ElastoMRI Evaluation of Hepatic Metastases in Colorectal Cancer ( MetaIRM)

NCT ID: NCT06552117

Last Updated: 2024-08-13

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-10

Study Completion Date

2027-06-30

Brief Summary

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Currently, the tumor response of operated colorectal liver metastases is assessed by histology of the resection specimen.The histological data make it possible to define categories (responder, partial responder, non-responder).

Overall survival (OS: overall survival) after surgery crucially depends on the response to neoadjuvant chemotherapy. Current criteria for predicting histological response in preoperative imaging are not satisfactory.

The working hypothesis is that it is possible to better differentiate the tissue response to conventional chemotherapies and anti-angiogenics through MRI elastography by quantifying the changes in tissue mechanical properties induced by systemic treatments.

The objectives is to evaluate the mechanical properties obtained by elasto MRI according to the systemic treatments envisaged: conventional chemotherapy such as Folfox or combined with targeted therapy

Detailed Description

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Currently, the tumor response of operated colorectal liver metastases is assessed by histology of the resection specimen.The histological data make it possible to define categories (responder, partial responder, non-responder).

Overall survival (OS: overall survival) after surgery crucially depends on the response to neoadjuvant chemotherapy. Current criteria for predicting histological response in preoperative imaging are not satisfactory.

The working hypothesis is that it is possible to better differentiate the tissue response to conventional chemotherapies and anti-angiogenics through MRI elastography by quantifying the changes in tissue mechanical properties induced by systemic treatments.

The objectives is to evaluate the mechanical properties obtained by elasto MRI according to the systemic treatments envisaged: conventional chemotherapy such as Folfox or combined with targeted therapy

This is an open, non-randomized, non-comparative trial with three parallel groups

* 10 patients immediately resectable and receiving preoperative chemotherapy based on Folfox alone.
* 30 potentially resectable patients (borderline) with two groups of patients representing the combinations usual triplets: chemotherapy and targeted therapy: Folfox+bevacizumab (15 patients) and Folfox + Cetuximab (15 patients).
* 10 unresectable patients with two groups of patients representing the usual combinations: cytotoxic pure vs cytotoxic + targeted therapy (bevacizumab or Cetuximab).

Conditions

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Colorectal Cancer With Liver Metastases

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Study Groups

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immediately resectable patients.

10 immediately resectable patients receiving preoperative chemotherapy based on Folfox alone.

Group Type OTHER

an elastoMRI sequence

Intervention Type OTHER

Addition of an MRI elasto sequence performed during MRI performed as part of the treatment

potentially resectable patients

30 potentially resectable patients (borderline) with two groups of patients representing the usual combinations of triplets: chemotherapy and targeted therapy: Folfox + bevacizumab (15 patients) and Folfox + Cetuximab (15 patients).

Group Type OTHER

an elastoMRI sequence

Intervention Type OTHER

Addition of an MRI elasto sequence performed during MRI performed as part of the treatment

unresectable patients

10 unresectable patients with two groups of patients representing the usual combinations: pure cytotoxics vs cytotoxics + targeted therapy ( bevacizumab or Cetuximab).

Group Type OTHER

an elastoMRI sequence

Intervention Type OTHER

Addition of an MRI elasto sequence performed during MRI performed as part of the treatment

Interventions

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an elastoMRI sequence

Addition of an MRI elasto sequence performed during MRI performed as part of the treatment

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult patients ≥18 years old, followed for colorectal cancer with hepatic metastases.

The diagnosis of metastasis can be made: either by tumor biopsy or by the appearance during follow-up of colorectal cancer of at least one liver lesion with the characteristics of metastasis (fibrous tumor type imaging)

* Patient with an indication to receive first-line chemotherapy for liver metastases, whether or not associated with targeted therapy
* Patient with at least one hepatic metastasis greater than 2cm

Exclusion Criteria

* Patients not affiliated with social security
* Pregnant or breastfeeding women
* Patients under guardianship, curatorship or safeguard of justice
* Patients with a contraindication to MRI or to the injection of contrast agent in MRI. The classic contraindications for MRI are defined by the French Society of Radiology:http://www.sfrnet.org/sfr/professionnels/1-fiche-information-patients/irm/index.phtml
* Lack of signed patient consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gael Goujon

Role: PRINCIPAL_INVESTIGATOR

APHP

Central Contacts

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Valérie VILGRAIN

Role: CONTACT

+33 1 40 87 53 58

Gael Goujon

Role: CONTACT

+33 1 40 25 87 16

Other Identifiers

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APHP220209

Identifier Type: -

Identifier Source: org_study_id

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