FOXFIRE
An open-label randomised phase II trial of 5-Fluorouracil, OXaliplatin amd Folinic acid +/- Interventional Radio-Embolisation as first line treatment of patients with liver dominant metastatic disease from colorectal cancer.
Chief Investigators: Dr Ricky Sharma & Dr Harpreet Wasan
Sponsor: University of Oxford
The aim of the trial is to compare chemotherapy alone (5-FU, oxaliplatin & folinic acid) with chemotherapy plus radioembolisation for colorectal cancer that has spread to the liver.
STUDY STATUS
Prospective [Funding received]
Target recruitment: 490 patientsSTUDY SCHEMA
INCLUSION CRITERIA
- Histologically confirmed colorectal cancer with liver-dominant metastases not amenable to surgical resection.
- Unequivocal & measurable CT evidence of liver metastases, not treatable by surgical resection or local ablation with curative intent at time of trial entry.
- Age >= 18 years
- WHO performance status of 0-2.
- Life expectancy > 3 months.
- Adequate haematological, renal and hepatic function.
- Low volume extra-hepatic disease (EHD) will be included.
- Willing and able to provide written informed consent.
EXCLUSION CRITERIA
- Pregnant or breast feeding.
- Evidence of ascites, cirrhosis or portal hypertension.
- Markedly abnormal synthetic or excretory liver function tests.
- Main portal venous tumour involvement or thrombosis.
- Previous radiotherapy to upper abdomen.
- Equivocal, immeasurable, or unevaluable metastases in the liver.
- DLT associated with previous 5-FU or oxaliplatin chemotherapy.
- Previous chemotherapy for any malignancy. [Adjuvant chemotherapy for colorectal cancer is not an exclusion criteria provided that the last dose of adjuvant chemotherapy was administred at least 6 months prior to randomisation].
- Other active malignancy.
Oncology Clinical Trials Office (OCTO)
Randomisation Service Mon-Fri 9-5 (UK Time):
UK Tel:
0800 389 1635, UK Fax:
0800 389 1629 (24hrs)
Non UK Tel:
+44 (0)1865 617 014, Non UK Fax:
+44 (0)1865 617 015 (24hrs)
General Enquiries:
Tel:
+44 (0)1865 617 000, Fax:
+44 (0)1865 617 010 Email:
enquiries@octo-oxford.org.ukWebsite:
www.octo-oxford.org.uk