Evaluation of Tumour Growth and Oncological Treatment in Patients With CRLM Using Zebra Fish Embryo Model
CRLM-Z
Protocol for Evaluation of Oncological Treatment in Patients With CRLM Using Zebra Fish Avatars-may This Model Improve Resection Rates and Survival in Patients With Upfront Non-resectable Metastatic Disease?
1 other identifier
interventional
40
1 country
1
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started May 2022
Typical duration for phase_1
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 9, 2022
CompletedFirst Posted
Study publicly available on registry
March 21, 2022
CompletedStudy Start
First participant enrolled
May 17, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 14, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
March 14, 2025
CompletedDecember 1, 2023
November 1, 2023
1.8 years
March 9, 2022
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
EXPERIMENTALTumour 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
Interventions
Different combinations of chemotherapies will be tested in combination with monoclonal antibodies in zebrafish embryos against inplanted patients livermetastatic tissues.
Eligibility Criteria
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
- University Hospital, Linkoepinglead
- Medical Research Council of Southeast Swedencollaborator
- Sahlgrenska University Hospitalcollaborator
Study Sites (1)
Per Sandström
Linköping, Östergötland County, 58185, Sweden
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: 18202412BACKGROUNDde 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: 19730175BACKGROUNDPadmanabhan 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: 33220799BACKGROUNDKawaguchi 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: 31351766BACKGROUNDHatano 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: 25926024BACKGROUNDRehman 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: 31279594BACKGROUNDReynolds 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: 33750573BACKGROUNDMauri 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: 34327296BACKGROUNDCosta 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: 31991800BACKGROUNDYang 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: 30430011BACKGROUNDYao 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: 32130712BACKGROUNDMercatali 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: 27556456BACKGROUNDDi 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: 32550755BACKGROUNDFior 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: 28835536BACKGROUNDLubin 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
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Bärbel Jung, PhD
University hospital Linkoing
Central Study Contacts
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