Status:

ACTIVE_NOT_RECRUITING

EPA for Metastasis Trial 2

Lead Sponsor:

Mark A Hull, PhD FRCP

Collaborating Sponsors:

Yorkshire Cancer Research

Amarin Pharma Inc.

Conditions:

Liver Metastasis

Colon Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

A significant proportion of patients who undergo liver surgery to remove bowel cancer that has spread to the liver (metastases) develop disease recurrence and die from the disease. A previous small st...

Detailed Description

Despite significant advances in diagnosis and treatment of colorectal cancer (CRC), it remains the second most common cause of cancer-related death in the UK. The majority of deaths from CRC are relat...

Eligibility Criteria

Inclusion

  • Aged ≥ 18 years
  • Able to provide written informed consent
  • Histological diagnosis of colorectal cancer with evidence of liver metastases
  • Planned liver resection surgery for colorectal cancer liver metastases with curative intent, including repeat 're-do' colorectal cancer liver metastases surgery (a second independent resection for a separate colorectal cancer liver recurrence)
  • Intention to receive IMP prior to colorectal cancer liver metastases surgery

Exclusion

  • Previous CRCLM surgery for the management of the current metastatic disease
  • Incurable extra-hepatic metastases
  • Current (in the last 2 months) or planned regular (\>3 doses per week) use of O3FA-containing drugs or supplements, including Vazkepa®, Omacor®, fish oil and cod-liver oil supplements
  • Fish/seafood allergy
  • Diagnosis of hereditary fructose intolerance
  • Soya or peanut allergy
  • Inability to comply with trial treatment and follow-up schedule
  • Known bleeding tendency/condition (e.g. von Willebrand disease)
  • A previous malignancy within the last 5 years other than:
  • colorectal cancer
  • non-melanoma skin cancer where treatment consisted of resection only or radiotherapy
  • ductal carcinoma in situ (DCIS) where treatment consisted of resection only
  • cervical carcinoma in situ where treatment consisted of resection only
  • superficial bladder carcinoma where treatment consisted of resection only
  • A previous malignancy where the patient has been disease free for ≤ 5 years
  • Pregnant or breastfeeding women or women of childbearing potential not willing to use effective contraceptive measures. Women of childbearing potential are defined as fertile, following menarche and until becoming post-menopausal, unless permanently sterile
  • Men defined as fertile (post-pubescent and not permanently sterile by vasectomy or bilateral orchidectomy) and not willing to use effective contraceptive measures if appropriate.

Key Trial Info

Start Date :

May 2 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 30 2026

Estimated Enrollment :

418 Patients enrolled

Trial Details

Trial ID

NCT03428477

Start Date

May 2 2018

End Date

April 30 2026

Last Update

April 18 2025

Active Locations (13)

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Page 1 of 4 (13 locations)

1

Oxford University Hospital NHS Foundation Trust

Oxford, Oxfordshire, United Kingdom, OX3 9DU

2

Hampshire Hospitals NHS Foundation Trust

Basingstoke, Royal Hampshire, United Kingdom, RG24 9NA

3

Aintree University Hospitals NHS Foundation Trust

Aintree, United Kingdom

4

University Hospitals Birmingham NHS Foundation Trust

Birmingham, United Kingdom