About this trial
The purpose of this study was to investigate the effect of only local radical treatment of liver metastases combined with systematic treatment in the treatment of patients with multiple organ metastases of colorectal cancer, whether it can benefit the prognosis and explore the risk factors related to the prognosis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female, 18-80 years of age.
Patients volunteered to join the study and signed informed consent, with good compliance and follow-up.
Primary colorectal tumors can be radically resected or resected and histopathologically diagnosed as colorectal cancer.
Patients with synchronous or metachronous diagnosis of liver metastasis and extrahepatic metastasis by computed tomography (CT) or magnetic resonance imaging (MRI).Extrahepatic metastases are stable and controllable as determined by Multi-disciplinary Treatment (MDT).
Disqualifiers
Patients with only liver metastasis confirmed by CT or MRI.
History of hepatic encephalopathy or liver transplantation.
Evidence of brain metastases.
Pregnant or breast-feeding women.
Trial design
Parallel
Treatments tested in this trial
Radical local Surgery
Procedure/SurgeryRadical local resection of liver metastases ( hepatectomy, ablation )
Systemic therapy
DrugChemotherapy, targeted drug therapy, immunotherapy treatment.
Interventional therapy
Other interventionTranscatheter arterial chemoembolization (TACE) Hepatic arterial infusion chemotherapy (HAIC)
Treatment groups
Trial outcomes
Primary outcomes
Overall survival
Differences in overall survival between the two arms were assessed using the log-rank test; Cox proportional hazards regression models were used to determine the factors and hazard ratios associated with overall survival.
Secondary outcomes
Liver-specific progression free survival rates
The Kaplan-Meier method will be used to estimate time to intrahepatic recurrence or progression or death from any cause in patients.
Incidence of adverse events
Record the frequency and percentage of adverse events, their grade, and their relationship to radical local treatment.
Quality of life scores-EORTC QLQ-C30 (version 3) questionnaire
Summarized using descriptive statistics, including mean, standard deviation, median and range.
Sponsors and contacts
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Anhui Provincial Hospital
Lead sponsor
First Affiliated Hospital of Wannan Medical College
Collaborator