Trial of Preoperative Hepatic and Regional Arterial Chemotherapy (PHRAC) to Prevent Postoperative Liver Metastasis of Colorectal Cancer
PHRAC
A Prospective,Multi-Center,Randomized Control Trial of Preoperative Hepatic and Regional Arterial Chemotherapy(PHRAC) Using Oxaliplatin, Fluorodeoxyuridine(FUDR) and Mitomycin C(MMC) to Prevent Postoperative Liver Metastasis of Colorectal Cancer
1 other identifier
interventional
600
1 country
1
Brief Summary
The purpose of this study is to investigate whether preoperative hepatic and regional arterial chemotherapy are able to prevent liver metastasis and improve overall survival in patients receiving curative colorectal cancer resection.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Dec 2008
Longer than P75 for phase_3
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
First Submitted
Initial submission to the registry
March 24, 2008
CompletedFirst Posted
Study publicly available on registry
March 26, 2008
CompletedStudy Start
First participant enrolled
December 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedMarch 25, 2009
March 1, 2009
1 year
March 24, 2008
March 24, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
5 years disease-free survival
5 years after operation
Secondary Outcomes (1)
5 years overall survival and liver metastasis-free survival
5 years after operation
Study Arms (2)
B
EXPERIMENTALPHRAC was performed 7 days before surgery. Adjuvant chemotherapy using FOLFOX7 was done for 8 cycle with 28 days after surgery.
A
NO INTERVENTIONAdjuvant chemotherapy using FOLFOX7 was done for 8 cycle with 28 days after surgery.
Interventions
PHRAC which included of two parts(common hepatic artery chemotherapy and main tumor supplying artery chemotherapy) was performed 7 days before surgery: common hepatic artery chemotherapy: FUDR 500mg, Oxaliplatin 50mg and MMC 10mg main tumor supplying artery chemotherapy: FUDR 500mg, Oxaliplatin 50mg and MMC 10mg
Eligibility Criteria
You may qualify if:
- age \< 75 years with histologically proven adenocarcinoma of the colon or rectum
- no severe major organ dysfunction
- WHO performance status of 0 or 1
- no prior cancer therapy
- Stage II (T3-4, N0, M0) or Stage III (T0-4, N1-2, M0) disease (according to the 1997 revision of the International Union Against Cancer TNM staging system) as determined by a preoperative evaluation that included colonoscopy and an abdominal computed tomography (CT) scan
You may not qualify if:
- age \>= 75
- severe major organ dysfunction
- WHO performance status of \>1
- prior cancer therapy
- Stage I or Stage IV
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Fudan Universitylead
- Second Affiliated Hospital, School of Medicine, Zhejiang Universitycollaborator
- Ruijin Hospitalcollaborator
- Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong Universitycollaborator
- First Affiliated Hospital of Zhejiang Universitycollaborator
- Jiangyin People's Hospitalcollaborator
- Liaoning Cancer Hospital & Institutecollaborator
Study Sites (1)
Zhongshan Hospital, Fudan University
Shanghai, 200032, China
Related Publications (1)
Zhu D, Xia J, Gu Y, Lin J, Ding K, Zhou B, Liang F, Liu T, Qin C, Wei Y, Ren L, Zhong Y, Wang J, Yan Z, Cheng J, Chen J, Chang W, Zhan S, Ding Y, Huo H, Liu F, Sun J, Qin X, Xu J. Preoperative Hepatic and Regional Arterial Chemotherapy in Patients Who Underwent Curative Colorectal Cancer Resection: A Prospective, Multi-center, Randomized Controlled Trial. Ann Surg. 2021 Jun 1;273(6):1066-1075. doi: 10.1097/SLA.0000000000004558.
PMID: 33214446DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
jianmin xu, MD
department of general surgery, zhongshan hospital, fudan university
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 24, 2008
First Posted
March 26, 2008
Study Start
December 1, 2008
Primary Completion
December 1, 2009
Study Completion
December 1, 2014
Last Updated
March 25, 2009
Record last verified: 2009-03