RecruitingNCT04616495

Liver Transplantation in Patients With Unresectable Colorectal Liver Metastases


Sponsor

Hospital Universitario La Fe

Enrollment

30 participants

Start Date

Sep 1, 2021

Study Type

OBSERVATIONAL

Conditions

Summary

Multicentric prospective and observational study to assess the 5-year overall survival in a cohort of patients with unresectable liver-only colorectal metastases, well controlled by chemotherapy prior to liver transplantation.


Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria9

  • ≥ 18 and ≤ years
  • Good performance status, ECOG 0 or 1
  • Resected adenocarcinoma in colon or rectum (R0 resection)
  • Unresectable liver metastases
  • No extrahepatic disease
  • Normal blood tests
  • Response to ≤ 2 lines of chemotherapy (RECIST criteria)
  • ≥ 1 year period since diagnosis of colorectal cancer to enrolment in liver transplant waiting list
  • Signed informed consent

Exclusion Criteria12

  • Body mass index ≥ 30
  • Positive HIV or HCV
  • Pregnancy at the time of inclusion
  • BRAF mutated status
  • Deterioration of general condition (10% weight loss in the prior 6 months)
  • Other malignancy with disease free survival \< 5 years
  • Concomitant or prior extrahepatic metastases (histologically or radiologically proved), even if surgically resected.
  • Palliative resection of primary colorectal adenocarcinoma
  • Liver metastases size \> 5 cm (in the last imaging technique)
  • CEA \> 80 ng/ml (at time of enrolment in waiting list)
  • No neoadjuvant chemotherapy treatment
  • General contraindication to liver transplantation

Interventions

PROCEDURELiver transplantation

Chemotherapy and liver transplantation


Locations(1)

Eva M Montalvá

Valencia, Spain

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NCT04616495


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