TACE Plus Axitinib and Hydroxychlorquine for Liver-Dominant Metastatic Colorectal Cancer (CRC)
NCT04873895 · Status: TERMINATED · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 5
Last updated 2024-04-26
Summary
Liver metastases are a leading cause of death among patients with metastatic colorectal cancer. Duration of disease control is short following 2nd-line or later systemic therapy. Liver-directed therapy such as TACE has a higher response rate and improves progression-free survival (PFS), but the benefit is still limited. Cancer cells escape ischemic cell death via autophagy and hypoxia-inducible factor (HIF) activation. We hypothesize that blocking autophagy and the vascular endothelial growth factor (VEGF) pathway will improve both response and PFS following TACE.
Conditions
- Colorectal Neoplasms Malignant
Interventions
- DRUG
-
Axitinib 5 MG
axitinib 5 mg po BID until progression or intolerance
- DRUG
-
Hydroxychloroquine Pill
hydroxychloroquine 600 mg po BID until progression or intolerance
- PROCEDURE
-
trans arterial chemoembolization
segmental or lobar TACE at 4-8 week intervals until entire tummy burden is treated.
Sponsors & Collaborators
- collaborator INDUSTRY
-
Abramson Cancer Center at Penn Medicine
lead OTHER
Principal Investigators
-
Michael C Soulen, MD · Abramson Cancer Center
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-01-24
- Primary Completion
- 2024-04-25
- Completion
- 2024-04-25
- FDA Drug
- Yes
- FDA Device
- Yes
Countries
- United States
Study Locations
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