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S0408: Capecitabine, Oxaliplatin, and Bevacizumab in Pts Undergoing Surgery for Liver Mets From Colorectal Cancer

Primary Purpose

Colorectal Cancer, Metastatic Cancer

Status
Withdrawn
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
bevacizumab
capecitabine
oxaliplatin
conventional surgery
Sponsored by
SWOG Cancer Research Network
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Cancer focused on measuring recurrent colon cancer, stage IV colon cancer, recurrent rectal cancer, stage IV rectal cancer, liver metastases

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: Diagnosis of hepatic metastases secondary to colorectal cancer by percutaneous hepatic biopsy Resectable hepatic metastases by any of the following: Minor resection (i.e., less than a hemihepatectomy) Major resection (i.e., hemihepatectomy or extended hepatectomy) Bilobar resection (including atypical resection) Synchronous primary tumor and hepatic metastases allowed Radiologic evidence of hepatic metastases by multiphasic contrast-enhanced spiral CT scan Resectable primary colorectal cancer that is in place allowed Measurable disease No evidence of extrahepatic metastases by chest x-ray or CT scan of the chest PATIENT CHARACTERISTICS: Age 18 and over Performance status Zubrod 0-1 Life expectancy Not specified Hematopoietic Hemoglobin ≥ 9.0 g/dL WBC ≥ 3,000/mm^3 Platelet count ≥ 100,000/mm^3 Absolute neutrophil count ≥ 1,500/mm^3 Hepatic Bilirubin ≤ 2 times upper limit of normal (ULN) SGOT or SGPT ≤ 2.5 times ULN Renal Creatinine clearance ≥ 60 mL/min Urine protein/creatinine ratio < 1 OR Urine protein < 1 g by 24-hour urine collection Cardiovascular No uncontrolled hypertension (i.e., blood pressure > 150/90 mm Hg) History of hypertension allowed provided it is well controlled on a stable regimen of anti-hypertensive therapy No arterial thromboembolic event within the past 12 months, including any of the following: Transient ischemic attack Cerebrovascular accident Unstable angina Myocardial infarction No peripheral vascular disease ≥ grade 2 Other Not pregnant or nursing Fertile patients must use effective contraception No pre-existing peripheral neuropathy ≥ grade 2 No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy More than 6 months since prior adjuvant chemotherapy for the primary tumor No prior systemic chemotherapy for metastatic disease No prior hepatic artery infusion chemotherapy for metastatic disease Endocrine therapy Not specified Radiotherapy No prior radiotherapy for metastatic disease Surgery More than 7 days since prior colonoscopy or fine needle aspiration More than 28 days since prior major invasive surgery or open biopsy Other At least 4 weeks since prior and no concurrent sorivudine or brivudine No prior radiofrequency ablation for metastatic disease No prior cryotherapy for metastatic disease No other prior ablative techniques for metastatic disease No concurrent cimetidine Concurrent ranitidine or other drug from a different antiulcer class allowed No concurrent oral anticoagulation for treatment of thrombosis Concurrent warfarin (1 mg) to maintain patency of central venous catheter allowed

Sites / Locations

  • USC/Norris Comprehensive Cancer Center and Hospital
  • Rush-Copley Cancer Care Center
  • Joliet Oncology-Hematology Associates, Limited - West
  • Carle Cancer Center at Carle Foundation Hospital
  • CCOP - Carle Cancer Center
  • St. Francis Hospital and Health Centers - Beech Grove Campus
  • Saint Anthony Memorial Health Centers
  • Reid Hospital & Health Care Services, Incorporated
  • Tammy Walker Cancer Center at Salina Regional Health Center
  • Cancer Research Center at Boston Medical Center
  • Borgess Medical Center
  • West Michigan Cancer Center
  • Bronson Methodist Hospital
  • CCOP - Montana Cancer Consortium
  • Hematology-Oncology Centers of the Northern Rockies - Billings
  • Northern Rockies Radiation Oncology Center
  • St. Vincent Healthcare
  • Billings Clinic Cancer Center
  • Deaconess Billings Clinic - Downtown
  • Bozeman Deaconess Cancer Center
  • St. James Community Hospital
  • Frontier Cancer Center
  • Great Falls Clinic
  • St. Peter's Hospital
  • Glacier Oncology, PLLC
  • Kalispell Medical Oncology
  • Kalispell Regional Medical Center
  • Community Medical Center
  • Guardian Oncology and Center for Wellness
  • Montana Cancer Specialists at Montana Cancer Center
  • Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
  • Wayne Memorial Hospital, Incorporated
  • Grandview Hospital
  • Good Samaritan Hospital
  • David L. Rike Cancer Center at Miami Valley Hospital
  • Samaritan North Cancer Care Center
  • Veterans Affairs Medical Center - Dayton
  • CCOP - Dayton
  • Blanchard Valley Medical Associates
  • Charles F. Kettering Memorial Hospital
  • St. Rita's Medical Center
  • Middletown Regional Hospital
  • UVMC Cancer Care Center at Upper Valley Medical Center
  • Ruth G. McMillan Cancer Center at Greene Memorial Hospital
  • Danville Regional Medical Center
  • Welch Cancer Center at Sheridan Memorial Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Chemotherapy + Surgery + Chemotherapy

