Clinical trial Recruiting at 1 site Observational Ages 18 to 65

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.

More Colorectal Cancer trials

Quick facts

Study typeObservational
Ages18 Years to 65 Years
SexAll
Enrollment30 (estimated)
SponsorHospital Universitario La Fe
Academic / other
Drugs / interventionschemotherapy
Locations1 site (Valencia)
StatusRecruiting
StartedSeptember 1, 2021
Main results expectedSeptember 2026
Study endsSeptember 2028
Registry record updatedSeptember 22, 2023
Trial IDNCT04616495 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

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.