NCT05289076

Brief Summary

In order to improve and individualize cancer treatment, personalized treatment needs to be developed much further. Liver metastasizing colorectal cancer is treated with a combination of oncological and surgical interventions. The selection of chemotherapy is today mainly done according to best guess. Today only a small fraction of oncological treatment may be known to be effective in a person before treatment start, most often it is trial and error. A fast reliable system for looking at response to different treatments in each unique patient is much needed and would, if successful, completely change the way we give oncological treatment today. Patient's tumor tissue will be evaluated with use of zebrafish embryo avatars to evaluate tumour growth and response to different combinations of chemotherapy. If successful interventional studies are planned.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
40

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started May 2022

Typical duration for phase_1

Geographic Reach
1 country

1 active site

Status
unknown

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 9, 2022

Completed
12 days until next milestone

First Posted

Study publicly available on registry

March 21, 2022

Completed
2 months until next milestone

Study Start

First participant enrolled

May 17, 2022

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 14, 2024

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

March 14, 2025

Completed
Last Updated

December 1, 2023

Status Verified

November 1, 2023

Enrollment Period

1.8 years

First QC Date

March 9, 2022

Last Update Submit

November 27, 2023

Conditions

Outcome Measures

Primary Outcomes (2)

  • Successful tumour growth in zebra fish embryos

    % of implanted tumour that grow in zebrafish embryos

    In each embryo within 3 days

  • Response evaluation of different combinations of chemotherapy in zebra fish embryos implanted with colorectal liver metastatic tissue

    The relative tumour area between the time of implantation and day 3 in each zebrafish embryo

    In each embryo within 3 days

Study Arms (1)

Colorectal liver metastsis, single arm

EXPERIMENTAL

Tumour tissue from patients operated for colorectal liver metastases. A cubic centimeter of tumour tissue will be processed and implanted in zebra fish embryos. Tissue in zebrafish embryos will treated with different combinations of chemotherapy. Chemocombination of best effect will be offered patients in the third phase of the trial

Drug: Chemotherapy drug

Interventions

Different combinations of chemotherapies will be tested in combination with monoclonal antibodies in zebrafish embryos against inplanted patients livermetastatic tissues.

Colorectal liver metastsis, single arm

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Confirmed or suspected diagnosis of colorectal liver metastasis Age 18 years or older ECOG 0-2 Patient can understand verbal and written information -

You may not qualify if:

  • Age less than 18 years ECOG \>2 Patient is not able to understand the verbal and written information

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Per Sandström

Linköping, Östergötland County, 58185, Sweden

RECRUITING

Related Publications (15)

  • Lievre A, Bachet JB, Boige V, Cayre A, Le Corre D, Buc E, Ychou M, Bouche O, Landi B, Louvet C, Andre T, Bibeau F, Diebold MD, Rougier P, Ducreux M, Tomasic G, Emile JF, Penault-Llorca F, Laurent-Puig P. KRAS mutations as an independent prognostic factor in patients with advanced colorectal cancer treated with cetuximab. J Clin Oncol. 2008 Jan 20;26(3):374-9. doi: 10.1200/JCO.2007.12.5906.

    PMID: 18202412BACKGROUND
  • de Jong MC, Pulitano C, Ribero D, Strub J, Mentha G, Schulick RD, Choti MA, Aldrighetti L, Capussotti L, Pawlik TM. Rates and patterns of recurrence following curative intent surgery for colorectal liver metastasis: an international multi-institutional analysis of 1669 patients. Ann Surg. 2009 Sep;250(3):440-8. doi: 10.1097/SLA.0b013e3181b4539b.

    PMID: 19730175BACKGROUND
  • Padmanabhan C, Nussbaum DP, D'Angelica M. Surgical Management of Colorectal Cancer Liver Metastases. Surg Oncol Clin N Am. 2021 Jan;30(1):1-25. doi: 10.1016/j.soc.2020.09.002.

    PMID: 33220799BACKGROUND
  • Kawaguchi Y, Lillemoe HA, Vauthey JN. Gene mutation and surgical technique: Suggestion or more? Surg Oncol. 2020 Jun;33:210-215. doi: 10.1016/j.suronc.2019.07.004. Epub 2019 Jul 18.

    PMID: 31351766BACKGROUND
  • Hatano E, Okuno M, Nakamura K, Ishii T, Seo S, Taura K, Yasuchika K, Yazawa T, Zaima M, Kanazawa A, Terajima H, Kaihara S, Adachi Y, Inoue N, Furumoto K, Manaka D, Tokka A, Furuyama H, Doi K, Hirose T, Horimatsu T, Hasegawa S, Matsumoto S, Sakai Y, Uemoto S. Conversion to complete resection with mFOLFOX6 with bevacizumab or cetuximab based on K-ras status for unresectable colorectal liver metastasis (BECK study). J Hepatobiliary Pancreat Sci. 2015 Aug;22(8):634-45. doi: 10.1002/jhbp.254. Epub 2015 Apr 29.