Arm Description

Preoperative Neoadjuvant Chemotherapy Bevacizumab, 7.5 mg/kg, IV, Day 1 of cycles 1,2,3 Oxaliplatin, 130 mg/m^2, IV, Day 1 of cycles 1,2,3,4 Capecitabine, 1,700 mg/m^2/day divided, PO at 12 hr intervals, Days 1-14 of cycles 1,2,3,4 Conventional surgery: After 4 cycles of chemotherapy Postoperative Neoadjuvant Chemotherapy Bevacizumab, 7.5 mg/kg, IV, Day 1 of cycles 1,2,3,4 Oxaliplatin, 130 mg/m^2, IV, Day 1 of cycles 1,2,3,4 Capecitabine, 1,700 mg/m^2/day divided, PO at 12 hr intervals, Days 1-14 of cycles 1,2,3,4

Outcomes

Primary Outcome Measures

Proportion of patients with R0 resection after treatment
Probability of nonprogression (i.e., stable disease or response [complete and partial, confirmed and unconfirmed])
Comparison of patients achieving R0 resection with literature
Overall survival
Disease-free survival
Positron emission tomography response
Correlation of clinical outcome with expression of biomarkers and telomere length

Secondary Outcome Measures

Full Information

First Posted
July 8, 2005
Last Updated
January 2, 2013
Sponsor
SWOG Cancer Research Network
Collaborators
National Cancer Institute (NCI), Eastern Cooperative Oncology Group
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1. Study Identification

Unique Protocol Identification Number
NCT00118105
Brief Title
S0408: Capecitabine, Oxaliplatin, and Bevacizumab in Pts Undergoing Surgery for Liver Mets From Colorectal Cancer
Official Title
A Phase II Trial of Neoadjuvant Capecitabine, Oxaliplatin, and Bevacizumab for Resectable Colorectal Metastases in the Liver
Study Type
Interventional

2. Study Status

Record Verification Date
January 2013
Overall Recruitment Status
Withdrawn
Why Stopped
Budget Constraints
Study Start Date
November 2006 (undefined)
Primary Completion Date
April 2007 (Actual)
Study Completion Date
April 2007 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
SWOG Cancer Research Network
Collaborators
National Cancer Institute (NCI), Eastern Cooperative Oncology Group

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy, such as capecitabine and oxaliplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Bevacizumab may also stop the growth of tumor cells by blocking blood flow to the tumor. Giving capecitabine and oxaliplatin together with bevacizumab before and after surgery may be an effective treatment for liver metastases. PURPOSE: This phase II trial is studying how well giving capecitabine and oxaliplatin together with bevacizumab works in treating patients who are undergoing surgery for liver metastases due to colorectal cancer.
Detailed Description
OBJECTIVES: Determine the proportion of patients with resectable hepatic metastases secondary to colorectal cancer who undergo surgical resection and achieve a R0 resection after treatment with neoadjuvant capecitabine, oxaliplatin, and bevacizumab. Determine the probability of non-progression (i.e., stable disease or response [complete and partial, confirmed and unconfirmed]) in patients treated with this regimen. Compare the proportion of patients treated with this regimen who undergo surgical resection and those who achieve a R0 resection with that described in the literature. Determine overall survival and disease-free survival of patients treated with this regimen. Determine response by positron emission tomography in patients treated with this regimen. Correlate clinical outcome with expression of biomarkers (e.g., thymidylate synthase, dihydropyrimidine dehydrogenase, thymidine phosphorylase, excision repair cross complementing 1, and hTERT) and telomere length in patients treated with this regimen. OUTLINE: This is a multicenter study. Neoadjuvant therapy: Patients receive bevacizumab* IV over 30-90 minutes and oxaliplatin IV over 2 hours on day 1 and oral capecitabine twice daily on days 1-14. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity. NOTE: *Bevacizumab is administered during courses 1-3 of neoadjuvant therapy. Surgery: Approximately 3-4 weeks after completion of neoadjuvant therapy, patients are evaluated. Patients with unresectable disease are removed from the study. Patients with resectable disease undergo surgical resection of liver metastases within 4-6 weeks after completion of neoadjuvant therapy. Adjuvant therapy: Beginning at least 28 days after surgical resection, patients with at least stable disease after completion of neoadjuvant therapy receive 4 courses of adjuvant bevacizumab**, oxaliplatin, and capecitabine as in neoadjuvant therapy. NOTE: **Bevacizumab is administered during courses 1-4 of adjuvant therapy. After completion of study treatment, patients are followed every 4 months until disease progression and then every 6 months for up to 3 years from study entry. PROJECTED ACCRUAL: Approximately 35-65 patients will be accrued for this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer, Metastatic Cancer
Keywords
recurrent colon cancer, stage IV colon cancer, recurrent rectal cancer, stage IV rectal cancer, liver metastases

