Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 18 and up

Combining DEBIRI with chemotherapy for colorectal cancer liver metastases

Official title: Comparative Analysis of the Efficacy of Irinotecan-loaded Drug-eluting Beads (DEBIRI) in Combination With Systemic Chemotherapy Versus Chemotherapy Alone in Unresectable Colorectal Cancer Liver Metastases: a Randomized Clinical Trial

Run by Tehran University of Medical Sciences · NCT06555003 · Data updated 2026-11-12

This study is testing if adding a special treatment called DEBIRI to regular chemotherapy can help patients with colorectal cancer that has spread to the liver feel better and possibly have surgery later.

More Colorectal Cancer Metastatic trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment116 (estimated)
SponsorTehran University of Medical Sciences
Academic / other
Drugs / interventionschemotherapy
Locations1 site (Tehran, Tehran Province)
StatusRecruiting
StartedJanuary 20, 2025
Main results expectedOctober 2027
Study endsDecember 2027
Registry record updatedApril 23, 2025
Trial IDNCT06555003 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are patients with unresectable or borderline resectable colorectal cancer liver metastases who have not received prior chemotherapy.

Probably not a fit

Patients who are candidates for curative surgery or have extensive liver involvement, brain metastases, or cirrhosis may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial investigates the effectiveness of combining irinotecan loaded drug-eluting beads (DEBIRI) with standard systemic chemotherapy in patients with unresectable or borderline resectable liver metastases from colorectal cancer. A total of 116 chemotherapy-naïve patients will be randomly assigned to receive either the combination treatment or chemotherapy alone. The study will assess treatment response using imaging techniques and evaluate the feasibility of secondary tumor resection after treatment. Stratified randomization will control for confounding factors related to tumor characteristics.

Why it matters

Potential benefit: If successful, this approach could improve survival rates and treatment outcomes for patients with colorectal cancer liver metastases.

How similar studies have gone: Other studies have shown promising results with similar approaches, but this specific combination is being evaluated for the first time.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* unresectable/borderline resectable colorectal cancer liver metastases, chemotherapy-naïve for metastatic disease, Eastern Cooperative Oncology Group (ECOG) performance status of 2 or less adequate hematologic, hepatic, and renal function ( absolute neutrophil count ≥ 1.5 × 10\^9/L, platelet ≥ 75 ×10\^9/L, international normalized ratio ≤ 1.3, Total bilirubin ≤ 2.0 mg/dL, aspartate aminotransferase and alanine aminotransferase ≤ 5 × the upper limit of normal (ULN), Albumin ≥ 2.5 g/dL, Creatinine ≤ 2.0 mg/dL)

Exclusion Criteria:

* candidates for curative surgery without the need for neoadjuvant therapy, Liver involvement of ≥ 70%, brain metastases or Peritoneal carcinomatosis, cirrhosis, presence or History of an allergic reaction to any of the study drugs Chronic viral hepatitis B or C

Where it's running

  • Imam khomeini hospital complex
    Tehran, Tehran Province, Iran
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.