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TerminatedNCT02511756AVA-CTPUpdated Dec 16, 2016

Visualization of Anti-angiogenic Effects With Perfusion Computed Tomography (CTP)

An interventional study of Computed tomography X-ray system in Metastatic Colorectal Cancer, sponsored by Patrick Veit-Haibach. Terminated at 5 sites in Switzerland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-12-16.

Sponsored by Patrick Veit-Haibach · Not applicable, Interventional, and Diagnostic

Why this study was terminated
Slow accrual
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

The primary objective of this study is to investigate the anti-angiogenic effect of bevacizumab measured by CTP as a predictive marker for efficacy measured by progression-free survival (PFS) in mCRC patients under first-line bevacizumab-containing, fluoropyrimidine-based chemotherapy

Read the detailed description

So far, CTP has provided non-invasive imaging of tumor biological response to anti-angiogenic and vascular targeting agents in a number of clinical trials with increasing clinical application. CTP can be examined with a variety of commercially available CE-certified CT scanners and imaging post-processing is possible with commercially available CE-certified software from different vendors, too. In several studies, anti-angiogenic effects have been detected with CTP but further evidence for its clinical validation has to be proven in clinical trials.

Changes in tumor vasculature measured by CTP will be correlated to the clinical efficacy parameters progression-free survival, overall survival and response rate, thus identifying a group of patients who profit most from the anti-angiogenic treatment.

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Conditions studied

  • Metastatic Colorectal Cancer

Keywords

  • Perfusion-computed tomography
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In context

Colorectal Neoplasms

5,738 studies on the registry are indexed under Colorectal Neoplasms; 1,483 are open to participants now.

This study's planned enrollment of 50 is below the median of 77 across 4,226 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

This is the only study on the registry with Patrick Veit-Haibach as lead sponsor.

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years, male or female
  • Signed written informed consent
  • Patients with histologically confirmed diagnosis of colorectal cancer with hepatic metastases who are candidates for systemic treatment.
  • Confirmation of metastatic liver disease within one month prior to inclusion in one of the following radiological procedures:

    • Contrast-enhanced spiral computed tomography showing at least one liver nodule ≥ 20 mm in longest diameter according to RECIST 1.1 criteria
    • MR imaging of the liver with liver lesions suspicious for metastases
    • PET computed tomography (PET/CT) with liver lesions suspicious for metastases
  • Patient is eligible and designated for treatment with standard-of-care first-line bevacizumab-containing, fluoropyrimidine-based chemotherapy.
  • ECOG performance status ≤ 2 (see appendix)

Exclusion criteria

Exclusion Criteria:

  • Inability or unwillingness to comply with the participation requirements
  • History of untreated hyperthyreosis
  • History of intolerance of or allergy to iodine contrast media according to CTCAE V4.03
  • Calculated creatinine clearance \< 45 ml/min
  • For fertile women: positive urine pregnancy test or lactation.
  • Known or suspected non-compliance, drug or alcohol abuse
  • Life expectancy of less than 3 months
  • Participation in another interventional trial with an investigational medicinal product (IMP) and within 30 days prior to screening
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
Single (Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Other
    Perfusion-computed tomography (CTP)

    Patients undergo a total of four perfusion-computed tomographies from baseline to progression of disease.

    Device: Computed tomography X-ray system

Interventions

  • DeviceComputed tomography X-ray system

    Contrast-enhanced computed tomography of liver metastases

    Also known as: CT scanner

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What researchers measure

Primary outcomes

  1. CTP as predictive marker for efficacy measured by progression-free survival

    Predictive power of decrease in tumor vasculature on the clinical outcome in bevacizumab-based chemotherapy measured by progression-free survival (PFS). Decrease in tumor vasculature is measured by blood flow in CTP 3 compared to CTP 1 (baseline)

    Time frame: one year

Secondary outcomes

  1. CTP as predictive marker for efficacy measured by progression-free survival

    Predictive power of decrease in tumor vasculature on the clinical outcome in bevacizumab-based chemotherapy measured by progression-free survival (PFS). Decrease in tumor vasculature is measured by blood flow, blood volume, mean transit time and permeability surface-area product in CTP

    Time frame: one year

  2. CTP as predictive marker for efficacy measured by overall survival

    Predictive power of decrease in tumor vasculature measured by CTP on the clinical outcome in bevacizumab-based chemotherapy measured by overall survival (OS)

    Time frame: four years

  3. Tumor vasculature at progression

    Tumor vasculature measured by blood flow, blood volume, mean transit time and permeability surface-area product in CTP at the time of confirmed progression

    Time frame: one year

  4. Subgroup analyses according to the RAS mutation status, BRAF mutation status and VEGF-A level

    Predictive power of RAS-mutation status, BRAF-mutation status and VEGF-A level on the clinical outcome in bevacizumab-based chemotherapy measured by progression-free survival (PFS)

    Time frame: one year

  5. Local and distant recurrences

    Rates of local and distant recurrences according to RECIST 1.1 criteria

    Time frame: one year

07

Study locations

5 sites
  • Luzerner Kantonsspital
    Lucerne, Canton of Lucerne 6000, Switzerland
  • Kantonsspital St. Gallen
    Sankt Gallen, Canton of St. Gallen 9007, Switzerland
  • Kantonsspital Winterthur
    Winterthur, Canton of Zurich 8401, Switzerland
  • Universitätsspital Zürich
    Zurich, Canton of Zurich 8091, Switzerland
  • Kantonsspital Graubünden
    Chur, Kanton Graubünden 7000, Switzerland
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 16, 2016, 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
NCT02511756
Lead sponsor
Patrick Veit-Haibach
Collaborators
Roche Pharma AG
Responsible party
Patrick Veit-Haibach (PD MD, University of Zurich) — Sponsor-investigator
First posted
Jul 30, 2015
Start date
Jul 2015
Primary completion
Dec 2016
Completion
Apr 2017 (estimated)
Last update
Dec 16, 2016

Study contacts

Patrick Veit-Haibach, MD
principal investigator · University Hospital Zurich, Diagnostic and Interventional Radiology

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Dec 2016. You cannot join it, but the record below documents what was studied.

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