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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 116 (estimated) |
| Sponsor | Tehran University of Medical Sciences Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Tehran, Tehran Province) |
| Status | Recruiting |
| Started | January 20, 2025 |
| Main results expected | October 2027 |
| Study ends | December 2027 |
| Registry record updated | April 23, 2025 |
| Trial ID | NCT06555003 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
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Imam khomeini hospital complex
Tehran, Tehran Province, Iran Recruiting
Study contacts
- Principal investigator: Ali Jafarian, MD — Tehran University of Medical Sciences, Tehran, Iran
- Study coordinator: Anahita Mirzasadeghi, MD
- Email: Mirzasadeghianahita@gmail.com
- Phone: +989123193830
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COLONYVAQ™: personalized quantum‑classical neoantigen peptide vaccine combined with chemotherapy and nivolumab for MSS stage III colorectal cancer
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.