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Colorectal Neoplasms MalignantLIVACORNCT05138094

LIVACOR Trial: Minimally Invasive LIVer And Simultaneous COlorectal Resection

A study testing Minimally invasive simultaneous resection and Minimally invasive two-stage resection in people with Colorectal Neoplasms Malignant and Neoplasm Metastasis, run by Fondazione Poliambulanza Istituto Ospedaliero at 28 sites in 10 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

The LIVACOR - Trial is a European wide, randomized controlled, open-label, multicenter trial. Patients with synchronous colorectal liver metastases (CRLMs) and primary colorectal tumor are considered eligible and will be randomized between minimally invasive (MI) combined or staged colorectal resection (all… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Minimally invasive simultaneous resection and Minimally invasive two-stage resection
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
82 participants
Where
28 sitesin 10 countries
Study dates
6 Aug 2021to 1 Sep 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • ≥ 18 years
  • Diagnosed with primary CRC with resectable synchronous CRLMs (with or without neoadjuvant chemotherapy)*
  • Elective indication for MI combined or staged colorectal resection (all colectomies, including high anterior resection) and liver resection of up to 3 segments with a maximum of 2 separate liver resections. The MI two-staged approach includes both the conventional strategy (first resection of primary colorectal tumor followed by liver resection for CRLMs) and liver-first strategy (first CRLMs resection followed by resection of colorectal primary tumor). Patients undergoing bilobar resections are eligible (if 3 or fewer segments are resected)
  • BMI between and including 18-35
  • Patients with American Society of Anesthesiologists (ASA) physical status I-III and the American College of Surgeons national surgical quality improvement project (ACS NSQIP) universal surgical risk score of ≤ 50% for serious complications
  • In case of neoadjuvant chemotherapy, time interval between last chemotherapy cycle and (first) surgery should be 4-6 weeks.

Who cannot join

  • Inability to give (written) informed consent.
  • Patients requiring a planned temporarily or permanent stoma after colorectal resection (all colectomies, including high anterior resection). Patients who will receive an unplanned stoma intraoperatively, will be analysed according to their initial treatment assignment.
  • Patients requiring multivisceral colorectal resection (all colectomies, including high anterior resection).
  • Indication for MI combined or staged low anterior resection, total mesorectal excision or abdominoperineal resection and liver resection of four or more segments (i.e., hemihepatectomy or more extensive resections).
  • Patients with peritoneal metastases.
  • Patients with ASA physical status IV-V and ACS NSQIP surgical risk score of > 50% for serious complications.
Show all 13Show fewer
  • Repeat open hepatectomy
  • Surgical history of colorectal- or liver resection for neoplastic disease
  • Surgical history of major or complicated open abdominal surgery
  • Indication for concurrent thermal ablation
  • Medical history of thermal ablation of liver for malignancy
  • Unresectable extrahepatic metastases
  • Pre-operatively reconstruction of vessels/bile ducts is deemed necessary

Trial locations and contacts

28 sites in 10 countries.

