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CompletedNCT00059930Updated Mar 26, 2025

Adjuvant Hepatic Arterial Infusion and Combination Chemotherapy in Treating Patients With Resectable Hepatic Metastases From Colorectal Cancer

A Phase 1 interventional study of FOLFOX regimen and dexamethasone in Colorectal Cancer and Metastatic Cancer, sponsored by Memorial Sloan Kettering Cancer Center. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-26.

Sponsored by Memorial Sloan Kettering Cancer Center · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Jan 2003, registered May 2003).
Phase
Phase 1
Study type
Interventional
Enrollment
38
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to find the highest dose that can be given safely to people who have had liver disease resected. This is a Phase I study. The goal of a phase I study is to find a safe dose range based on side effects. The drugs that will be given by vein are OXALIPLATIN ("Oxali") plus 5-FLUOROURACIL and LEUCOVORIN ("5FU" and "LV"). This is systemic chemotherapy, since it goes to the whole body. The drugs that will be placed in the pump are FLOXURIDINE (FUDR) and DEXAMETHASONE. (The dexamethasone is not an anti-tumor drug; it helps protect healthy liver tissue from possible side effects of the FUDR.) This is the regional chemotherapy, since it goes only to the liver. The researchers have studied these drugs and know the best doses of each when they are used in patients who have not had liver resections. We do not yet know how the drugs work with each other in patients with a liver resection. This study will tell us the best doses of each drug when they are given over the same period of time.

02

Conditions studied

  • Colorectal Cancer
  • Metastatic Cancer

Keywords

  • liver metastases
  • stage IV colon cancer
  • stage IV rectal cancer
  • adenocarcinoma of the colon
  • adenocarcinoma of the rectum
  • recurrent colon cancer
  • recurrent rectal cancer
03

In context

Colorectal Neoplasms

5,600 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's enrollment of 38 is below the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Memorial Sloan Kettering Cancer Center is the lead sponsor of 1,930 studies on the registry; 325 are open to participants now.

Of its 129 completed or terminated interventional studies of FDA-regulated products, 66 (51%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Subject Inclusion Criteria:

  • History of histologically confirmed colorectal adenocarcinoma metastatic to the liver with no clinical or radiographic evidence of extrahepatic disease. Confirmation of diagnosis must be performed at MSKCC.
  • Potentially completely resectable hepatic metastases without current evidence of other metastatic disease.
  • Abdominal and pelvic CT scans and chest CT or x-ray within 6 weeks prior to registration. (MRI of abdomen may be substituted for CT of abdomen.)
  • Lab values within 14 days prior to registration:
  • WBC ≥ 3.0 K/ul
  • ANC >1.5 K/ul
  • Platelets ≥ 100 K/ul
  • Total bilirubin ≤ 1.5 mg/dl.
  • Prior chemotherapy is acceptable if last dose given ≥ 3 weeks prior to registration to this study.
  • KPS ≥ 60%
  • Signed informed consent.

Subject Exclusion Criteria:

  • Prior radiation to the liver. (Prior radiation therapy to the pelvis is acceptable if completed at least 4 weeks prior to registration.)
  • Active infection, ascites, hepatic encephalopathy
  • Prior oxaliplatin or cisplatin or HAI FUDR
  • Female patients who are pregnant or lactating
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
38 participants (actual)

Study arms

  • Experimental
    Adjuvant Hepatic Arterial Infusion & Combination Chemotherapy

    This is a Phase I study with the primary objective of defining the maximum tolerated dose of hepatic arterial floxuridine (FUDR) and dexamethasone (Dex) given via an implanted pump in combination with intravenous oxaliplatin plus systemic fluorouracil (5FU)/leucovorin (LV) in the adjuvant setting after resection of hepatic metastases from colorectal cancer. A total of eleven dose levels will be considered.

    Drug: FOLFOX regimen · Drug: dexamethasone · Drug: floxuridine · Drug: fluorouracil · Drug: leucovorin calcium · Drug: oxaliplatin · Procedure: adjuvant therapy · Procedure: conventional surgery

Interventions

  • DrugFOLFOX regimen
  • Drugdexamethasone
  • Drugfloxuridine
  • Drugfluorouracil
  • Drugleucovorin calcium
  • Drugoxaliplatin
  • Procedureadjuvant therapy
  • Procedureconventional surgery
06

What researchers measure

Primary outcomes

  1. Maximum tolerated dose

    Time frame: 2 years

  2. Correlate thymidylate synthase, dihydropyrimidine dehydrogenase, and ERCC-1 with survival and recurrence as measured by normal and tumor liver tissue

    Time frame: 2 years

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Study locations

2 sites
  • Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
    New Brunswick, New Jersey 08903, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00059930
Lead sponsor
Memorial Sloan Kettering Cancer Center
Collaborators
National Cancer Institute (NCI), University of Medicine and Dentistry of New Jersey
Responsible party
Sponsor
First posted
May 7, 2003
Start date
Jan 2003
Primary completion
Mar 24, 2025
Completion
Mar 24, 2025
Last update
Mar 26, 2025

Study contacts

Nancy E. Kemeny, MD
study chair · Memorial Sloan Kettering Cancer Center
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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