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CompletedNCT00695201Updated Jul 1, 2021

Hepatic Arterial Infusion With Floxuridine and Dexamethasone in Combination With Intravenous Oxaliplatin Plus Irinotecan in Patients With Unresectable Hepatic Metastases From Colorectal Cancer

A Phase 1 interventional study of Floxuridine, Oxaliplatin, CPT-11 and Floxuridine, Oxaliplatin, CPT-11 in Colon Cancer and Rectal Cancer, sponsored by Memorial Sloan Kettering Cancer Center. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-07-01.

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

Phase
Phase 1
Study type
Interventional
Enrollment
52
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to see how well patients tolerate the side effects of treatment with Floxuridine, Oxaliplatin and Irinotecan. We also want to know if these methods used together are a useful way of treating cancer. We have studied these drugs and know the best doses of each when they are used alone. We do not yet know how well the drugs work with each other. This study will tell us the best doses of each drug when they are given over the same period of time.

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Conditions studied

  • Colon Cancer
  • Rectal Cancer

Keywords

  • DEXAMETHASONE
  • FLOXURIDINE
  • IRINOTECAN (CPT-11) CAMPTOSAR
  • OXALIPLATIN
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In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's enrollment of 52 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; 328 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.

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Who can participate

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

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.

  • Patient's liver metastases must be deemed unresectable and comprise \<70% of the liver parenchyma.
  • A patient may have had prior chemotherapy or be previously untreated.
  • Patient may not have received prior treatment with FUDR or >2 doses of Oxaliplatin.
  • KPS > or = to 60%.
  • WBC > or = to 3,000 cells/mm3 and platelet count > or = to 100,000 cells/mm3 within 14 days of registration.
  • Creatinine \< or = to 1.5 mg/dl within 14 days of registration.
  • Total serum bilirubin \< or = 2.0 mg/dl within 14 days of registration.

Exclusion criteria

Exclusion Criteria:

  • No active concurrent malignancies: except a patient's potentially resectable colorectal primary.
  • Patient must not have obstruction of GI or GU tract.
  • Patient must not have current, symptomatic peripheral sensory neuropathy.
  • No prior radiation to liver.
  • No active infection, ascites, or hepatic encephalopathy.
  • Age ≥ 18 years.
  • Female patients cannot be pregnant or lactating.
  • Signed informed consent.
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
52 participants (actual)

Study arms

  • Experimental
    1

    Patients will undergo pump placement and biopsy of diseased liver tissue. Chemotherapy will be initiated as soon as possible following verification of adequate pump placement and perfusion by radiographic pump study. Treatment will continue indefinitely unless a patient experiences a treatment endpoint.

    Drug: Floxuridine, Oxaliplatin, CPT-11

  • Experimental
    2

    Patients will undergo pump placement and biopsy of diseased liver tissue. Chemotherapy will be initiated as soon as possible following verification of adequate pump placement and perfusion by radiographic pump study. Treatment will continue indefinitely unless a patient experiences a treatment endpoint.

    Drug: Floxuridine, Oxaliplatin, CPT-11

Interventions

  • DrugFloxuridine, Oxaliplatin, CPT-11

    For patients on the 4-week cycle: On the first day of each cycle, the pump will be filled with FUDR and dexamethasone. The pump will be emptied of drugs after 2 weeks (on day 15 of each cycle) and filled with heparin (which is used to prevent blood from clotting) and saline. Whether the pump contains drug or heparin and saline, it will need to be emptied and refilled about every two weeks. We will inject either the drugs or the saline and heparin into the pump through the skin using a needle and syringe. In summary, 2 weeks of drug in the pump is followed by 2 weeks without drug in the pump. The systemic chemotherapy (Oxaliplatin/CPT-11) will be administered on the same day as the pump is filled and emptied, ie. Day 1 and Day 15 of each cycle.

  • DrugFloxuridine, Oxaliplatin, CPT-11

    For patients on the 5-week cycle: On the first day of each cycle, the pump will be filled with FUDR and dexamethasone. The pump will be emptied of drugs after 2 weeks (on day 15 of each cycle) and filled with heparin and saline. This is repeated on day 29 of each cycle). In summary, 2 weeks of drug in the pump are followed by 3 weeks without drug in the pump. The systemic chemotherapy (Oxaliplatin/CPT-11) will be administered on the same day that the pump is emptied and filled with heparin and saline, i.e. Day 15 and Day 29 of each cycle.

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What researchers measure

Primary outcomes

  1. Determine the MTD of hepatic arterial floxuridine (FUDR) & dexamethasone (Dex) given via implanted pump in combination w biweekly intravenous Oxaliplatin + systemic irinotecan (CPT-11) in patients w unresectable hepatic metastases from colorectal cancer.

    Time frame: conclusion of the study

Secondary outcomes

  1. To determine the preliminary anti-tumor activity of the aforementioned combination chemotherapy.

    Time frame: conclusion of the study

  2. To procure normal and disease liver tissue for evaluation of TS, p53, p21, TOPO 1, DPD, and ERCC levels.

    Time frame: conclusion of the study

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Study locations

1 site
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
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References and documents

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 1, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00695201
Lead sponsor
Memorial Sloan Kettering Cancer Center
Collaborators
University of Medicine and Dentistry of New Jersey, Rutgers, The State University of New Jersey, Sanofi
Responsible party
Sponsor
First posted
Jun 11, 2008
Start date
Aug 2000
Primary completion
Jun 28, 2021
Completion
Jun 28, 2021
Last update
Jul 1, 2021

Study contacts

Nancy Kemeny, MD
principal investigator · Memorial Sloan Kettering Cancer Center
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.

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