CClinicalTrials.gg
CompletedNCT01483027EPOCHUpdated Mar 29, 2022Results posted

Efficacy Evaluation of TheraSphere Following Failed First Line Chemotherapy in Metastatic Colorectal Cancer

An interventional study of TheraSphere in Colorectal Cancer Metastatic, sponsored by Boston Scientific Corporation. Completed at 131 sites in 13 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-03-29.

Sponsored by Boston Scientific Corporation · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
428
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The effectiveness and safety of TheraSphere will be evaluated in patients with colorectal cancer with metastases in the liver, who are scheduled to receive second line chemotherapy. All patients receive the standard of care chemotherapy with or without the addition of TheraSphere.

02

Conditions studied

  • Colorectal Cancer Metastatic
03

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 428 is above the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Boston Scientific Corporation is the lead sponsor of 517 studies on the registry; 38 are open to participants now.

Of its 64 completed or terminated interventional studies of FDA-regulated products, 56 (88%) 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

Inclusion criteria

  • Must be male or female, 18 years of age or older, and of any ethnic or racial group
  • If primary tumor has not been resected, it must be clinically stable
  • Must have colorectal cancer with unresectable metastatic disease to the liver (unresectable unilobar or bilobar disease) who have disease progression in the liver with oxaliplatin or irinotecan based first line chemotherapy
  • Must be eligible to receive second-line standard-of-care chemotherapy with either 1) an oxaliplatin-based chemotherapy regimen, or 2) an irinotecan-based chemotherapy regimen
  • Must have baseline efficacy images with measurable target tumors in the liver according to RECIST 1.1 using standard imaging techniques taken within 28 days prior to randomization. Images must be taken after, or at the time of completion of first line chemotherapy
  • Tumor replacement \<50% of total liver volume
  • Current Eastern Cooperative Oncology Group (ECOG) of 0-1 through screening to first treatment on study
  • Will have completed the first line chemotherapy regimen at least 14 days prior to initiation of 2nd line chemotherapy under the protocol
  • Patient is willing to participate in the study and has signed the study informed consent
  • Serum creatinine ≤ 2.0 mg/dL
  • Serum bilirubin up to 1.2 x upper limit of normal
  • Albumin ≥ 3.0 g/dL
  • Must have neutrophil count >1200/mm3 (1.2x109/L)

Exclusion criteria

Exclusion Criteria

  • History of hepatic encephalopathy
  • Contraindications to angiography and selective visceral catheterization such as bleeding diathesis or coagulopathy that is not correctable by usual therapy of hemostatic agents (eg. closure device)
  • History of severe peripheral allergy or intolerance to contrast agents, narcotics, sedatives or atropine that cannot be managed medically
  • Presentation of pulmonary insufficiency or clinically evident chronic obstructive pulmonary disease
  • Cirrhosis or portal hypertension
  • Prior external beam radiation treatment to the liver
  • Prior intra-arterial liver directed therapy, including transcatheter arterial chemoembolization (TACE) or Y-90 microsphere therapy
  • Planned treatment with biological agents within 28 days prior to receiving TheraSphere
  • Planned liver directed therapy or radiation therapy
  • Intervention for, or compromise of, the Ampulla of Vater
  • Clinically evident ascites (trace ascites on imaging is acceptable)
  • Toxicities due to prior cancer therapy that have not resolved before the initiation of study treatment, if the Investigator determines that the continuing complication will compromise the safe treatment of the patient
  • Significant life-threatening extra-hepatic disease, including patients who are on dialysis, have unresolved diarrhea, have serious unresolved infections including patients who are known to be human immunodeficiency virus (HIV) positive or have acute hepatitis B virus (HBV) or hepatitis C virus (HCV)
  • confirmed extra-hepatic metastases. Limited indeterminate extra-hepatic lesions in the lung and/or lymph nodes are permitted (up to 5 lesions in the lung, with each individual lesion \<1 cm; any number of lymph nodes with each individual nodes \<1.5 cm)
  • Contraindications to the planned second line standard-of-care chemotherapy regimen
  • Women of childbearing potential must have a negative serum pregnancy test within 14 days prior to randomization, and must not be breastfeeding and must agree to use contraceptive for duration of study.
  • Participation in a clinical trial with an investigational therapy within 30 days prior to randomization
  • Co-morbid disease or condition that would place the patient at undue risk and preclude safe use of TheraSphere treatment, in the Investigator's judgment
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
428 participants (actual)

