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Brief Title: Chemotherapy and Maximal Tumor Debulking of Multi-organ Colorectal Cancer Metastases
Official Title: A Randomized Multicenter Clinical Trial for Patient With Multi-organ, Colorectal Cancer Metastases Comparing the Combination of Chemotherapy and Maximal Tumor Debulking Versus Chemotherapy Alone.
Study ID: NCT01792934
Brief Summary: The purpose of this study is to compare overall survival rates of colorectal cancer patients with multi-organ metastases with an indication for first line systemic treatment randomized for treatment with combination chemotherapy or treatment with combination chemotherapy and additional maximal tumor debulking including surgical tumor resection, RFA, (DEBIRI-)TACE and SBRT, depending on best clinical judgement according to a standardized treatment algorithm. Our hypothesis is that maximal tumor debulking in addition to systemic treatment with chemotherapy and biologicals will provide an improvement in progression free and overall survival in this patient group.
Detailed Description:
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Noordwest Ziekenhuis Groep, Alkmaar, , Netherlands
Ziekenhuisgroep Twente, Almelo, , Netherlands
Meander Medisch Centrum, Amersfoort, , Netherlands
Amstelveen Ziekenhuis, Amstelveen, , Netherlands
VU Medical Center, Amsterdam, , Netherlands
Antoni van Leeuwenhoek, Amsterdam, , Netherlands
Gelre, Apeldoorn, , Netherlands
Amphia Ziekenhuis, Breda, , Netherlands
Jeroen Bosch Ziekenhuis, Den Bosch, , Netherlands
Medisch Centrum Haaglanden, Den Haag, , Netherlands
Deventer Ziekenhuis, Deventer, , Netherlands
Albert Schweizer ziekenhuis, Dordrecht, , Netherlands
Maxima Medisch Centrum, Eindhoven, , Netherlands
Medisch Spectrum Twente, Enschede, , Netherlands
Dijklander, Hoorn, , Netherlands
Medisch Centrum Leeuwarden, Leeuwarden, , Netherlands
Sint Antonius Ziekenhuis, Nieuwegein, , Netherlands
Radboud University Medical Center, Nijmegen, , Netherlands
Bravis ziekenhuis, Roosendaal, , Netherlands
Erasmus University Medical Center, Rotterdam, , Netherlands
Franciscus Gasthuis, Rotterdam, , Netherlands
IJsselland ziekenhuis, Rotterdam, , Netherlands
Maasstadziekenhuis, Rotterdam, , Netherlands
Elisabeth Tweesteden Ziekenhuis, Tilburg, , Netherlands
Admiraal de Ruyter Hospital, Vlissingen, , Netherlands
Zaans Medisch Centrum, Zaandam, , Netherlands
Isala Klinieken, Zwolle, , Netherlands
University College London Hospital, London, , United Kingdom
University Hospital Southampton, Southampton, , United Kingdom
Name: H.M.W. Verheul, MD PhD
Affiliation: Radboud University Medical Center
Role: PRINCIPAL_INVESTIGATOR