    PMID: 25926024BACKGROUND
  • Rehman AH, Jones RP, Poston G. Prognostic and predictive markers in liver limited stage IV colorectal cancer. Eur J Surg Oncol. 2019 Dec;45(12):2251-2256. doi: 10.1016/j.ejso.2019.06.038. Epub 2019 Jun 27.

    PMID: 31279594BACKGROUND
  • Reynolds IS, Cromwell PM, Hoti E. Clinicopathological characteristics and survival outcomes for patients with mucinous colorectal cancer liver metastases undergoing hepatic resection: A systematic review and meta-analysis. Am J Surg. 2021 Sep;222(3):529-535. doi: 10.1016/j.amjsurg.2021.02.031. Epub 2021 Mar 3.

    PMID: 33750573BACKGROUND
  • Mauri G, Durinikova E, Amatu A, Tosi F, Cassingena A, Rizzetto F, Buzo K, Arcella P, Aquilano MC, Bonoldi E, Marsoni S, Siena S, Bardelli A, Sartore-Bianchi A, Arena S. Empowering Clinical Decision Making in Oligometastatic Colorectal Cancer: The Potential Role of Drug Screening of Patient-Derived Organoids. JCO Precis Oncol. 2021 Jul 21;5:PO.21.00143. doi: 10.1200/PO.21.00143. eCollection 2021 Jul. No abstract available.

    PMID: 34327296BACKGROUND
  • Costa B, Estrada MF, Mendes RV, Fior R. Zebrafish Avatars towards Personalized Medicine-A Comparative Review between Avatar Models. Cells. 2020 Jan 25;9(2):293. doi: 10.3390/cells9020293.

    PMID: 31991800BACKGROUND
  • Yang H, Sun L, Liu M, Mao Y. Patient-derived organoids: a promising model for personalized cancer treatment. Gastroenterol Rep (Oxf). 2018 Nov;6(4):243-245. doi: 10.1093/gastro/goy040. Epub 2018 Oct 9. No abstract available.

    PMID: 30430011BACKGROUND
  • Yao Y, Wang L, Wang X. Modeling of Solid-Tumor Microenvironment in Zebrafish (Danio Rerio) Larvae. Adv Exp Med Biol. 2020;1219:413-428. doi: 10.1007/978-3-030-34025-4_22.

    PMID: 32130712BACKGROUND
  • Mercatali L, La Manna F, Groenewoud A, Casadei R, Recine F, Miserocchi G, Pieri F, Liverani C, Bongiovanni A, Spadazzi C, de Vita A, van der Pluijm G, Giorgini A, Biagini R, Amadori D, Ibrahim T, Snaar-Jagalska E. Development of a Patient-Derived Xenograft (PDX) of Breast Cancer Bone Metastasis in a Zebrafish Model. Int J Mol Sci. 2016 Aug 22;17(8):1375. doi: 10.3390/ijms17081375.

    PMID: 27556456BACKGROUND
  • Di Franco G, Usai A, Funel N, Palmeri M, Montesanti IER, Bianchini M, Gianardi D, Furbetta N, Guadagni S, Vasile E, Falcone A, Pollina LE, Raffa V, Morelli L. Use of zebrafish embryos as avatar of patients with pancreatic cancer: A new xenotransplantation model towards personalized medicine. World J Gastroenterol. 2020 Jun 7;26(21):2792-2809. doi: 10.3748/wjg.v26.i21.2792.

    PMID: 32550755BACKGROUND
  • Fior R, Povoa V, Mendes RV, Carvalho T, Gomes A, Figueiredo N, Ferreira MG. Single-cell functional and chemosensitive profiling of combinatorial colorectal therapy in zebrafish xenografts. Proc Natl Acad Sci U S A. 2017 Sep 26;114(39):E8234-E8243. doi: 10.1073/pnas.1618389114. Epub 2017 Aug 23.

    PMID: 28835536BACKGROUND
  • Lubin A, Otterstrom J, Hoade Y, Bjedov I, Stead E, Whelan M, Gestri G, Paran Y, Payne E. A versatile, automated and high-throughput drug screening platform for zebrafish embryos. Biol Open. 2021 Sep 15;10(9):bio058513. doi: 10.1242/bio.058513. Epub 2021 Sep 2.

    PMID: 34472582BACKGROUND

MeSH Terms

Conditions

Neoplasm Metastasis

Condition Hierarchy (Ancestors)

Neoplastic ProcessesNeoplasmsPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Bärbel Jung, PhD

    University hospital Linkoing

    STUDY DIRECTOR

Central Study Contacts

Per Sandström, Prof

CONTACT

Bergthor Bjornsson, Prof

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of surgery

Study Record Dates

First Submitted

March 9, 2022

First Posted

March 21, 2022

Study Start

May 17, 2022

Primary Completion

March 14, 2024

Study Completion

March 14, 2025

Last Updated

December 1, 2023

Record last verified: 2023-11

Locations