Liver transplantation for patients with colorectal cancer that has spread to the liver
Official title: Liver Transplantation in Patients With Unresectable Colorectal Liver Metastases
Run by Hospital Universitario La Fe · NCT04616495 · Data updated 2026-11-12
This study looks at whether liver transplants can help patients with colorectal cancer that has spread only to the liver live longer if their cancer was well-controlled by chemotherapy before the transplant.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Hospital Universitario La Fe Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Valencia) |
| Status | Recruiting |
| Started | September 1, 2021 |
| Main results expected | September 2026 |
| Study ends | September 2028 |
| Registry record updated | September 22, 2023 |
| Trial ID | NCT04616495 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adults aged 18 and older with unresectable liver metastases from colorectal cancer who have responded to chemotherapy.
✕Probably not a fit
Patients with extrahepatic disease, significant comorbidities, or those who do not meet the specific eligibility criteria 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 observational study aims to evaluate the five-year overall survival rates of patients with unresectable liver-only colorectal metastases who have been well-controlled by chemotherapy prior to undergoing liver transplantation. It involves a multicentric approach where eligible patients will be monitored for their outcomes following the transplantation procedure. The study will focus on patients who meet specific criteria, including having a good performance status and no extrahepatic disease.
Why it matters
Potential benefit: If successful, this study could provide a new treatment option that significantly improves survival rates for patients with advanced colorectal cancer confined to the liver.
How similar studies have gone: While there have been studies on liver transplantation for metastatic colorectal cancer, this specific approach focusing on unresectable liver-only metastases is less common and may provide novel insights.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * ≥ 18 and ≤ years * Good performance status, ECOG 0 or 1 * Resected adenocarcinoma in colon or rectum (R0 resection) * Unresectable liver metastases * No extrahepatic disease * Normal blood tests * Response to ≤ 2 lines of chemotherapy (RECIST criteria) * ≥ 1 year period since diagnosis of colorectal cancer to enrolment in liver transplant waiting list * Signed informed consent Exclusion Criteria: * Body mass index ≥ 30 * Positive HIV or HCV * Pregnancy at the time of inclusion * BRAF mutated status * Deterioration of general condition (10% weight loss in the prior 6 months) * Other malignancy with disease free survival \< 5 years * Concomitant or prior extrahepatic metastases (histologically or radiologically proved), even if surgically resected. * Palliative resection of primary colorectal adenocarcinoma * Liver metastases size \> 5 cm (in the last imaging technique) * CEA \> 80 ng/ml (at time of enrolment in waiting list) * No neoadjuvant chemotherapy treatment * General contraindication to liver transplantation
Where it's running
-
Eva M Montalvá
Valencia, Spain Recruiting
Study contacts
- Study coordinator: Eva M Montalvá, PhD
- Email: montalva.oron@gmail.com
- Phone: +34961245858
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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.