Colonic Neoplasms, Neoplasm Metastasis
Conditions
Brief summary
The proposed study will evaluate if curative intent SBRT can provide high response rates and clinically meaningful cancer control with acceptable toxicity specifically in patient with metastatic colorectal cancer (mCRC) who do not have surgical options and are no longer responding to systemic therapy
Detailed description
SBRT for Oligo-metastatic Colorectal cancer
Interventions
5 treatments given over 2 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Pathologically confirmed Colo-rectal Cancer * 1-3 Liver metastasis measurable on Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) * Surgically resected primary disease * Technically/medically inoperable or patient declined surgery * Progression or Stability after at least 1 Line of chemotherapy * Adequate marrow function: Hb \> 80g/L, Platelets \> 100 x 109/L, White blood cell \> 2 x 109/L * Eastern Cooperative Oncology Group (ECOG) status 0-2 * Age \> 18 years * Patient must sign study specific informed consent prior to study entry
Exclusion criteria
* Prior liver radiation, or radiation in close proximity to planned treatment sites * Prior invasive malignancy * Severe, active co-morbidity * Active hepatitis or Child Pugh Score B (9) or worse * Pregnant or nursing women * Extra hepatic disease: Any Bone/Any Brain, 2 or more Lung metastasis * Life expectancy \< 6 mo from any cause * Concurrent chemotherapy * Response to prior chemotherapy with minimal measurable disease in liver
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Response rate within the treated liver lesion | 6 months | RECIST Response |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression-free survival | Up to 5 years | Any progression of the disease |
| Toxicity | From date of randomization up to 5 years | Grade 3 CTCAE events |
| Quality of Life | From date of Randomization to Death or Progression or 5 years whichever comes first. | Fact - H quality of life instrument |
| Median survival | From date of randomization upto 5 years | Median survival |
| Overall survival | From date of randomization upto 5 years | Survival |