Study arms

  • Experimental
    Treatment group

    Standard of care second-line chemotherapy plus TheraSphere

    Device: TheraSphere

  • No intervention
    Control group

    Standard of care second-line chemotherapy with no added therapy

Interventions

  • DeviceTheraSphere

    yttrium 90 microspheres

06

What researchers measure

Primary outcomes

  1. Progression Free Survival

    Progression Free survival by blinded independent central review per RECIST 1.1

    Time frame: From date of randomization until the date of first documented progression, as defined by RECIST 1:1 or date of death from any cause, whichever comes first, assessed up to a minimum of 1 year follow up or until study completion

  2. Hepatic Progression-Free Survival (HPFS)

    Hepatic Progression Free Survival (HPFS) by blinded independant central review per RECIST 1.1

    Time frame: Time from randomization until hepatic PD by BICR per RECIST 1.1 or death, whichever occurs first, assessed up to a minimum of 1 year follow up or study completion.

Secondary outcomes

  1. Overall Survival

    Time from randomization until date of death due to any cause as reported by study site.

    Time frame: Time from date of randomization until date of death due to any cause; patients remaining on study post progression were followed until study completion; duration of follow up could be a few months to several years depending on when event was met.

07

Results

Posted Mar 29, 2022
Limitations and caveats
For the event of death noted as "other" this is how it was captured in our database due to fact that it was a death "unknown cause" and there is no related SAE. It is captured as an event under All Cause Mortality table.

Participant flow

Participant flow — Overall Study
MilestoneTreatment GroupControl Group
Started215213
Completed169153
Not completed4660
Withdrew: Administrative reasons21
Withdrew: Withdrawal by subject2132
Withdrew: Discontinuation by investigator or sponsor for any reason2224
Withdrew: Lost to follow-up11
Withdrew: Adverse event01
Withdrew: Withdrawal by subject01

Outcome measures

PrimaryProgression Free Survival

Progression Free survival by blinded independent central review per RECIST 1.1

Time frame:
From date of randomization until the date of first documented progression, as defined by RECIST 1:1 or date of death from any cause, whichever comes first, assessed up to a minimum of 1 year follow up or until study completion
Reported as:
Median · Months
Progression Free Survival
MonthsTreatment GroupControl Group
Progression Free Survival8.0 (7.2 to 9.2)7.2 (5.7 to 7.6)
Statistical analysis
  • Treatment Group vs Control Group · Log Rank · p = 0.0013 · Hazard ratio (hr): 0.69 · 95% CI 0.54 to 0.88
PrimaryHepatic Progression-Free Survival (HPFS)

Hepatic Progression Free Survival (HPFS) by blinded independant central review per RECIST 1.1

Time frame:
Time from randomization until hepatic PD by BICR per RECIST 1.1 or death, whichever occurs first, assessed up to a minimum of 1 year follow up or study completion.
Reported as:
Median · Months
Hepatic Progression-Free Survival (HPFS)
MonthsTreatment GroupControl Group
Hepatic Progression-Free Survival (HPFS)9.1 (7.8 to 9.7)7.2 (5.7 to 7.6)
Statistical analysis
  • Treatment Group vs Control Group · Log Rank · p = <0.0001 · Hazard ratio (hr): 0.59 · 95% CI 0.46 to 0.77
SecondaryOverall Survival

Time from randomization until date of death due to any cause as reported by study site.

Time frame:
Time from date of randomization until date of death due to any cause; patients remaining on study post progression were followed until study completion; duration of follow up could be a few months to several years depending on when event was met.
Reported as:
Mean · Months
Overall Survival
MonthsTreatment GroupControl Group
Overall Survival14 (11.8 to 15.5)14.4 (12.8 to 16.4)

