At a glance
ClinicalIndex Comparison Record- ✓Age greater than 18 years
- ✓Good performance status ECOG 0-2 or ASA 1-3
- ✓Histologically confirmed primary colorectal tumor
- ✓Prior local treatment for initial colorectal liver metastases
- ✕Extrahepatic disease present
- ✕Microsatellite instability or deficient mismatch repair status
- ✕Radical local treatment unfeasible or unsafe due to insufficient future liver volume or other factors
- ✕Compromised liver function with signs of portal hypertension, INR >1.5 without anticoagulants, or ascites
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
COLLISION RELAPSE Trial - Recurrent Colorectal Liver Metastases: Repeat Local Treatment +/- Neoadjuvant Systemic Therapy - a Phase III Prospective Randomized Controlled Trial
In Brief
A Phase 3 clinical trial evaluating Neoadjuvant systemic therapy (CAPOX+/-B FOLFOX+/-B FOLFIRI+/-B) and Repeat local treatment for Colorectal Cancer and 5 related conditions. Currently recruiting, targeting 360 participants across 1 site.
Detailed Summary
The primary objective is to demonstrate superiority of neoadjuvant systemic therapy followed by repeat local treatment as compared to upfront repeat local treatment in patients with at least one locally treatable recurrent CRLM in the absence of extrahepatic disease.
Study Details
Timeline
Interventions
Standard first line systemic treatment: CAPOX+/-B FOLFOX+/-B FOLFIRI+/-B CAPOX 4x (12 weeks) FOLFOX/FOLFIRI 6x (12 weeks) Maximum 4 cycles of CAPOX or 6 cycles of FOLFOX/FOLFIRI +/- bevacizumab regardless of the location of primary tumor or RAS/BRAF mutation
Choice of repeat local treatment is to the discretion of the local investigator, and may be selected on a per patient basis. The safety, feasibility and preferred type of surgical resection(s) is at the discretion of the liver surgeon (whether or not combined with thermal ablation). The safety, feasibility and preferred type of thermal ablation(s) is at the discretion of the interventional radiologist (whether or not combined with surgical resection).