Irinotecan-Eluting Bead (DEBIRI) for Unresectable Liver Metastases From Colorectal Cancer After Systemic Chemotherapy Failure
试验速览
- 阶段
- 2 期
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Tumor Response of four months
研究概览
简要总结
This is a multicentre, open labeled, single arm study to determine effectiveness and safety of chemoembolization with Irinotecan-Eluting Bead(DEBIRI) in the treatment of unresectable liver metastases in patients with colorectal cancer after chemotherapy failure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients over 18 years of age, of any race or sex, who have histologic or radiologic proof of colorectal cancer to the liver, who are able to give informed consent, will be eligible.
- •Patients with primary colorectal lesions removed, and negative extrahepatic metastasis
- •Patients with at least one measurable liver metastases, with size > 2cm or less than 5 liver metastases,with size smaller than 10cm.
- •Patients have received at least six cycle system chemotherapy based irinotecan or oxaliplatin and got a failure outcome; or patients who are intolerance of operation.
- •No intervention therapy was received for liver lesions during one year.
- •Life expectancy of > 3 months
- •Child-pugh's grade A or B (no more than 7 score).
- •Eastern Cooperative Oncology Group (ECOG) Performance Status score of < 2
- •Signed, written informed consent
排除标准
- •Patients with extrahepatic metastasis
- •Patients has received TACE,ablation and iodine seed implantation for liver lesions during one year.
- •With obvious arterio-venous fistula
- •Patients suffered with other cancer(Except for cured basal or squamous cell skin cancer or cervical carcinoma in situ)
- •Hematologic function: leukocytes <3000cell/mm3, platelets<50000/mm3, with no hypersplenism.
- •Adequate renal function (creatinine ≤ 2.0mg/dl)
- •Alanine transaminase(ALT) and/or glutamic oxalacetic transaminase(AST) >5 times upper limit of normal(ULN)
- •International Normalized Ratio (INR) >1.5, or being treated by anticoagulants, or being suffered hemorrhagic disease.
- •With serious heart, kidney, bone marrow, or lung, central nervous system diseases.
- •With recent infections and received antibiotics.
- •Other conditions place the patient at undue risk and that would preclude the safe use of chemoembolization or would interfere with study participation.
研究组 & 干预措施
DEBIRI
Transcatheter arterial chemoembolization(TACE) with Irinotecan eluting-bead(DEBIRI)
干预措施: TACE (Procedure)
DEBIRI
Transcatheter arterial chemoembolization(TACE) with Irinotecan eluting-bead(DEBIRI)
干预措施: Irinotecan (Drug)
DEBIRI
Transcatheter arterial chemoembolization(TACE) with Irinotecan eluting-bead(DEBIRI)
干预措施: eluting-bead (Device)
结局指标
主要结局
Tumor Response of four months
时间窗: four months post first treatment
Response rate(RR)
Tumor Response of two months
时间窗: Two months post first treatment
Response rate(RR)
Tumor Response of six months
时间窗: Six months post first treatment
Response rate(RR)
次要结局
- Time to intrahepatic progression(From date of first treatment until the date of intrahepatic progression, whichever came first, assessed up to 24 months)
- Time to extrahepatic progression(From date of first treatment until the date of extrahepatic progression, whichever came first, assessed up to 24 months)
- overall survival(From date of first treatment until the date of death from any cause, whichever came first, assessed up to 24 months)
- Quality of life(Six months post first treatment)