Adverse events

Collected over AEs and SAEs were collected until progression of disease or 30 days following discontinuation date of study therapy (chemo or TheraSphere), whichever comes first, on average up to 6 months depending on number of chemo cycles. After this only AEs, SAEs related to TheraSphere were collected through study completion, on average up to one year post treatment. All-cause mortality was collected through study completion, on average up to two years after first study treatment.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment Group182/215 (84.7%)95/187 (50.8%)186/187 (99.5%)
Control Group165/213 (77.5%)47/207 (22.7%)196/207 (94.7%)
Most frequent serious events
Showing 10 of 143
Most frequent serious events
EventTreatment GroupControl Group
AscitesGastrointestinal disorders11/1871/207
Abdominal painGastrointestinal disorders10/1874/207
Febrile NeutropeniaBlood and lymphatic system disorders8/1873/207
Radiation hepatitisInjury, poisoning and procedural complications7/1870/207
PyrexiaGeneral disorders6/1872/207
DiarrhoeaGastrointestinal disorders4/1875/207
NeutropeniaBlood and lymphatic system disorders4/1873/207
VomitingGastrointestinal disorders4/1871/207
Colonic obstructionGastrointestinal disorders4/1870/207
CholecystitisHepatobiliary disorders4/1870/207
Most frequent other events
Showing 10 of 329
Most frequent other events
EventTreatment GroupControl Group
DiarrhoeaGastrointestinal disorders62/187102/207
FatigueGeneral disorders91/18794/207
NauseaGastrointestinal disorders90/18790/207
Abdominal painGastrointestinal disorders68/18741/207
NeutropeniaBlood and lymphatic system disorders64/18750/207
ConstipationGastrointestinal disorders63/18749/207
decreased appetiteMetabolism and nutrition disorders51/18747/207
VomitingGastrointestinal disorders48/18735/207
PyrexiaGastrointestinal disorders40/18721/207
alopeciaSkin and subcutaneous tissue disorders23/18743/207

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Treatment GroupControl GroupTotal
<=18 years000
Between 18 and 65 years126132258
>=65 years8981170
Sex: Female, Male
Sex: Female, Male(Participants)Treatment GroupControl GroupTotal
Female8075155
Male135138273
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Treatment GroupControl GroupTotal
White or Caucasian164169333
Black or African American9817
Asian251742
Native Hawaiian or Other Pacific Islander101
Other112
Missing151833
Region of Enrollment
Region of Enrollment(participants)Treatment GroupControl GroupTotal
Singapore527
United States5450104
United Kingdom5275127
Spain221739
Canada9615
Austria022
South Korea13922
Belgium404
Hong Kong314
Poland282856
France151833
Germany10515
Baseline Characteristics
Baseline Characteristics(Participants)Treatment GroupControl GroupTotal
ECOG 0 at baseline119133252
ECOG 1 at baseline9578173
KRAS status
KRAS status(Participants)Treatment GroupControl GroupTotal
KRAS mutant100101201
KRAS wildtype115112227
Unilobar vs Bilobar disease at baseline
Unilobar vs Bilobar disease at baseline(Participants)Treatment GroupControl GroupTotal
unilobar394079
bilobar176173349
08

