Table 5Local hepatic therapies for CRC metastases to the liver: Summary of study characteristics KQ1 and KQ2

Study
NΘ (% CRC)
Rating
Study DesignIntervention PeriodInterventionMedian Age (Range)Previous Resection %Median ECOG Score
(Range)
Previous Local Hepatic Therapy %
Martin et al., 201286,a
24 (100)
Fair
Retrospective case series02/2005–02/2009RE with Y90 via hepatic artery catheter infusion63
(35–83)
NRNRNR
Kucuk et al., 201184
78 (44.9)
Fair
Retrospective case series06/2006–10/2010SIRT with Y90 via hepatic artery catheter under intermittent fluoroscopic visualizationMean:
62.4
2.6NRRFA: 7.7
Chemoembolization: 2.6
Aliberti et al., 201190
82 (100)
Good
Retrospective case series12/2005–09/2011TACE with irinotecan (100–2000 mg) in DC Beads (2–4 ml of beads)61.8
(46–82)
NR1
(0–2)
NR
Martin et al., 201175
55 (100)
Good
Prospective case series10/2006–08/2008Intervention: TACE with DEB; Drug: irinotecan; Dose: median 185 mg, range 150–650 mg; Site: femoral or axillary artery60
(34–82)
201
(0–2)
Ablation: 9.1
Vautravers-Dewas et al., 201182
42 (66.7)
Good
Retrospective case series07/2007–04/2009Intervention: SBRT; Radiation dose: 40 Gy and 45 Gy; Site: noninvasive(23–82)51.1NRRFA: 7
Albert et al., 201163
121 (100)
Fair
Retrospective case series03/1992–07/2008Intervention: TACE; Drug: mitomycin C, doxorubicin, cisplatin; Site: femoral arteryMean:
61.9
170
(0 - )
RFA: 17
Nace et al., 201189
51 (100)
Fair
Retrospective case series08/2002–05/2008RE with Y90 (delivery dose 50 Gy) via hepatic artery64
(37–83)
23.5NR
(0–1)
RFA: 21.6; HAI 9.8
Stintzing et al., 201088
6 (100)
Fair
Prospective case seriesNRRadiosurgery (24 Gy) for a single session66.5
(51–76)
83.5NRRFA: 17.6
Nishiofuku et al., 201092
55 (100)
Good
Retrospective case series04/2005–03/2008HAI of 5-FU (1000 mg/m2) via continuous 5-hour infusion once a week; Catheter inserted from left subclavian artery or right femoral artery62
(30–78)
221
(0–3)
NR
Nishiofuku et al., 201092
55 (100)
Good
Retrospective case series04/2005–03/2008HAI of 5-FU (1000 mg/m2) via continuous 5-hour infusion once a week; Catheter inserted from left subclavian artery or right femoral artery62
(30–78)
221
(0–3)
NR
Cosimelli et al., 201066
50 (100)
Good
Prospective case series05/2005–08/2007Intervention: RE; Drug: Y90; Site: hepatic artery67
(34–85)
240
(0–3)
NR
Kim et al., 200971
9 (100)
Good
Retrospective case series06/2004–12/2006Intervention: SBRT; Radiation dose: median 42 Gy, range 36–51 Gy; Site: noninvasive57
(35–74)
NRNR
(1–2)
NR
Cianni et al., 200965
41 (100)
Fair
Retrospective case series02/2005–01/2008Intervention: RE; Y90 dose: mean 1.82 GBq; Site: hepatic arteryNR
(33–77)
NR0.7
(0 - )
TACE: 4.8; RFA or cryosurgical ablation: 19.5
Mulcahy et al., 200976
72 (100)
Good
Prospective case series2003–2007Intervention: RE; Y90 dose: median 118 Gy; Site: hepatic artery61
(54–86)
NR0
(0–2)
NR
Jakobs et al., 200891
41 (100)
Fair
Retrospective case series10/2003–04/2007Intervention: RE; Y90 dose: mean 1.9 GBq (range 0.7–2.8 GBq).NRNRNRNR
Sato et al., 200878
137 (37.2)
Fair
Prospective case series2002–2006Intervention: RE; Y90 dose: median 1.83 GBq, range 0.7–6.9 GBq, median 112.8 Gy, range 27–180 Gy; Site: hepatic arteryNRNR0
(0–3)
Local hepatic therapy (unspecified): 16
Vogl et al., 200883
55 (21.8)
Fair
Retrospective case series2002–2006Intervention: HAI; Drug: mitomycin C, gemcitabine; Site: femoral artery63.5
(54–80)
NRNRNR
Hong et al., 200968
21 (100)
Good
Retrospective case series01/2001–03/2006Intervention: TACE; Drug: cisplatin, doxorubicin, mitomycin C; Site: femoral artery67
(32–88)
23NRCryosurgical ablation: 4.8, Radiation: 4.8, RFA: 9.5
Intervention: RE; Y90 dose: median 112.9 Gy/tx, median 113.0 Gy/pt; Site: femoral artery67
(51–80)
20NRRFA: 6.7, TACE: 13.3
Rowe et al., 200777
24 (29.2)
Good
Retrospective case series07/2004–11/2005Intervention: RE; Y90 dose: median 103 Gy, range 41–145 Gy, median 1.8 GBq, range 1.5–2.0 GBq; Site: hepatic artery57
(53 – 68)
NR1
(0–2)
NR
Jiao et al., 200770
21 (47.6)
Poor
Prospective case series06/2004 –
NR
Intervention: RE; Y90 dose: mean 1.9 GBq, range 1.2–2.5 GBq; Site: femoral catheter or hepatic artery portNR
(40–75)
31NRRFA: 48
Fiorentini et al., 200767
20 (100)
Poor
Prospective case series11/2005 – ongoing (06/2007)Intervention: TACE with DEB; Drug: irinotecan; Site: hepatic arteryNRNR1
(0–2)
NR
Jakobs et al., 200669
68 (100)
Good
Retrospective case series01/2000–06/2004Intervention: RFA; Site: percutaneous(38–87)16NRHAI: 3, TACE: 3
Lewandowski et al., 200573
27 (100)
Good
Prospective case series06/2001–12/2003Intervention: RE; Y90 dose: range 135–150 Gy; Site: lobar68
(54–86)
NR0
(0–2)
NR
Lim et al., 200574
30 (100)
Poor
Prospective case series01/2002–03/2004Intervention: RE; Drug: Y9061.7
(36–77)
NR0
(0 – 2)
NR

CRC = colorectal cancer; DEB = drug-eluting bead; ECOG = Eastern Cooperative Oncology Group; GBq = Gigabecquerel; Gy = Gray; HAI = hepatic arterial infusion; Mets = Metastases; NR = not reported; RE = radioembolization; RFA = radiofrequency ablation; SBRT = stereotactic body radiation therapy; SIRT = selective internal radiotherapy; TACE = transarterial chemoembolization; tx = treatment; pt = patient; Y90 = Yttrium-90

a

Data on patient characteristics from this case series include patients with extrahepatic disease; information on outcomes is for patients with non-extrahepatic disease.

Θ

This N reflects the total number of patients enrolled in the study from any primary site. The percentage of CRC patients included in this report is presented in parentheses.

From: Results

Cover of Local Hepatic Therapies for Metastases to the Liver From Unresectable Colorectal Cancer
Local Hepatic Therapies for Metastases to the Liver From Unresectable Colorectal Cancer [Internet].
Comparative Effectiveness Reviews, No. 93.
Belinson S, Chopra R, Yang Y, et al.

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