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Chemotherapy + Surgery + Chemotherapy
Arm Type
Experimental
Arm Description
Preoperative Neoadjuvant Chemotherapy Bevacizumab, 7.5 mg/kg, IV, Day 1 of cycles 1,2,3 Oxaliplatin, 130 mg/m^2, IV, Day 1 of cycles 1,2,3,4 Capecitabine, 1,700 mg/m^2/day divided, PO at 12 hr intervals, Days 1-14 of cycles 1,2,3,4 Conventional surgery: After 4 cycles of chemotherapy Postoperative Neoadjuvant Chemotherapy Bevacizumab, 7.5 mg/kg, IV, Day 1 of cycles 1,2,3,4 Oxaliplatin, 130 mg/m^2, IV, Day 1 of cycles 1,2,3,4 Capecitabine, 1,700 mg/m^2/day divided, PO at 12 hr intervals, Days 1-14 of cycles 1,2,3,4
Intervention Type
Biological
Intervention Name(s)
bevacizumab
Other Intervention Name(s)
Avastin, NSC-704865
Intervention Description
Preoperative: 7.5 mg/kg, IV, Day 1 of cycles 1,2,3 Postoperative: 7.5 mg/kg, IV, Day 1 of cycles 1,2,3,4
Intervention Type
Drug
Intervention Name(s)
capecitabine
Other Intervention Name(s)
Xeloda, NSC-712807
Intervention Description
Pre & Post Operative: 1,700 mg/m^2/day, PO at 12 hr interval, Days 1-14 of cycles 1,2,3,4
Intervention Type
Drug
Intervention Name(s)
oxaliplatin
Other Intervention Name(s)
NSC-266046
Intervention Description
130 mg/m^2, IV, Day 1 of cycles 1,2,3,4
Intervention Type
Procedure
Intervention Name(s)
conventional surgery
Intervention Description
Resection
Primary Outcome Measure Information:
Title
Proportion of patients with R0 resection after treatment
Time Frame
16-18 weeks from registration
Title
Probability of nonprogression (i.e., stable disease or response [complete and partial, confirmed and unconfirmed])
Time Frame
12 weeks from registration
Title
Comparison of patients achieving R0 resection with literature
Time Frame
16-18 weeks from registration
Title
Overall survival
Time Frame
Up to 3 years
Title
Disease-free survival
Time Frame
Up to 3 years
Title
Positron emission tomography response
Time Frame
Registration and 12 weeks
Title
Correlation of clinical outcome with expression of biomarkers and telomere length
Time Frame
Up to 3 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Diagnosis of hepatic metastases secondary to colorectal cancer by percutaneous hepatic biopsy Resectable hepatic metastases by any of the following: Minor resection (i.e., less than a hemihepatectomy) Major resection (i.e., hemihepatectomy or extended hepatectomy) Bilobar resection (including atypical resection) Synchronous primary tumor and hepatic metastases allowed Radiologic evidence of hepatic metastases by multiphasic contrast-enhanced spiral CT scan Resectable primary colorectal cancer that is in place allowed Measurable disease No evidence of extrahepatic metastases by chest x-ray or CT scan of the chest PATIENT CHARACTERISTICS: Age 18 and over Performance status Zubrod 0-1 Life expectancy Not specified Hematopoietic Hemoglobin ≥ 9.0 g/dL WBC ≥ 3,000/mm^3 Platelet count ≥ 100,000/mm^3 Absolute neutrophil count ≥ 1,500/mm^3 Hepatic Bilirubin ≤ 2 times upper limit of normal (ULN) SGOT or SGPT ≤ 2.5 times ULN Renal Creatinine clearance ≥ 60 mL/min Urine protein/creatinine ratio < 1 OR Urine protein < 1 g by 24-hour urine collection Cardiovascular No uncontrolled hypertension (i.e., blood pressure > 150/90 mm Hg) History of hypertension allowed provided it is well controlled on a stable regimen of anti-hypertensive therapy No arterial thromboembolic event within the past 12 months, including any of the following: Transient ischemic attack Cerebrovascular accident Unstable angina Myocardial infarction No peripheral vascular disease ≥ grade 2 Other Not pregnant or nursing Fertile patients must use effective contraception No pre-existing peripheral neuropathy ≥ grade 2 No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy More than 6 months since prior adjuvant chemotherapy for the primary tumor No prior systemic chemotherapy for metastatic disease No prior hepatic artery infusion chemotherapy for metastatic disease Endocrine therapy Not specified Radiotherapy No prior radiotherapy for metastatic