Study locations

131 sites
  • University of Alabama at Birmingham
    Birmingham, Alabama 35249, United States
  • University of California San Fransico, Moffitt Hospital
    San Francisco, California 94143, United States
  • University of Colorado Denver Anschutz Medical Campus
    Aurora, Colorado 80045, United States
  • Christiana Care Hospital
    Newark, Delaware 19713, United States
  • Lynn Clinical Research Center, Boca Raton Regional Hospital
    Boca Raton, Florida 33486, United States
  • University of Miami Miller School of Medicine, Florida
    Miami, Florida 33136, United States
  • Moffit Cancer Center
    Tampa, Florida 33612, United States
  • Northwestern University
    Chicago, Illinois 60611, United States
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • Carle Clinic
    Urbana, Illinois 61801, United States
  • Indiana University School of Medicine
    Indianapolis, Indiana 46202, United States
  • University of Louisville
    Louisville, Kentucky 40202, United States
  • University of Michigan Health System
    Ann Arbor, Michigan 48109, United States
  • Wayne State Harper Hospita Karmanos Cancer Institute
    Farmington Hills, Michigan 48334, United States
  • Spectrum Health
    Grand Rapids, Michigan 49503, United States
  • Beaumont Hospital
    Royal Oak, Michigan 48073, United States
  • Allina Health, Virginia Piper Cancer Institute
    Minneapolis, Minnesota 55407, United States
  • Minneapolis
    Minneapolis, Minnesota 55407, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Mallinckrodt Institute of Radiology
    Saint Louis, Missouri 63110, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
  • University of Rochester
    Rochester, New York 14642, United States
  • Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • The Ohio State University, Wexner Medical Center
    Columbus, Ohio 43210, United States
  • Miami Valley Hospital
    Dayton, Ohio 45409, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Aria Health
    Trevose, Pennsylvania 19053, United States
  • UT Southwestern Medical Center
    Dallas, Texas 75390, United States
  • UT MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • St. Marks Hospital
    Salt Lake City, Utah 84124, United States
  • Sentara Norfolk General
    Norfolk, Virginia 23507, United States
  • University of Washington
    Seattle, Washington 98195, United States
  • Gundersen Medical Foundation
    La Crosse, Wisconsin 54601, United States
  • Medical College of Wisconsin/Froedtert Memorial Lutheran Hospital
    Milwaukee, Wisconsin 53226, United States
  • Aurora Research Institute
    Wauwatosa, Wisconsin 53226, United States
  • Medical University of Vienna
    Vienna, 1090, Austria
  • Onze-Lieve-Vrouwziekenuis VZW Campus Aalst
    Aalst, 9300, Belgium
  • AZ - Sint Lucas
    Gent, 9000, Belgium
  • Universitair Ziekenhuis Gent
    Gent, 9000, Belgium
  • AZ Groeninge
    Kortrijk, 8500, Belgium
  • Tom Baker Cancer Centre
    Calgary, Alberta T2N 4N2, Canada
  • QEII Health Services Center, Halifax Infirmary Site
    Halifax, Nova Scotia B3H 3A7, Canada
  • London Regional Cancer program
    London, Ontario N6A 4L6, Canada
  • Sunnybrook Health Sciences Centre
    Toronto, Ontario M4N 3M5, Canada
  • University Health Network , Mount Sinai Hospital
    Toronto, Ontario M5G 2C4, Canada
  • McGill University Health Center - Glen Site
    Montreal, Quebec, Quebec H4A 3J1, Canada
  • Royal University Hospital
    Saskatoon, Saskatchewan S7N 0W8, Canada
  • Hong Kong Sanatorium Hospital
    Hong Kong, China
  • Queen Mary Hospital
    Hong Kong, China
  • CHRU Montpellier - Hopital St Eloi
    Montpellier, Cedex 5 34295, France
  • CUH d'Angers
    Angers, Cedex 9 49933, France
  • CHU Toulouse, Hôpital Rangueil
    Toulouse, Cedex 9 31059, France
  • Institut Bergognié
    Bordeaux, 33076, France
  • Hôpital Beaujon
    Clichy, 92110, France
  • Hôpital Henri Mondor
    Créteil, 94010, France
  • Centre Georges Francois Leclerc
    Dijon cedex, 21000, France
  • Centre Hospitalier Lyon-Sud
    Lyon, 69003, France
  • Hôpital La Timone
    Marseille, 13005, France
  • CHU Nantes-Hôtel Dieu
    Nantes, 44093, France
  • CHU de Nice,, Hopital Archet 2 - Service d'Imagerie Médicale niveau -2
    Nice, 6202, France
  • CHU Bordeaux
    Pessac, 33600, France
  • Hôpital La Milétrie, CHU Poitiers, hépato gastroenterologie
    Poitiers, 86000, France
  • Centre Eugene Marquis
    Rennes, 35000, France
  • Universitätsklinikum Bonn
    Bonn,, 53127, Germany
  • Universitätsklinikum Essen
    Essen, 45122, Germany
  • Medizinische Hochschule Hannover
    Hannover, 30625, Germany
  • SLK Kliniken, Heilbronn GmbH
    Heilbronn, 74078, Germany
  • Universitätsklinikum des Saarlandes
    Homburg, 66421, Germany
  • University Hospital of Leipzig
    Leipzig, 04103, Germany
  • Universitaetsklinikum Marburg Klinik für Dermatologie und Allergologie
    Marburg, 35043, Germany
  • Eberhard-Karls-University Tübingen
    Tübingen, 72076, Germany
  • Azienda Ospedaliera-Universitaria, Policlinico Sant'Orsola Malpighi
    Bologna, 40138, Italy
  • Gangnam Severance Hospital
    Seoul, Korea, Republic of
  • Korea University Anam Hospital
    Seoul, Korea, Republic of
  • Seoul National University Hospital
    Seoul, Korea, Republic of
  • Severance Hospital
    Seoul, Korea, Republic of
  • St. Mary's Hospital
    Seoul, Korea, Republic of
  • Białostockie Centrum Onkologii
    Bialystok, Poland
  • Centrum Onkologii - Instytut, im. Marii Skłodowskiej-Curie
    Gliwice, Poland
  • Regionalny Szpital Specjalistyczny im. Dr Władysława Biegańskiego
    Grudziądz, Poland
  • Oddział Onkologii Klinicznej; Centrum Onkologii Ziemi Lubelskiej im. Św.Jana z Dukli.
    Lublin, Poland
  • Szpital Kliniczny im. Heliodora Święcickiego
    Poznan, Poland
  • Centralny Szpital Kliniczny MSWiA
    Warszawa, Poland
  • Centrum Onkologii - Instytut
    Warszawa, Poland
  • Wojskowy Instytut Medyczny
    Warszawa, Poland
  • National University Hospital
    Singapore, 119228, Singapore
  • Hospital Universitario Fundación Alcorcón
    Alcorcón, 28922, Spain
  • Hospital Universitari Vall d'Hebron
    Barcelona,, Spain
  • Hospital de la Santa Creu i Sant Pau
    Barcelona, 08041, Spain
  • Hospital Clinic de Barcelona
    Barcelona, 8036, Spain
  • Hospital Universitario del Henares
    Coslada, 28822, Spain
  • Hospital Universitario de Fuenlabrada
    Fuenlabrada, 28942, Spain
  • Hospital Universitario Virgen de las Nieves
    Granada, 18014, Spain
  • Hospital General Universitario Gregorio Marañón
    Madrid, 28007, Spain
  • Hospital Universitario Ramon y Cajal
    Madrid, 28034, Spain
  • Hospital Fundación Jiménez Díaz
    Madrid, 28040, Spain
  • Hospital Universitario Puerta de Hierro
    Madrid, 28220, Spain
  • Hospital Regional Universitario de Málaga - Hospital General
    Malaga, 29010, Spain
  • Hospital Universitario Virgen de la Arrixaca
    Murcia,, 30120, Spain
  • Avenida de Roma, s/n, Hospital Universitario Central de Asturias
    Oviedo, 33011, Spain