Professor Mohammed Abu Hilal, MD PhD contact

abuhilal9@gmail.com

28 sites in 10 countries

Italy10 sites, 10 recruiting
  • Ospedali Riuniti

    Ancona, The Marches, 60126

    Marco Vivarelli, PhD

    Marco Vivarelli, PhD

    Not yet recruiting
  • Azienda USL di Bologna

    Bologna, Emilia-Romagna, 40124

    Elio Jovine, PhD

    Elio Jovine, PhD

    Recruiting
  • Fondazione Poliambulanza Istituto Ospedaliero

    Brescia, Lombardy, 25124

    Mohammed Abu Hilal, PhD

    Mohammed Abu Hilal, PhD

    Recruiting
  • San Raffaele University Hospital

    Milan, Lombardy, 20132

    Luca Aldrighetti, PhD

    Luca Aldrighetti, PhD

    Not yet recruiting
  • Azienda Ospedaliero-Universitaria di Modena

    Modena, Emilia-Romagna, 41125

    Fabrizio di Benedetto, PhD

    Fabrizio di Benedetto, PhD

    Not yet recruiting
  • Federico II University Hospital

    Naples, Calabria, 80131

    Roberto Troisi, PhD

    Roberto Troisi, PhD

    Not yet recruiting
  • University Hospital Padova

    Padova, Veneto, 35128

    Umberto Cillo, PhD

    Umberto Cillo, PhD

    Recruiting
  • Parma University Hospital

    Parma, Emilia-Romagna, 43126

    Raffaele Dalla Valle, PhD

    Raffaele Dalla Valle, PhD

    Not yet recruiting
  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS

    Rome, Lazio, 00168

    Felice Giuliante, PhD

    Felice Giuliante, PhD

    Recruiting
  • Mauriziano Umberto I Hospital

    Turin, Piedmont, 10128

    Alessandro Ferrero, PhD

    Alessandro Ferrero, PhD

    Not yet recruiting

Other trials in Italy

United Kingdom7 sites, 7 recruiting
  • University Hospital Birmingham NHS Foundation Trust

    Birmingham, West Midlands, B15 1NT

    Robert Sutcliffe, MD

    Robert Sutcliffe, MD

    Not yet recruiting
  • Liverpool University Hospitals NHS Foundation Trust

    Liverpool, Northwest England, L7 8XP

    Rafael Díaz-Nieto, PhD

    Rafael Díaz-Nieto, PhD

    Not yet recruiting
  • King's College Hospital NHS Trust

    London, Southeast England, SE5 9RS

    Krishna Menon, PhD

    Krishna Menon, PhD

    Not yet recruiting
  • Manchester University NHS Foundation Trust

    Manchester, North West England, M13 9WL

    Aali Sheen, PhD

    Aali Sheen, PhD

    Not yet recruiting
  • Newcastle-upon-Tyne Hospitals NHS Trust

    Newcastle, Northeast England, NE1 4LP

    Steve White, PhD

    Steve White, PhD

    Not yet recruiting
  • University Hospital Plymouth NHS Trust

    Plymouth, Southwest England, PL6 8DH

    Somaiah Aroori, PhD

    Somaiah Aroori, PhD

    Not yet recruiting
  • University Hospital Southampton NHS Foundation Trust

    Southampton, South East England, SO16 6YD

    John Primrose, PhD

    John Primrose, PhD

    Not yet recruiting

Other trials in United Kingdom

Belgium2 sites, 2 recruiting
  • Ziekenhuis Oost-Limburg

    Genk, Limburg, 3600

    Dennis Wicherts, PhD

    Dennis Wicherts, PhD

    Not yet recruiting
  • General Hospital Groeninge

    Kortrijk, West Flanders, 8500

    Mathieu D'Hondt, PhD

    Mathieu D'Hondt, PhD

    Recruiting

Other trials in Belgium

Netherlands2 sites, 2 recruiting
  • Amsterdam UMC

    Amsterdam, North Holland, 1081 HV

    Rutger-Jan Swijnenburg, PhD

    Rutger-Jan Swijnenburg, PhD

    Recruiting
  • Maastricht University Medical Center

    Maastricht, Limburg, 6229 HX

    Ronald van Dam, PhD

    Ronald van Dam, PhD

    Not yet recruiting

Other trials in Netherlands

Spain2 sites, 2 recruiting
  • Hospital del Mar

    Barcelona, Catalonia, 08003

    Benedetto Ielpo, PhD

    Benedetto Ielpo, PhD

    Recruiting
  • University of Navarrra Hospital (Clinica Universitaria)

    Pamplona, Navarre, 31008

    Fernando Rotellar, PhD

    Fernando Rotellar, PhD

    Not yet recruiting

Other trials in Spain

France1 site, 1 recruiting
  • Antoine-Béclère Hospital

    Paris, Île-de-France Region, 92140

    Ibrahim Dagher, PhD

    Ibrahim Dagher, PhD

    Not yet recruiting

Other trials in France

Germany1 site, 1 recruiting
  • Klinikum Saarbrücken, Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Chirurgische Onkologie

