United States, 14263-0001
- Roswell Park Cancer Institute
-
New York, New York, United States, 10021
- Memorial Sloan-Kettering Cancer Center
-
-
North Carolina
-
Chapel Hill, North Carolina, United States, 27599-7213
- Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
-
Winston-Salem, North Carolina, United States, 27157-1082
- Comprehensive Cancer Center at Wake Forest University
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States, 73112
- Integris Oncology Services
-
-
Rhode Island
-
Providence, Rhode Island, United States, 02908-4735
- University Medical Group
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
DISEASE CHARACTERISTICS:
Histologically confirmed metastatic colorectal adenocarcinoma
Primary colorectal adenocarcinoma that has been completely resected (R0 disease)
- No evidence of residual, viable tumor by abdominal/pelvic helical CT scan or MRI with IV contrast
Metastatic disease
- No more than 9 liver metastases
All lesions completely resected or completely treated by ablation (with or without resection)
- All lesions treated by ablation must have been less than 5 cm in size and at least 5 mm away from main/left/right portal vein, common bile duct, and inferior vena cava
- All resected lesions must have a negative surgical margin (R0)
- Disease progression after prior systemic irinotecan for metastatic disease allowed
No extrahepatic metastases confirmed by chest CT scan except colorectal mesenteric lymph node metastases resected at the time of primary tumor resection
- No other prior resection of extrahepatic metastases
- Must have the entire liver remnant perfused with a single catheter
- Must have a nuclear medicine macro-aggregated albumin flow scan to confirm the area of pump perfusion before study registration
PATIENT CHARACTERISTICS:
Age
- 18 and over
Performance status
- ECOG 0-2 OR
- Zubrod 0-2
Life expectancy
- Not specified
Hematopoietic
- WBC at least 3,000/mm^3
- Absolute granulocyte count at least 1,500/mm^3
- Absolute neutrophil count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
Hepatic
- Bilirubin no greater than 2 mg/dL
- Alkaline phosphatase no greater than 2.0 times upper limit of normal (ULN)
- AST and ALT no greater than 2.0 times ULN
- No active hepatitis B or C infection
- No histological evidence of cirrhosis
Renal
- Creatinine no greater than 1.5 times ULN
- Calcium less than 1.3 times ULN
Other
- Not pregnant or nursing
- Negative pregnancy test
Fertile patients must use effective contraception
- Postmenopausal women must be amenorrheic for at least 12 consecutive months to be deemed not fertile
- Medically fit to begin chemotherapy between 4 and 8 weeks after surgery
Prior cancer allowed if all of the following criteria are met:
- Undergone potentially curative therapy for all prior malignancies
No other malignancy within the past 5 years except the following:
- Effectively treated basal cell or squamous cell skin cancer
- Carcinoma in situ of the cervix that has been effectively treated by surgery alone
- Lobular carcinoma in situ of the ipsilateral or contralateral breast treated by surgery alone
- No evidence of recurrence of any prior malignancy
- No prior hepatic arterial infusion pump malfunction, malperfusion, or infection
PRIOR CONCURRENT THERAPY:
Biologic therapy
- No concurrent immunologic or biologic therapy
Chemotherapy
- No prior chemotherapy within 4 weeks before hepatic resection or hepatic ablation (with or without resection)
- No prior hepatic arterial infusion with fluorouracil or floxuridine
Radiotherapy
- No concurrent adjuvant radiotherapy to the pelvis
- No other concurrent radiotherapy
Other
- No other concurrent systemic therapy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: floxuridine + irinotecan
Within 4-8 weeks after prior resection or ablation, patients receive hepatic arterial infusion of floxuridine continuously on days 1-14 and irinotecan IV over 30 minutes on days 1 and 15. Treatment repeats every 28 days for 6 courses in the absence of unacceptable toxicity. Patients are followed every 3 months for 2 years. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
overall survival
Time Frame: Up to 2 years
|
Up to 2 years
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
time to hepatic recurrence or progression
Time Frame: Up to 2 years
|
Up to 2 years
|
Collaborators and Investigators
Collaborators
Investigators
- Study Chair: Yuman Fong, MD, Memorial Sloan Kettering Cancer Center
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Pathologic Processes
- Neoplasms
- Neoplasms by Site
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Colonic Diseases
- Intestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Neoplastic Processes
- Colorectal Neoplasms
- Neoplasm Metastasis
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Topoisomerase Inhibitors
- Topoisomerase I Inhibitors
- Irinotecan
- Floxuridine
Other Study ID Numbers
- ACOSOG-Z05032
- CDR0000305857 (Registry Identifier: NCI Physician Data Query)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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