Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT03494946

Liver Transplantation Compared to Chemotherapy in Patients With ColoRectal Cancer

Led by Oslo University Hospital · Updated on 2024-02-06

30

Participants Needed

1

Research Sites

525 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The trial is a randomized control trial. Patients are randomized between Ltx and other treatment that may include further chemotherapy, TACE, SIRT or other available treatment options. The patients will be randomized 1:1 to Ltx and chemotherapy/other treatment options.

CONDITIONS

Official Title

Liver Transplantation Compared to Chemotherapy in Patients With ColoRectal Cancer

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically verified adenocarcinoma in colon or rectum
  • Liver metastases that cannot be surgically removed
  • No signs of cancer outside the liver or local recurrence on PET/CT scan within 6 weeks before transplant evaluation, except resectable lung lesions all under 15mm
  • No signs of cancer outside the liver on CT or MRI of thorax, abdomen, and pelvis within 6 weeks before transplant evaluation, except resectable lung lesions all under 15mm
  • Good performance status, ECOG 0 or 1
  • Blood tests showing hemoglobin over 10 g/dl, neutrophils over 1.0 (after any G-CSF), platelets over 75, bilirubin less than 1.5 times upper normal level, ASAT and ALAT less than 5 times upper normal level, creatinine less than 1.25 times upper normal level, and albumin above lower normal level
  • Signed informed consent and expected cooperation for treatment and follow-up
  • Progressive disease by RECIST criteria or intolerance to first-line chemotherapy
  • Randomization before evaluation 8-12 weeks after starting second-line chemotherapy
Not Eligible

You will not qualify if you...

  • Weight loss greater than 10% in the last 6 months
  • Body mass index over 30
  • Previous surgery for local relapse or non-liver metastasis within last 2 years, or surgery of pulmonary or liver hilum lymph node metastases within last year
  • Previous diagnosis of bone or central nervous system metastases or metastatic lymph nodes in thorax or abdomen
  • Previous diagnosis of breast cancer or malignant melanoma
  • Non-resected or palliative resection of primary colorectal tumor
  • Liver metastases affecting the diaphragm as seen on CT or ultrasound
  • Liver lesion larger than 10 cm
  • Having three negative prognostic factors at randomization (CEA over 80, less than 2 years from diagnosis, largest liver lesion over 5.5 cm)
  • Any condition that the investigator believes makes participation unsuitable

AI-Screening

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Trial Site Locations

Total: 1 location

1

Oslo University Hospital

Oslo, Norway

Actively Recruiting

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Research Team

M

Magnus Smedman, MD

CONTACT

M

Maria Gjerde

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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