    Saarbrücken, Saarland, 66119

    Gregor Stavrou, MD

    Gregor Stavrou, MD

    Recruiting

Other trials in Germany

Luxembourg1 site, 1 recruiting
  • Centre Hospitalier du Luxembourg

    Luxembourg, L-1210

    Edoardo Rosso, MD

    Edoardo Rosso, MD

    Recruiting

Other trials in Luxembourg

Norway1 site, 1 recruiting
  • Oslo University Hospital

    Oslo, Østlandet, N-0424

    Bjørn Edwin, PhD

    Bjørn Edwin, PhD

    Recruiting

Other trials in Norway

Russia1 site, 1 recruiting
  • Moscow Clinical Scientific Center

    Moscow, Moscow Oblast, 111123

    Mikhail Efanov, PhD

    Mikhail Efanov, PhD

    Recruiting

Other trials in Russia

About this study

The LIVACOR - Trial is a European wide, randomized controlled, open-label, multicenter trial. Patients with synchronous colorectal liver metastases (CRLMs) and primary colorectal tumor are considered eligible and will be randomized between minimally invasive (MI) combined or staged colorectal resection (all colectomies, including high anterior resection) and liver resection of up to three segments.

Being tested
Minimally invasive simultaneous resection, Minimally invasive two-stage resection
Medical subject headings
Colonic Neoplasms, Neoplasm Metastasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Minimally invasive simultaneous resectionProcedure or surgery

    Also called Minimally invasive combined resection, Minimally invasive synchronous resection

    One minimally invasive surgical procedure wherein both the primary colorectal carcinoma and the liver metastases are removed.

  • Minimally invasive two-stage resectionProcedure or surgery

    Also called Minimally invasive sequential resection

    Two minimally invasive surgical procedures wherein the primary colorectal carcinoma and the liver metastases are removed

Study groups in NCT05138094
Study groupRoleWhat they receive
Minimally invasive two-stage resectionActive comparatorMinimally invasive resection of the primary colorectal carcinoma and liver metastases in two stages. The liver metastases or the colorectal carcinoma can be resected during the first surgical procedure.
Receives: Procedure: Minimally invasive two-stage resection
Minimally invasive simultaneous resectionExperimentalMinimally invasive resection of both the primary colorectal carcinoma and the liver metastases in one procedure.
Receives: Procedure: Minimally invasive simultaneous resection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to functional recovery

    A patient is considered functionally recovered from a surgical procedure when several pre-specified criteria have been met.

    Measured: Expected average of 4 to 12 days postoperatively

Secondary outcomes (15)
  1. R0 resection margin

    Proportion of patients in whom a microscopically radical resection of both the primary colorectal carcinoma and the liver metastases was performed.

    Measured: 30 days postoperatively

  2. Length of hospital stay

    The length of hospital stay for the surgical procedure(s)

    Measured: 30 days postoperatively

  3. Activity tracking using Fitbit™

    A patient's functional recovery will also be assessed using the Fitbit smartwatch.

    Measured: 14 days pre-operatively and 60 days postoperatively

  4. Intraoperative blood loss

    Intraoperative blood loss in milliliters

    Measured: During the surgical procedure

  5. Operative time

    Operative time in minutes

    Measured: Operative time from incision until last suture

  6. Morbidity

    Morbidity related to the surgical procedure(s)

    Measured: 90-days postoperatively

  7. Postoperative bile leakage

    Bile leakage occurring after the liver resection

    Measured: 90-days postoperatively

  8. Postoperative anastomotic leakage

    Anastomotic leakage occurring after the colorectal resection

    Measured: 90-days postoperatively

  9. Conversion to open surgery

    Intra-operative conversion to an open or hand-assisted procedure

    Measured: During the surgical procedure

  10. Readmission rate

    Proportion of patients who is unexpectedly readmitted after the surgical procedure(s)

    Measured: 90-days postoperatively

  11. Health-Related Quality of Life

    The physical, social and emotional well-being of the patient; assessed using the EuroQol 5d and European Organisation for Research and Treatment of Cancer Quality-of-life Questionnaire Core 30 instruments.

