Evidence map›Paper›PMID 29165816›Full record

Trial reportJournal of surgical oncology2018

Prospective phase II trial of combination hepatic artery infusion and systemic chemotherapy for unresectable colorectal liver metastases: Long term results and curative potential.

Linda M Pak, Nancy E Kemeny, Marinela Capanu, Joanne F Chou, Taryn Boucher, Andrea Cercek, Vinod P Balachandran, T Peter Kingham, Peter J Allen, Ronald P DeMatteo and 2 more

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of surgical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04898504 (EXtended CriteriA Treatment for LIver Metastases With Heavy Tumour BURden 1 + 2), which is not on this map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04898504 phase2active not recruitingnot on this mapstarted 2021, after this paper: background citation

EXtended CriteriA Treatment for LIver Metastases With Heavy Tumour BURden 1 + 2

TypeinterventionalSponsorOslo University HospitalRan2021 to 2026Enrolled45ConditionsColorectal Cancer, Liver Metastases, Chemotherapy EffectArmsFloxuridine, Liver Transplantation
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  17. The Ugly: Metastatic Colon Cancer-Surgical Options.Clinics in colon and rectal surgery · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Linda M PakDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID http://orcid.org/0000-0003-1938-3921
Nancy E KemenyDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Marinela CapanuDepartment of Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.
Joanne F ChouDepartment of Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.
Taryn BoucherDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Andrea CercekDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Vinod P BalachandranDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
T Peter KinghamDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID http://orcid.org/0000-0002-3359-3186
Peter J AllenDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
Ronald P DeMatteoDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
William R JarnaginDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
Michael I D'AngelicaDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
NCATS NIH HHS UL1 TR000457NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

BACKGROUND/

objectivesCombination hepatic artery infusion (HAI) and systemic (SYS) chemotherapy for unresectable CRLM results in high tumor-response rates. This study represents an update of long-term survival and conversion to resectability in patients with unresectable CRLM treated with HAI and SYS chemotherapy in a phase II study.

methodThe primary endpoint was complete resection. Multivariate and landmark analysis assessed the effect of complete resection on progression-free (PFS) and overall survival (OS).

resultsFrom 2007 to 2012, 64 patients with median of 13 tumors were enrolled; 67% had prior chemotherapy. 33 patients (52%) were converted to resection. Median follow-up among survivors was 81 months. Median PFS and OS were 13 and 38 months, respectively, with 5-year-OS of 36%. Chemotherapy-naïve patients had 5-year-OS of 51%. Conversion to resection was the only independent factor prognostic of improved PFS and OS. Nine of 64 patients (14%) are NED (five since initial resection, three after resection of recurrent disease, one from chemotherapy alone) at median follow-up of 86 months from treatment initiation, and 72 months from last operative intervention.

conclusionCombination HAI and SYS is an effective therapy for high-volume unresectable CRLM, resulting in a high rate of resection, long-term survival, and the potential for cure.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBevacizumabCamptothecinColorectal NeoplasmsDeoxyuridineDisease-Free SurvivalFemaleFluorouracilHepatic ArteryHumansInfusions, Intra-ArterialIrinotecanLeucovorinLiver NeoplasmsMaleMiddle Aged5-fluoro-2'-deoxyuridineBevacizumabCamptothecinDeoxyuridineFluorouracilIrinotecanLeucovorinOrganoplatinum CompoundsOxaliplatincolorectal liver metastaseshepatectomyhepatic artery infusion chemotherapy

Identifiers

PMID29165816
PMCPMC5878699

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.