Showing the first 100 of 131 sites across 13 countries.

09

References and documents

Publications

  • Mulcahy MF, Mahvash A, Pracht M, Montazeri AH, Bandula S, Martin RCG 2nd, Herrmann K, Brown E, Zuckerman D, Wilson G, Kim TY, Weaver A, Ross P, Harris WP, Graham J, Mills J, Yubero Esteban A, Johnson MS, Sofocleous CT, Padia SA, Lewandowski RJ, Garin E, Sinclair P, Salem R; EPOCH Investigators. Radioembolization With Chemotherapy for Colorectal Liver Metastases: A Randomized, Open-Label, International, Multicenter, Phase III Trial. J Clin Oncol. 2021 Dec 10;39(35):3897-3907. doi: 10.1200/JCO.21.01839. Epub 2021 Sep 20. PubMed 34541864 ↗
  • Chauhan N, Mulcahy MF, Salem R, Benson Iii AB, Boucher E, Bukovcan J, Cosgrove D, Laframboise C, Lewandowski RJ, Master F, El-Rayes B, Strosberg JR, Sze DY, Sharma RA. TheraSphere Yttrium-90 Glass Microspheres Combined With Chemotherapy Versus Chemotherapy Alone in Second-Line Treatment of Patients With Metastatic Colorectal Carcinoma of the Liver: Protocol for the EPOCH Phase 3 Randomized Clinical Trial. JMIR Res Protoc. 2019 Jan 17;8(1):e11545. doi: 10.2196/11545. PubMed 30664496 ↗

Study documents

  • Study protocol · May 10, 2017
  • Statistical analysis plan · Feb 1, 2021

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 29, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01483027
Lead sponsor
Boston Scientific Corporation
Collaborators
Biocompatibles UK Ltd
Responsible party
Sponsor
First posted
Dec 1, 2011
Start date
Jan 2012
Primary completion
Aug 31, 2020
Completion
Aug 31, 2020
Results posted
Mar 29, 2022
Last update
Mar 29, 2022

Study contacts

Mary F Mulcahy, MD
principal investigator · Northwestern University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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