Treatment of Unresectable Colorectal Metastases by Radiofrequency Ablation Combined or Not With Resection, With or Without Neoadjuvant Chemotherapy.
- Conditions
- Colorectal Cancer
- Interventions
- Device: Ablathermy
- Registration Number
- NCT00210106
- Lead Sponsor
- Institut Bergonié
- Brief Summary
The hypothesis is that radiofrequency ablation combined or not with resection may allow a local control (the liver) in patients suffering from unresectable colorectal liver metastases. Patients may have benefit or not from a preoperative (neoadjuvant) chemotherapy.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 52
Colorectal cancer Hepatic metastases unresectable by classical surgery Performance status < 2
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Intraoperative radiofrequency ablation (IRFA) Ablathermy IRFA treatment, either with or without resection, was performed at laparotomy within 28 days of inclusion in the study. The type of IRFA current generator and probes, and whether or not resection was performed, was at the discretion of the surgeon.
- Primary Outcome Measures
Name Time Method Complete Hepatic Response Rate at 3 Months 3 months Complete hepatic response (CHR) rate was defined as the absence of new hepatic lesions or contrast enhancement at the ablation and resection sites on CT performed at 2 and 3 months. CHR at 3 months was reported
- Secondary Outcome Measures
Name Time Method Overall Survival at 1 and 2 years OS was defined as the time from the treatment initiation to death due to any cause. Participants without documented death were censored at the date of the last follow-up or last patient contact. The OS was calculated using the product-limit (Kaplan-Meier) method for censored data. 1-year and 2-year OS rate were reported.
Event-free Survival at 1 and 2 years Event-free survival was measured from the date of intervention to the date of the first of the following events: initial failure, disease progression (hepatic or distant) or death (all causes). Patients who were alive and event-free were consored at the last documented date of follow-up. 1-year and 2-years EFS rates were reported.
Trial Locations
- Locations (12)
Centre Saint Michel
🇫🇷Angoulême, France
Hopital Béclère
🇫🇷Clamart, France
Centre Hospitalier
🇫🇷Niort, France
CHU d'Angers
🇫🇷Angers, France
Hopital Saint Eloi
🇫🇷Montpellier, France
CHU de Bordeaux
🇫🇷Bordeaux, France
Institut Bergonié - Centre Régional de Luttre Contre le Cancer de Bordeaux et du Sud Ouest
🇫🇷Bordeaux, France
Hopital de la Croix Rousse
🇫🇷Lyon, France
Hopital Sub-Urbain du Bouscat
🇫🇷Le Bouscat, France
Clinique Mutualiste de Pessac
🇫🇷Pessac, France
Clinique Francheville
🇫🇷Périgueux, France
Centre de Radiothérapie et d'Oncologie Médicale
🇫🇷Pau, France