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Anti-metabolites

Hepatic Arterial Infusion + Chemotherapy for Colorectal Cancer Liver Metastases

Phase 1
Waitlist Available
Research Sponsored by Memorial Sloan Kettering Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
History of histologically confirmed colorectal adenocarcinoma metastatic to the liver with no clinical or radiographic evidence of extrahepatic disease confirmed at MSKCC
Prior chemotherapy is acceptable if last dose given ≥ 3 weeks prior to registration to this study
Must not have
Active infection, ascites, hepatic encephalopathy
Female patients who are pregnant or lactating
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights

Summary

This trial is testing a new cancer treatment for people who have had part of their liver removed. It's a combination of two drugs given through an IV, plus a third drug given through a pump that goes directly to the liver. The goal is to find the best dose of each drug to give, based on how well the patient tolerates the treatment.

Who is the study for?
This trial is for individuals with colorectal cancer that has spread to the liver, but not elsewhere. They must have had surgery to remove liver disease and should have acceptable blood counts and organ function. Prior chemotherapy is okay if it was over three weeks ago, but no prior radiation to the liver or certain chemotherapies like oxaliplatin.
What is being tested?
The study aims to find safe doses of systemic chemotherapy (OXALIPLATIN plus 5-FLUOROURACIL and LEUCOVORIN) given by vein, and regional chemotherapy (FLOXURIDINE with DEXAMETHASONE) delivered directly to the liver in patients who've had a liver resection due to metastatic colorectal cancer.
What are the potential side effects?
Possible side effects include reactions at the infusion site, fatigue, nausea, vomiting, low blood cell counts increasing infection risk, potential damage to healthy liver tissue which dexamethasone aims to prevent.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My colorectal cancer has spread to my liver and there's no sign it has spread elsewhere.
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I last received chemotherapy more than 3 weeks ago.
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I can care for myself but may need occasional help.
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My liver cancer can potentially be fully removed by surgery, and it hasn't spread elsewhere.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I do not have an active infection, fluid in my abdomen, or brain issues due to liver disease.
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I am not pregnant or breastfeeding.
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I have previously been treated with oxaliplatin, cisplatin, or HAI FUDR.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 5 years for reporting.

Treatment Details

Trial Design

1Treatment groups
Experimental Treatment
Group I: Adjuvant Hepatic Arterial Infusion & Combination ChemotherapyExperimental Treatment8 Interventions
This is a Phase I study with the primary objective of defining the maximum tolerated dose of hepatic arterial floxuridine (FUDR) and dexamethasone (Dex) given via an implanted pump in combination with intravenous oxaliplatin plus systemic fluorouracil (5FU)/leucovorin (LV) in the adjuvant setting after resection of hepatic metastases from colorectal cancer. A total of eleven dose levels will be considered.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
adjuvant therapy
2004
Completed Phase 3
~3660
FOLFOX regimen
2009
Completed Phase 3
~2440
dexamethasone
1995
Completed Phase 3
~9520
conventional surgery
1994
Completed Phase 3
~13900
leucovorin calcium
1999
Completed Phase 3
~8620
oxaliplatin
2002
Completed Phase 3
~6370
floxuridine
2003
Completed Phase 3
~400
fluorouracil
1994
Completed Phase 3
~8440

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)NIH
13,842 Previous Clinical Trials
41,002,962 Total Patients Enrolled
University of Medicine and Dentistry of New JerseyOTHER
121 Previous Clinical Trials
13,248 Total Patients Enrolled
Memorial Sloan Kettering Cancer CenterLead Sponsor
1,956 Previous Clinical Trials
595,518 Total Patients Enrolled

Media Library

Fluorouracil (Anti-metabolites) Clinical Trial Eligibility Overview. Trial Name: NCT00059930 — Phase 1
Colorectal Cancer Research Study Groups: Adjuvant Hepatic Arterial Infusion & Combination Chemotherapy
Colorectal Cancer Clinical Trial 2023: Fluorouracil Highlights & Side Effects. Trial Name: NCT00059930 — Phase 1
Fluorouracil (Anti-metabolites) 2023 Treatment Timeline for Medical Study. Trial Name: NCT00059930 — Phase 1
~1 spots leftby Jun 2025