disease Surgery More than 7 days since prior colonoscopy or fine needle aspiration More than 28 days since prior major invasive surgery or open biopsy Other At least 4 weeks since prior and no concurrent sorivudine or brivudine No prior radiofrequency ablation for metastatic disease No prior cryotherapy for metastatic disease No other prior ablative techniques for metastatic disease No concurrent cimetidine Concurrent ranitidine or other drug from a different antiulcer class allowed No concurrent oral anticoagulation for treatment of thrombosis Concurrent warfarin (1 mg) to maintain patency of central venous catheter allowed
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jean-Nicolas Vauthey, MD
Organizational Affiliation
M.D. Anderson Cancer Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Robert de W. Marsh, MD
Organizational Affiliation
University of Florida
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Cathy Eng, MD
Organizational Affiliation
M.D. Anderson Cancer Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Henry Q. Xiong, MD, PhD
Organizational Affiliation
M.D. Anderson Cancer Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Kevin G. Billingsley, MD
Organizational Affiliation
OHSU Knight Cancer Institute
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Steven A. Curley, MD
Organizational Affiliation
M.D. Anderson Cancer Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
USC/Norris Comprehensive Cancer Center and Hospital
City
Los Angeles
State/Province
California
ZIP/Postal Code
90089-9181
Country
United States
Facility Name
Rush-Copley Cancer Care Center
City
Aurora
State/Province
Illinois
ZIP/Postal Code
60507
Country
United States
Facility Name
Joliet Oncology-Hematology Associates, Limited - West
City
Joliet
State/Province
Illinois
ZIP/Postal Code
60435
Country
United States
Facility Name
Carle Cancer Center at Carle Foundation Hospital
City
Urbana
State/Province
Illinois
ZIP/Postal Code
61801
Country
United States
Facility Name
CCOP - Carle Cancer Center
City
Urbana
State/Province
Illinois
ZIP/Postal Code
61801
Country
United States
Facility Name
St. Francis Hospital and Health Centers - Beech Grove Campus
City
Beech Grove
State/Province
Indiana
ZIP/Postal Code
46107
Country
United States
Facility Name
Saint Anthony Memorial Health Centers
City
Michigan City
State/Province
Indiana
ZIP/Postal Code
46360
Country
United States
Facility Name
Reid Hospital & Health Care Services, Incorporated
City
Richmond
State/Province
Indiana
ZIP/Postal Code
47374
Country
United States
Facility Name
Tammy Walker Cancer Center at Salina Regional Health Center
City
Salina
State/Province
Kansas
ZIP/Postal Code
67401
Country
United States
Facility Name
Cancer Research Center at Boston Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02118
Country
United States
Facility Name
Borgess Medical Center
City
Kalamazooaa
State/Province
Michigan
ZIP/Postal Code
49001
Country
United States
Facility Name
West Michigan Cancer Center
City
Kalamazoo
State/Province
Michigan
ZIP/Postal Code
49007-3731
Country
United States
Facility Name
Bronson Methodist Hospital
City
Kalamazoo
State/Province
Michigan
ZIP/Postal Code
49007
Country
United States
Facility Name
CCOP - Montana Cancer Consortium
City
Billings
State/Province
Montana
ZIP/Postal Code
59101
Country
United States
Facility Name
Hematology-Oncology Centers of the Northern Rockies - Billings
City
Billings
State/Province
Montana
ZIP/Postal Code
59101
Country
United States
Facility Name
Northern Rockies Radiation Oncology Center
City
Billings
State/Province
Montana
ZIP/Postal Code
59101
Country
United States
Facility Name
St. Vincent Healthcare
City
Billings
State/Province
Montana
ZIP/Postal Code
59101
Country
United States
Facility Name
Billings Clinic Cancer Center
City
Billings
State/Province
Montana
ZIP/Postal Code
59107-5100
Country
United States
Facility Name
Deaconess Billings Clinic - Downtown
City
Billings
State/Province
Montana
ZIP/Postal Code
59107-7000
Country
United States
Facility Name
Bozeman Deaconess Cancer Center
