Chemotherapy, Colorectal Cancer, Liver Metastases
Conditions
Brief summary
Randomized, open label, multicentre phase II trial followed by phase III comparing overall survival after having selected the best experimental arm.
Interventions
FOLFIRI : Irinotecan : 180 mg/m² 90 min continuous perfusion during levorin d1 every 2 weeks
FOLFOX 4 : Oxaliplatine : 85 mg/m² 2h continuous perfusion during levorin d1 every 2weeks
High Dose FOLFIRI : Irinotecan : 260 mg/m² in 90min continuous perfusion during levorin d1 every 2 weeks
FOLFOX 7 : Oxaliplatine : 130 mg/m² in 2h continuous perfusion during levorin d1 every 2 weeks
FOLFIRINOX : Oxaliplatine : 85 mg/m² 2h continuous perfusion followed by 1H rest followed by 90 min continuous perfusion of irinotecan : 180 mg/m² during levorin d1 every 2 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically proven adenocarcinoma of the colon or rectum without previous resection, or clinically asymptomatic (with or without stent) * Hepatic unresectable metastases R0: due to close vascular contact, or due to liver remaining mass less than 25 to 30 % of functional liver. * Not optimally resectable metastases * Extra-hepatic disease will be accepted in case of: asymptomatic primary tumour or tumor requiring no urgent surgery (in less than 3 months); three of less than three lung metastases (thoracic scan diameter less than 2 cm) and potentially respectable. * Synchronous and metachronous hepatic metastases * WHO performance status 0-1 * Adjuvant chemotherapy allowed, except oxaliplatin and irinotecan based combination. * No prior treatment of the liver metastases, whatever. * Life expectancy equal or more than 3 months
Exclusion criteria
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Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Response | end of chemotherapy |
Secondary
| Measure | Time frame |
|---|---|
| Safety | during study treatment |
| Survival | 2 years |
| Secondary resection | surgery after chemotherapy |
Countries
France
Contacts
CRLC Val d'Aurelle
CRLC Leon Berard - Lyon