- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05797077
Postoperation Maintenance Therapy for Resectable Liver Metastases of Colorectal Cancer Guided by ctDNA
April 3, 2023 updated by: Yanxin Luo,MD, Sixth Affiliated Hospital, Sun Yat-sen University
Postoperation Maintenance Therapy for Resectable Liver Metastases of Colorectal Cancer Guided by ctDNA: a Multicenter, Randomized, Controlled, Phase III Clinical Trial.
The goal of this clinical trial is to compare in resectable liver metastases colorectal cancer patients.The main question it aims to answer is to investigate whether the progression-free survival (PFS) of resectable colorectal liver metastasis (CRLM) patients with positive ctDNA after surgery is superior with the combination of adjuvant chemotherapy and maintenance therapy compared to adjuvant chemotherapy alone.
Study Overview
Status
Recruiting
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
346
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Guangdong
-
GuangZhou, Guangdong, China
- Recruiting
- The Sixth Affiliate Hospital of Sun Yat-Sen University
-
Contact:
- Yaoyi Huang, BS
- Phone Number: 86-15986423743
- Email: huangyy355@mail2.sysu.edu.cn
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Both males and females, aged 18-75 years;
- Patients with liver metastatic colorectal cancer who have undergone R0 resection based on MDT evaluation (including patients whose metastases have been treated with ablation achieving similar R0 resection effect);
- Postoperative ctDNA-positive patients;
- ASA grade < IV and/or ECOG performance status score ≤ 2;
- Participants must have a full understanding of the study and voluntarily sign an informed consent form.
Exclusion Criteria:
- Patients with distant metastases to other sites, including the pelvis, ovaries, peritoneum, etc.
- Patients with a history of other malignant tumors.
- Patients with severe liver or kidney dysfunction, cardiorespiratory dysfunction, coagulation dysfunction, or underlying diseases that cannot tolerate chemotherapy.
- Patients who are allergic to any component of the study.
- Patients who have received other tumor-related investigational drug treatments.
- Patients with severe uncontrolled recurrent infections or other severe uncontrolled accompanying diseases.
- Patients with other factors that may affect the study results or lead to early termination of the study, such as alcoholism, drug abuse, other serious diseases requiring comprehensive treatment (including mental illness), and severe laboratory abnormalities.
- Patients with a history of severe mental illness.
- Pregnant or lactating women.
- Patients who, in the opinion of the researchers, have other clinical or laboratory conditions that make them unsuitable for participation in the study.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Adjuvant chemotherapy combined with maintenance therapy
|
Colorectal cancer radical resection combined with liver metastasis resection or ablation.
Chemotherapy regimens recommended include oxaliplatin-based CapeOx or FOLFOX regimens, or single-agent 5-FU/LV, capecitabine, or combination with targeted therapy.
Other Names:
Maintenance therapy is recommended to be continued with low-toxicity drugs such as 5-FU/LV or capecitabine, and may be combined with targeted therapy.
Treatment should be discontinued once ctDNA testing is negative.
Other Names:
|
Sham Comparator: Single adjuvant chemotherapy
|
Colorectal cancer radical resection combined with liver metastasis resection or ablation.
Chemotherapy regimens recommended include oxaliplatin-based CapeOx or FOLFOX regimens, or single-agent 5-FU/LV, capecitabine, or combination with targeted therapy.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
3-years Progression Free Survival
Time Frame: 3 years after operation.
|
PFS is defined as the time from randomization to the occurrence of any progression or death from any cause.
|
3 years after operation.
|
5-years Progression Free Survival
Time Frame: 5 years after operation.
|
PFS is defined as the time from randomization to the occurrence of any progression or death from any cause.
|
5 years after operation.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
3-years overall survival
Time Frame: 3 years after operation.
|
Overall survival is defined as the time from randomization to death from any cause.
For patients who are still alive at the time of the final analysis, the date of the last contact will be recorded.
|
3 years after operation.
|
5-years overall survival
Time Frame: 5 years after operation.
|
Overall survival is defined as the time from randomization to death from any cause.
For patients who are still alive at the time of the final analysis, the date of the last contact will be recorded.
|
5 years after operation.
|
Complication
Time Frame: 5 years.
|
he complications of adjuvant therapy usually refer to the adverse events that occur during or after treatment, including but not limited to chemotherapy-related adverse reactions, radiation therapy-related adverse reactions, and postoperative complications.
Specifically, chemotherapy-related adverse reactions may include nausea, vomiting, diarrhea, anemia, and infections; radiation therapy-related adverse reactions may include skin inflammation, nausea, vomiting, diarrhea, fatigue, and dry mouth; postoperative complications may include bleeding, infection, intestinal obstruction, and poor wound healing.
Researchers typically record the types, severity, and impact of these complications on treatment to evaluate the safety and tolerability of adjuvant therapy.
|
5 years.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
February 20, 2023
Primary Completion (Anticipated)
February 20, 2029
Study Completion (Anticipated)
February 20, 2031
Study Registration Dates
First Submitted
March 20, 2023
First Submitted That Met QC Criteria
April 3, 2023
First Posted (Actual)
April 4, 2023
Study Record Updates
Last Update Posted (Actual)
April 4, 2023
Last Update Submitted That Met QC Criteria
April 3, 2023
Last Verified
April 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Pathologic Processes
- Neoplasms
- Neoplasms by Site
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Liver Diseases
- Colonic Diseases
- Intestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Neoplastic Processes
- Colorectal Neoplasms
- Neoplasm Metastasis
- Liver Neoplasms
- Neoplasms, Second Primary
- Neoplastic Cells, Circulating
- Molecular Mechanisms of Pharmacological Action
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Capecitabine
Other Study ID Numbers
- 1010(PY)2022-10
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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