    Measured: 1 year postoperatively

  12. Reasons for delay of discharge after functional recovery

    All reasons that may cause delay in discharge after the patient has recovered functionally, such as administrative reasons, patient confidence, logistics problems, etc.

    Measured: 30 days postoperatively

  13. Hospital and societal costs

    All costs that are associated with the operation, including in-hospital costs and out of hospital costs, such as home care, work absence, etc.

    Measured: 1 year postoperatively

  14. Three and five-year recurrence free survival

    The proportion of patients which is free of recurrence of the malignant disease after resection of both the primary colorectal carcinoma and the liver metastases.

    Measured: 5 years postoperatively

  15. Three and five-year overall survival

    The proportion of patients which is alive after resection of both the primary colorectal carcinoma and the liver metastases.

    Measured: 5 years postoperatively

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Nov 2021
  2. Study start6 Aug 2021
  3. Primary completion1 Sep 2023 (estimated)
  4. Study completion1 Sep 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
82 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05138094
Sponsor's protocol ID
NP3969
Acronym
LIVACOR
Status last verified
Jul 2022
First submitted
5 Nov 2021
Last updated
25 Jul 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • van der Poel MJ, Tanis PJ, Marsman HA, Rijken AM, Gertsen EC, Ovaere S, Gerhards MF, Besselink MG, D'Hondt M, Gobardhan PD. Laparoscopic combined resection of liver metastases and colorectal cancer: a multicenter, case-matched study using propensity scores. Surg Endosc. 2019 Apr;33(4):1124-1130. doi: 10.1007/s00464-018-6371-1. Epub 2018 Aug 1.

    PubMed 30069639
  • Pan L, Tong C, Fu S, Fang J, Gu Q, Wang S, Jiang Z, Juengpanich S, Cai X. Laparoscopic procedure is associated with lower morbidity for simultaneous resection of colorectal cancer and liver metastases: an updated meta-analysis. World J Surg Oncol. 2020 Sep 21;18(1):251. doi: 10.1186/s12957-020-02018-z.

    PubMed 32958079
  • Boudjema K, Locher C, Sabbagh C, Ortega-Deballon P, Heyd B, Bachellier P, Metairie S, Paye F, Bourlier P, Adam R, Merdrignac A, Tual C, Le Pabic E, Sulpice L, Meunier B, Regimbeau JM, Bellissant E; METASYNC Study group. Simultaneous Versus Delayed Resection for Initially Resectable Synchronous Colorectal Cancer Liver Metastases: A Prospective, Open-label, Randomized, Controlled Trial. Ann Surg. 2021 Jan 1;273(1):49-56. doi: 10.1097/SLA.0000000000003848.

    PubMed 32209911
  • Gavriilidis P, Sutcliffe RP, Hodson J, Marudanayagam R, Isaac J, Azoulay D, Roberts KJ. Simultaneous versus delayed hepatectomy for synchronous colorectal liver metastases: a systematic review and meta-analysis. HPB (Oxford). 2018 Jan;20(1):11-19. doi: 10.1016/j.hpb.2017.08.008. Epub 2017 Sep 7.

    PubMed 28888775

Questions about this trial

What is this clinical trial studying?

A study testing Minimally invasive simultaneous resection and Minimally invasive two-stage resection in people with Colorectal Neoplasms Malignant and Neoplasm Metastasis, run by Fondazione Poliambulanza Istituto Ospedaliero at 28 sites in 10 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 25 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in Italy, United Kingdom, Belgium, Netherlands, Spain and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Jasper Sijberden, MD (0031630150451, jasper.sijberden@poliambulanza.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to functional recovery (time frame: Expected average of 4 to 12 days postoperatively). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05138094, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jul 2022.

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