Colorectal Cancer Clinical Trial
Official title:
A Phase II Trial Of Toxicity Assessment In Two Cohorts Of Patients (Resection Alone Or Ablation With Or Without Resection Of Hepatic Metastases From Colorectal Cancer) Treated With Adjuvant Hepatic Arterial Infusion (HAI) FUDR Plus Systemic CPT-11
RATIONALE: Drugs used in chemotherapy such as floxuridine and irinotecan use different ways
to stop tumor cells from dividing so they stop growing or die. Hepatic arterial infusion
uses a catheter to deliver chemotherapy directly to the liver. Combining more than one drug
and giving them in different ways may kill any tumor cells remaining after surgery.
PURPOSE: Phase II trial to study the effectiveness of systemic irinotecan and hepatic
arterial infusion with floxuridine after surgery in treating patients who have hepatic
(liver) metastases from colorectal cancer.
OBJECTIVES:
- Determine the toxicity of hepatic arterial infusion with floxuridine and systemic
irinotecan adjuvant to liver metastases resection or ablation with or without resection
in patients with hepatic metastases secondary to colorectal cancer.
- Determine the overall survival of patients treated with this regimen.
- Determine the time to any hepatic recurrence or progression in patients treated with
this regimen.
OUTLINE: This is a multicenter study. Patients are stratified according to prior therapy
(liver metastases resection only vs ablation with or without resection).
Within 4-8 weeks after prior resection or ablation, patients receive hepatic arterial
infusion of floxuridine continuously on days 1-14 and irinotecan IV over 30 minutes on days
1 and 15. Treatment repeats every 28 days for 6 courses in the absence of unacceptable
toxicity.
Patients are followed every 3 months for 2 years.
;
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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