Liver isolation chemo trial halted early – too few patients to draw conclusions
NCT ID NCT04701281
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This early-phase trial tested a new way to deliver chemotherapy directly to liver tumors that spread from colorectal cancer. Doctors used balloon catheters to isolate the liver's blood supply and then infused oxaliplatin, along with oral capecitabine. Only 5 people took part before the study was stopped, so we cannot say whether this approach is safe or effective.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- oxaliplatin and capecitabine
- What this could lead to
- If it works, this could offer a more targeted way to deliver chemotherapy to liver tumors, potentially reducing side effects from whole-body chemo.
- What could go wrong
- This was a very small, early-phase trial that was terminated early, so we don't have enough data to know if it's safe or effective. The procedure also involves isolating blood flow to the liver, which carries risks.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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5 people
The number who actually took part.
- Started
-
Mar 2022
- Finished
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Oct 2022
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Males or females, aged 18 years or older, with hepatic metastases from histologically proven adenocarcinoma of the colon/rectum; 2. Limited extrahepatic metastases in the lung or lymph nodes; 3. Confirmed non-progressive disease in the liver, per RECIST v1.1, halfway into the first-line systemic chemotherapy regimen after a minimum of 4 cycles of FOLFOX/XELOX ± monoclonal antibodies OR liver-dominant pre-treated or refractory patients; 4. Genotype: RAS mutant for first line patients only. All genetic mutations allowable for pre-treated or refractory patients; 5. Prior treatment with monoclonal antibody treatment is ≥ 4 weeks before implantation; 6. Considered medically fit for repeated general anaesthesia; 7. ECOG performance status 0-1; 8. Adequate bone marrow function (within 14 days of enrolment): Haemoglobin ≥ 100 g/L; ANC ≥ 1.5 × 10\^9/L; Platelet Count ≥ 100 × 10\^9/L; 9. Adequate renal function (within 14 days of enrolment): Serum Creatinine ≤ 1.5 × Upper Limit of Normal; 10. Adequate liver function (within 14 days of enrolment): Bilirubin ≤2.0 × Upper Limit of Normal; AST ≤ 5 × Upper Limit of Normal; 11. Normal coagulation (within 14 days of enrolment): INR ≤ 1.5; 12. Able to understand the risks and benefits of the study and provide signed, written informed consent to participate; 13. Willing and able to comply with all study requirements and assessments; Exclusion Criteria: 1. CT-angiogram confirms unsuitable vascular anatomy; 2. No measurable liver disease per RECIST v1.1; 3. Evidence of ascites, cirrhosis, portal hypertension, main portal venous tumour involvement or main portal venous thrombosis; 4. Allergies to contrast agents; 5. Previous hypersensitivity or laryngo-pharyngeal dysaesthesia associated with oxaliplatin; 6. Previous allergies associated with 5-FU or oxaliplatin; 7. Grade \> 2 peripheral neuropathy (CTCAE 5.0); 8. Significant co-morbidities; 9. Life expectancy ≤ 3 months; 10. Pregnant or breastfeeding women, or women of childbearing potential and men who are not on a reliable form of birth control or barrier method of contraception; 11. Enrolled or intend to participate in another clinical trial (of an investigational drug or device, new indication for an approved drug or device, or requirement of additional testing beyond standard clinical practice) during this clinical study; 12. Medical conditions that preclude the testing required by the protocol, or limit study participation;
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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GenesisCare, St Leonards
Saint Leonards, New South Wales, 2065, Australia
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Gold Coast Private Hospital
Southport, Queensland, 4215, Australia
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Lake Macquarie Private Hospital
Gateshead, New South Wales, 2290, Australia
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Sydney Adventist Hospital
Sydney, New South Wales, 2076, Australia
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Sydney Southwest Private Hospital
Sydney, New South Wales, 2170, Australia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can targeted liver chemo turn inoperable tumors into operable ones?
- New PET scan tracer could sharpen detection of liver spread in colorectal cancer
- Can a 4-Week Low-Carb diet make liver surgery safer?
- Blood test could spare colon cancer patients from unnecessary chemo
- Electric shocks + chemo: new hope for inoperable tumors?
- Liver transplant trial for colon cancer patients pulled before it started