City
Bozeman
State/Province
Montana
ZIP/Postal Code
59715
Country
United States
Facility Name
St. James Community Hospital
City
Butte
State/Province
Montana
ZIP/Postal Code
59701
Country
United States
Facility Name
Frontier Cancer Center
City
Great Falls
State/Province
Montana
ZIP/Postal Code
59405
Country
United States
Facility Name
Great Falls Clinic
City
Great Falls
State/Province
Montana
ZIP/Postal Code
59405
Country
United States
Facility Name
St. Peter's Hospital
City
Helena
State/Province
Montana
ZIP/Postal Code
59601
Country
United States
Facility Name
Glacier Oncology, PLLC
City
Kalispell
State/Province
Montana
ZIP/Postal Code
59901
Country
United States
Facility Name
Kalispell Medical Oncology
City
Kalispell
State/Province
Montana
ZIP/Postal Code
59901
Country
United States
Facility Name
Kalispell Regional Medical Center
City
Kalispell
State/Province
Montana
ZIP/Postal Code
59901
Country
United States
Facility Name
Community Medical Center
City
Missoula
State/Province
Montana
ZIP/Postal Code
59801
Country
United States
Facility Name
Guardian Oncology and Center for Wellness
City
Missoula
State/Province
Montana
ZIP/Postal Code
59804
Country
United States
Facility Name
Montana Cancer Specialists at Montana Cancer Center
City
Missoula
State/Province
Montana
ZIP/Postal Code
59807-7877
Country
United States
Facility Name
Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
City
Missoula
State/Province
Montana
ZIP/Postal Code
59807
Country
United States
Facility Name
Wayne Memorial Hospital, Incorporated
City
Goldsboro
State/Province
North Carolina
ZIP/Postal Code
27534
Country
United States
Facility Name
Grandview Hospital
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45405
Country
United States
Facility Name
Good Samaritan Hospital
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45406
Country
United States
Facility Name
David L. Rike Cancer Center at Miami Valley Hospital
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45409
Country
United States
Facility Name
Samaritan North Cancer Care Center
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45415
Country
United States
Facility Name
Veterans Affairs Medical Center - Dayton
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45428
Country
United States
Facility Name
CCOP - Dayton
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45429
Country
United States
Facility Name
Blanchard Valley Medical Associates
City
Findlay
State/Province
Ohio
ZIP/Postal Code
45840
Country
United States
Facility Name
Charles F. Kettering Memorial Hospital
City
Kettering
State/Province
Ohio
ZIP/Postal Code
45429
Country
United States
Facility Name
St. Rita's Medical Center
City
Lima
State/Province
Ohio
ZIP/Postal Code
45801
Country
United States
Facility Name
Middletown Regional Hospital
City
Middletown
State/Province
Ohio
ZIP/Postal Code
45044
Country
United States
Facility Name
UVMC Cancer Care Center at Upper Valley Medical Center
City
Troy
State/Province
Ohio
ZIP/Postal Code
45373-1300
Country
United States
Facility Name
Ruth G. McMillan Cancer Center at Greene Memorial Hospital
City
Xenia
State/Province
Ohio
ZIP/Postal Code
45385
Country
United States
Facility Name
Danville Regional Medical Center
City
Danville
State/Province
Virginia
ZIP/Postal Code
24541
Country
United States
Facility Name
Welch Cancer Center at Sheridan Memorial Hospital
City
Sheridan
State/Province
Wyoming
ZIP/Postal Code
82801
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
16635283
Citation
Abdalla EK, Eng C, Madary A, Vauthey JN; Southwest Oncology Group 0408. Southwest Oncology Group 0408: Phase II trial of neoadjuvant capecitabine/oxaliplatin/bevacizumab for resectable colorectal metastases in the liver. Clin Colorectal Cancer. 2006 Mar;5(6):436-9. doi: 10.3816/ccc.2006.n.015. No abstract available.
Results Reference
background

Learn more about this trial

S0408: Capecitabine, Oxaliplatin, and Bevacizumab in Pts Undergoing Surgery for Liver Mets From Colorectal Cancer

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