Improving Outcome of Selected Patients With Non-resectable Hepatic Metastases From Colo-rectal Cancer With Liver Transplantation

NCT ID: NCT03803436

Last Updated: 2023-03-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-02

Study Completion Date

2024-01-31

Brief Summary

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The COLT trial is an investigator-driven, multicenter, non-randomized, open-label, controlled, prospective, parallel trial, aimed at assessing the efficacy (in terms of overall survival: OS) of liver transplantation (LT) in liver-only CRC metastases, compared with a matched cohort of patients bearing the same tumor characteristics, collected during the same time period and included in a phase III Italian RCT on triplet chemotherapy+antiEGFR

Detailed Description

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Conditions

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Liver Metastases Colorectal Cancer Metastatic Liver Neoplasm Neoplasms

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

The study will compare survival in the population of patients enrolled in the COLT trial with the OS in the COLT-eligible population enrolled in the parallel TRIPLETE trial conducted by the GONO Group.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Study arm

Liver transplant

Group Type EXPERIMENTAL

Liver transplant

Intervention Type PROCEDURE

Liver transplant from cadaveric donors

Parallel arm

Chemotherapy

Group Type ACTIVE_COMPARATOR

Chemotherapy

Intervention Type DRUG

mFOLFOX

Chemotherapy

Intervention Type DRUG

Panitumumab

Interventions

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Liver transplant

Liver transplant from cadaveric donors

Intervention Type PROCEDURE

Chemotherapy

mFOLFOX

Intervention Type DRUG

Chemotherapy

Panitumumab

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed non-mucinous colon adenocarcinoma.
* Primary tumor as pT1-3, pN0 or pN1 (metastases in \< 4 regional lymph nodes), confirmed R0 resection.
* RAS and BRAF wild-type \& MSS molecular status as per local testing.
* Liver metastases not eligible for curative liver resection
* Objective response according to RECIST 1.1 to first-line treatment, with sustained response for at least 4 months, OR disease control (CR+PR+SD) during second-line treatment for at least 4 months.
* A maximum of two prior chemotherapy treatment lines.
* Performance status, ECOG 0.
* Satisfactory blood tests Hb \>10g/dl, neutrophils \>1.0 (after any G-CSF), TRC \>75, Bilirubin\<2 x upper normal level, AST, ALT\<5 x upper normal level, creatinine \<1.25 x upper normal level.
* CEA\<50 ng/ml

Exclusion Criteria

* Hereditary CRC syndromes including FAP and Lynch syndrome.
* Prior extra hepatic metastatic disease or primary tumor local relapse.
* Extra-peritoneal cancers (rectum).
* Other malignancies in the previous 5 years
* Active intra-venous or alcohol abusers
* HIV infection
Minimum Eligible Age

18 Years

Maximum Eligible Age

69 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Istituto Di Ricerche Farmacologiche Mario Negri

OTHER

Sponsor Role collaborator

Gruppo Oncologico del Nord-Ovest

OTHER

Sponsor Role collaborator

Fondazione IRCCS Istituto Nazionale dei Tumori, Milano

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vincenzo Mazzaferro, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Fondazione IRCCS Istituto Nazionale Tumori di Milano

Locations

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SOD Clinica di Chirurgia Epatobiliare, Pancreatica e dei Trapianti e SC di Oncologia Medica, Ospedali Riuniti di Ancona

Ancona, , Italy

Site Status NOT_YET_RECRUITING

ASST Papa Giovanni XXIII

Bergamo, , Italy

Site Status NOT_YET_RECRUITING

Chirurgia EBP e dei Trapianti di Fegato e SC di Oncologia Medica, Ospedale Policlinico San Martino

Genova, , Italy

Site Status NOT_YET_RECRUITING

Fondazione IRCCS Istituto NAzionale Tumori di Milano

Milan, , Italy

Site Status RECRUITING

Ospedale Maggiore di Milano Policlinico

Milan, , Italy

Site Status RECRUITING

Azienda Ospedaliera Ospedale Niguarda Ca' Granda

Milan, , Italy

Site Status NOT_YET_RECRUITING

Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (ISMETT)

Palermo, , Italy

Site Status RECRUITING

GONO Group (Gruppo Oncologico Nord Ovest) TRIPLETE Trial Coordination

Pisa, , Italy

Site Status RECRUITING

Fondazione Policlinico Universitario A.Gemelli IRCCS

Roma, , Italy

Site Status NOT_YET_RECRUITING

Ospedale Universitario Molinette S. Giovanni Battista di Torino

Torino, , Italy

Site Status RECRUITING

Centro Trapianti di Fegato e SC di Oncologia Medica, A.S.U. Integrata di Udine

Udine, , Italy

Site Status NOT_YET_RECRUITING

Centro Trapianti di Fegato e SC di Oncologia Medica, A.O.U. Integrata di Verona

Verona, , Italy

Site Status NOT_YET_RECRUITING

Countries

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Italy

Central Contacts

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Vincenzo Mazzaferro, MD, PhD

Role: CONTACT

+39 02 23902760

Carlo Sposito, MD

Role: CONTACT

+39 02 23903496

Facility Contacts

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Andrea Conte

Role: primary

+39 02 23902544

References

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Sposito C, Pietrantonio F, Maspero M, Di Benedetto F, Vivarelli M, Tisone G, De Carlis L, Romagnoli R, Gruttadauria S, Colledan M, Agnes S, Ettorre G, Baccarani U, Torzilli G, Di Sandro S, Pinelli D, Caccamo L, Sartore Bianchi A, Spreafico C, Torri V, Mazzaferro V. Improving Outcome of Selected Patients With Non-Resectable Hepatic Metastases From Colorectal Cancer With Liver Transplantation: A Prospective Parallel Trial (COLT trial). Clin Colorectal Cancer. 2023 Jun;22(2):250-255. doi: 10.1016/j.clcc.2023.01.003. Epub 2023 Feb 3.

Reference Type DERIVED
PMID: 36822922 (View on PubMed)

Other Identifiers

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INT 108/18

Identifier Type: -

Identifier Source: org_study_id

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