Official Title: Hepatic Resection Followed by Concurrent Adjuvant Portal Vein Infusion of Fluorodeoxyuridine and Systemic 5-Fluorouracil and Folinic Acid for Metastatic Colorectal Carcinoma
Status: COMPLETED
Status Verified Date: 2017-02
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: RATIONALE Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die Combining more than one drug and giving drugs in different ways may kill more tumor cells
PURPOSE Phase II trial to study the effectiveness of surgery followed by floxuridine plus systemic fluorouracil and leucovorin in treating patients with liver metastases from colorectal cancer
Detailed Description: OBJECTIVES
Evaluate the efficacy of hepatic resection followed by portal vein infusion of floxuridine plus systemic fluorouracilleucovorin calcium in patients with metastatic colorectal cancer Study the toxic effects of adjuvant chemotherapy following hepatic resection Evaluate mRNA expression of enzymes that may be important to the cytotoxicity of fluoropyrimidines in tumor cells including thymidylate synthase ribonucleotide reductase and folylglutamyl synthetase by polymerase chain reaction and immunohistochemistry
OUTLINE Following resection of the liver and all extrahepatic colorectal cancer patients receive floxuridine via portal vein infusion from days 1-14 Systemic chemotherapy consists of leucovorin calcium on days 8-14 and fluorouracil on days 9-13 Courses repeat every 4 weeks for a total of 12 weeks
If biopsy-proven metastatic disease develops treatment may be stopped at the investigators discretion Continuation of regional therapy should be considered for extrahepatic failure No concurrent radiotherapy is permitted
Patients are followed every 3 months for 3 years then every 6 months for survival
PROJECTED ACCRUAL It is expected that 50 patients will be entered over approximately 5 years