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Table 2 Trial flow chart of the SULTAN study

From: Treatment intensification with hepatic arterial infusion chemotherapy in patients with liver-only colorectal metastases still unresectable after systemic induction chemotherapy – a randomized phase II study -- SULTAN UCGI 30/PRODIGE 53 (NCT03164655)- study protocol

VISITS

Screening after 2 to 6 months of CT

Baseline Within 21 days before randomization

Treatment period

End of treatment 2 to 4 weeks after the last administration of the study treatment

Follow-up Every 2 monthsfor minimum 12 months to 48 months after randomization

  

Every 2 weeks

Every 28 days

Every 8 weeks

  

Inclusion / non-inclusion criteria

 

x

     

Signed informed consent form

x

      

Randomization (R)

 

x

     

Medical history and prior treatment history

 

x

     

Central review (verification on the unresecability of CRLM)

 

x

     

PHYSICAL EXAMINATIONa

 Complete clinical examination & vital signs

 

x

x

x

x

x

x

 Performance status (ECOG)

 

x

x

x

x

x

x

 Toxicities/adverse events/signs and symptoms

 

x

x

x

x

x

x

 Concomitant treatments

 

x

x

x

x

x

 

PARACLINICAL EXAMINATION

 Thoraco-abdomino and pelvic CT scan and/or liver MRI

 

x

  

x

 

x

 Angiogram or scintigraphic hepatic infusion in the experimental arm

 

xb

 

xc

   

 ECGa

 

x

x

x

x

  

BIOLOGICAL TESTSa

 Hematology (neutrophils, platelets, haemoglobin),

 

x

x

x

x

x

 

 Biochemistry (including kalemia, magnesemia calcemia, glycemia)

 

x

x

x

x

x

 

 Liver function (alkaline phosphatase, total and conjugated bilirubin, AST, ALT, LDH)

 

x

x

x

x

x

 

 Albuminemia, Protidemia

 

x

x

x

x

x

 

 INR

 

x

     

 Renal function (creatininemia, urea, calculated creatine clearance)

 

x

x

x

x

x

 

 Proteinuria

 

x

xd

xd

xd

  

 Pregnancy test

 

x

 

x

x

  

 Tumor marker: CEA + CA 19.9

 

x

  

x

  

QUALITY of LIFE QUESTIONNARY

 QLQ-C30 + QLQ-LMC21

 

x

  

x

 

xe

  1. awithin 7 days of randomization for baseline assessment and to be realized before and after oxaliplatin intravenous or intrahepatic arterial infusion (HAI); after randomization; bafter randomization and before the start of intra-arterial oxaliplatin; cat least every 28 days during the treatment phase, more often if needed, donly for patients who received bevacizumab, eUntil progression for a maximum 2 years