Intensified Chemotherapy in CRC After Resection of Liver Metastases
Randomized Phase II Trial Followed by Phase III Trial With Molecular Biology Study, Comparing a Standard Bi-therapy vs 3 Arms of Intensified Chemotherapy in Patients With Unresectable or Not Optimally Resectable Colorectal Cancer Liver Metastases.
1 other identifier
interventional
124
1 country
1
Brief Summary
Randomized, open label, multicentre phase II trial followed by phase III comparing overall survival after having selected the best experimental arm.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 colorectal-cancer
Started Apr 2004
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2004
CompletedFirst Submitted
Initial submission to the registry
September 13, 2005
CompletedFirst Posted
Study publicly available on registry
September 21, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2007
CompletedFebruary 5, 2026
February 1, 2026
September 13, 2005
February 3, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Response
end of chemotherapy
Secondary Outcomes (3)
Safety
during study treatment
Survival
2 years
Secondary resection
surgery after chemotherapy
Study Arms (5)
A
ACTIVE COMPARATORFOLFIRI
B
ACTIVE COMPARATORFOLFOX-4
C
EXPERIMENTALFOLFIRI-HD
D
EXPERIMENTALFOLFOX-7
E
EXPERIMENTALFOLFIRINOX
Interventions
FOLFIRI : Irinotecan : 180 mg/m² 90 min continuous perfusion during levorin d1 every 2 weeks
FOLFOX 4 : Oxaliplatine : 85 mg/m² 2h continuous perfusion during levorin d1 every 2weeks
High Dose FOLFIRI : Irinotecan : 260 mg/m² in 90min continuous perfusion during levorin d1 every 2 weeks
FOLFOX 7 : Oxaliplatine : 130 mg/m² in 2h continuous perfusion during levorin d1 every 2 weeks
FOLFIRINOX : Oxaliplatine : 85 mg/m² 2h continuous perfusion followed by 1H rest followed by 90 min continuous perfusion of irinotecan : 180 mg/m² during levorin d1 every 2 weeks
Eligibility Criteria
You may qualify if:
- Histologically proven adenocarcinoma of the colon or rectum without previous resection, or clinically asymptomatic (with or without stent)
- Hepatic unresectable metastases R0: due to close vascular contact, or due to liver remaining mass less than 25 to 30 % of functional liver.
- Not optimally resectable metastases
- Extra-hepatic disease will be accepted in case of: asymptomatic primary tumour or tumor requiring no urgent surgery (in less than 3 months); three of less than three lung metastases (thoracic scan diameter less than 2 cm) and potentially respectable.
- Synchronous and metachronous hepatic metastases
- WHO performance status 0-1
- Adjuvant chemotherapy allowed, except oxaliplatin and irinotecan based combination.
- No prior treatment of the liver metastases, whatever.
- Life expectancy equal or more than 3 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Institut du Cancer de Montpellier - Val d'Aurellelead
- Pfizercollaborator
- Sanoficollaborator
- Chugai Pharmaceuticalcollaborator
Study Sites (1)
CRLC Val d'Aurelle
Montpellier, 34298, France
Related Publications (1)
Ychou M, Rivoire M, Thezenas S, Quenet F, Delpero JR, Rebischung C, Letoublon C, Guimbaud R, Francois E, Ducreux M, Desseigne F, Fabre JM, Assenat E. A randomized phase II trial of three intensified chemotherapy regimens in first-line treatment of colorectal cancer patients with initially unresectable or not optimally resectable liver metastases. The METHEP trial. Ann Surg Oncol. 2013 Dec;20(13):4289-97. doi: 10.1245/s10434-013-3217-x. Epub 2013 Aug 17.
PMID: 23955585RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Marc YCHOU, MD, PhD
CRLC Val d'Aurelle
- STUDY CHAIR
Michel RIVOIRE, MD
CRLC Leon Berard - Lyon
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
September 13, 2005
First Posted
September 21, 2005
Study Start
April 1, 2004
Study Completion
August 1, 2007
Last Updated
February 5, 2026
Record last verified: 2026-02