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Isolated Hepatic Perfusion With Melphalan Followed By Chemotherapy in Treating Patients With Unresectable Colorectal Cancer That is Metastatic to the Liver
This study is ongoing, but not recruiting participants.
First Received: March 2, 2007   No Changes Posted
Sponsored by: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00019760
  Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug and giving them in different ways may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of melphalan given as an isolated hepatic perfusion followed by chemotherapy infused into the liver in patients who have unresectable colorectal cancer that is metastatic to the liver.


Condition Intervention Phase
Recurrent Colon Cancer
Liver Metastases
Stage IV Rectal Cancer
Recurrent Rectal Cancer
Stage IV Colon Cancer
Drug: floxuridine
Drug: leucovorin calcium
Drug: melphalan
Phase II

Study Type: Interventional
Study Design: Treatment
Official Title: Phase II Study of Isolated Hepatic Perfusion With Melphalan Followed By Postoperative Hepatic Arterial Chemotherapy in Patients With Unresectable Colorectal Cancer Metastatic to the Liver

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Study Start Date: April 1999
Detailed Description:

OBJECTIVES: I. Determine the response rate and response duration in patients with unresectable colorectal cancer metastatic to the liver treated with isolated hepatic perfusion with melphalan followed by postoperative hepatic arterial chemotherapy.

II. Determine the patterns of recurrence in this patient population with this treatment regimen.

III. Evaluate the disease-free survival and overall survival in these patients.

IV. Evaluate health related quality of life and determine whether baseline correlates with the length of survival.

PROTOCOL OUTLINE: Patients undergo surgery and hyperthermic isolated hepatic perfusion with melphalan given intra-arterially over 60 minutes.

At six weeks post-hepatic perfusion, patients receive floxuridine and leucovorin calcium intra-arterially as a continuous infusion over 14 days.

Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.

Quality of life is assessed prior to study and then at each followup visit. Patients are followed every 3-4 months for 3 years and then every 6 months thereafter or until disease progression.

PROJECTED ACCRUAL:

A total of 50 patients will be accrued for this study.

  Eligibility

Criteria

PROTOCOL ENTRY CRITERIA:

--Disease Characteristics-- Histologically or cytologically proven measurable metastatic colorectal cancer limited to the parenchyma of the liver No evidence of unresectable extrahepatic disease Limited resectable extrahepatic disease allowed Unresectable liver disease defined as: Greater than 3 sites of liver disease OR Bilobar disease OR Tumor abutting major vascular or ductal structures, impeding resection with preservation of liver function OR Limited extrahepatic disease No biopsy-proven cirrhosis No significant portal hypertension --Prior/Concurrent Therapy-- Biologic therapy: At least 4 weeks since prior biologic therapy for colorectal cancer and recovered Chemotherapy: At least 4 weeks since prior chemotherapy for colorectal cancer and recovered No prior intrahepatic arterial infusional therapy using floxuridine Endocrine therapy: Not specified Radiotherapy: At least 4 weeks since prior radiotherapy for colorectal cancer and recovered Surgery: See Disease Characteristics Other: No concurrent immunosuppressive drugs No concurrent chronic anticoagulants --Patient Characteristics-- Age: Not specified Performance status: ECOG 0-2 Life expectancy: Not specified Hematopoietic: Platelet count greater than 100,000/mm3 Hematocrit greater than 27.0% WBC greater than 3,000/mm3 Hepatic: Bilirubin less than 2.0 mg/dL PT no greater than 2 seconds over upper limit of normal Elevated hepatic transaminases secondary to liver metastases allowed No veno-occlusive disease Renal: Creatinine no greater than 1.5 mg/dL OR Creatinine clearance greater than 60 mL/min Cardiovascular: No congestive heart failure with LVEF less than 40% Pulmonary: No chronic obstructive pulmonary disease No other chronic pulmonary disease with pulmonary function test less than 50% predicted Other: No active infections HIV negative Body weight greater than 30 kg Not pregnant or nursing Negative pregnancy test

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00019760

Locations
United States, Maryland
Surgery Branch
Bethesda, Maryland, United States, 20892
Sponsors and Collaborators
Investigators
Study Chair: H. Richard Alexander, Jr. National Cancer Institute (NCI)
  More Information

No publications provided

Study ID Numbers: CDR0000067199, NCI-99-C-0093
Study First Received: March 2, 2007
Last Updated: March 2, 2007
ClinicalTrials.gov Identifier: NCT00019760     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
adult solid tumor
body system/site cancer
cancer
colon cancer
colorectal cancer
gastrointestinal cancer
genetic condition
liver and intrahepatic biliary tract cancer
liver metastases
metastatic cancer
rectal cancer
recurrent colon cancer
recurrent rectal cancer
site, metastatic cancer
solid tumor
stage IV colon cancer
stage IV rectal cancer
stage, colon cancer
stage, rectal cancer
unclassified/other cancer

Study placed in the following topic categories:
Antimetabolites
Melphalan
Liver Diseases
Immunologic Factors
Gastrointestinal Diseases
Rectal Neoplasms
Colonic Diseases
Leucovorin
Rectal Diseases
Liver Neoplasms
Vitamins
Neoplasm Metastasis
Micronutrients
Biliary Tract Cancer
Alkylating Agents
Digestive System Neoplasms
Vitamin B Complex
Floxuridine
Rectal Neoplasm
Trace Elements
Folinic Acid
Intestinal Diseases
Immunosuppressive Agents
Intestinal Neoplasms
Recurrence
Calcium, Dietary
Digestive System Diseases
Rectal Cancer
Gastrointestinal Neoplasms
Antineoplastic Agents, Alkylating

Additional relevant MeSH terms:
Antimetabolites
Melphalan
Disease Attributes
Liver Diseases
Antimetabolites, Antineoplastic
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Gastrointestinal Diseases
Rectal Neoplasms
Physiological Effects of Drugs
Colonic Diseases
Leucovorin
Rectal Diseases
Liver Neoplasms
Neoplastic Processes
Neoplasms by Site
Pathologic Processes
Vitamins
Therapeutic Uses
Neoplasm Metastasis
Micronutrients
Alkylating Agents
Vitamin B Complex
Digestive System Neoplasms
Floxuridine
Growth Substances
Intestinal Diseases
Immunosuppressive Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on July 02, 2009