Effect of Target Therapy on Patients Undergoing Synchronic Hepatectomy for Colorectal Liver Metastases
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Purpose
The aim of this study is to explore whether target therapy in combination with chemotherapy as treatment could improve survival or tumor response in patients undergoing Synchronic Hepatectomy for Colorectal Liver Metastases.
| Condition |
|---|
|
Colorectal Cancer Liver Tumor |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | A Randomized, Controlled Trial of Target Therapy Plus Chemotherapy in Patients Undergoing Liver Resection for Colorectal Liver Metastases |
| Estimated Enrollment: | 60 |
| Study Start Date: | January 2007 |
| Estimated Study Completion Date: | December 2014 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
arm A
patients received chemotherapy alone
|
|
arm B
patients received target therapy combined with chemotherapy
|
Detailed Description:
In patients with colorectal cancer (CRC), the liver is the most common site of hematogenous metastases. Approximately half of patients develop hepatic metastases during the course of the disease, and hepatic metastases are responsible for death in at least two thirds of CRC patients.
Over the past decade, due to the introduction of irinotecan-based or oxaliplatin-based combination chemotherapy, the median survival among patients with colorectal liver metastases (CLM) has increased from 6 ~8 months to more than 20 months5.In recent years, target therapy has rapidly gained attention for the treatment of CLM and is under active investigation.
Although numerous publications have reported the efficacy of target therapy in combination treatment for CLM patients, most of these studies focused solely on those patients without undergoing resection of liver metastases. In contrast, little work has concentrated on exploring the effection of target therapy for CLM patients undergoing Synchronic Hepatectomy.
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
From Zhongshan hospital
Inclusion Criteria:
- age between 18 - 75 years old
- Performance status (ECOG) 0~1
- colorectal adenocarcinoma pathologically
- without any chemotherapy or radiotherapy
- liver metastases undergoing radical resection
- colorectal cancer undergoing radical resection
- no other metastases
- suitable for chemotherapy
- agreed by patients
Exclusion Criteria:
- age below 18 years old or greater than 75 years old
- haven't pathological diagnosis of colorectal adenocarcinoma with liver metastase
- with any chemotherapy or radiotherapy
- with other metastasis
- unresectable colorectal cancer or liver metastases
- unsuitable for chemotherapy or target therapy
- not agreed by patients
Contacts and Locations| Contact: Xu Jianmin, MD | +86-13501984869 | xujmin@yahoo.com.cn |
| China, Shanghai | |
| Zhongshan Hospital, Fudan University | Recruiting |
| Shanghai, Shanghai, China, 200032 | |
| Contact: Jianmin Xu, M.D.,Ph.D. 86-13501984869 xujmin@yahoo.com.cn | |
| Principal Investigator: Jianmin Xu, M.D.,Ph.D. | |
| Study Chair: | Xu Jianmin, MD | Zhongshan hospital |
More Information
No publications provided
| Responsible Party: | Xu jianmin, Zhongshan hospital, Fudan University |
| ClinicalTrials.gov Identifier: | NCT01677728 History of Changes |
| Other Study ID Numbers: | ZSTCC, Xjianmin |
| Study First Received: | August 30, 2012 |
| Last Updated: | August 30, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Fudan University:
|
colorectal liver metastases chemotherapy cetuximab bevacizumab |
Additional relevant MeSH terms:
|
Colorectal Neoplasms Liver Neoplasms Neoplasm Metastasis Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Neoplasms |
Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Rectal Diseases Liver Diseases Neoplastic Processes Pathologic Processes |
ClinicalTrials.gov processed this record on May 23, 2013