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. Author manuscript; available in PMC: 2023 Jun 1.
Published in final edited form as: Hematol Oncol Clin North Am. 2022 May 11;36(3):553–567. doi: 10.1016/j.hoc.2022.02.007

Table 1:

Select studies evaluating the role of local therapy for colorectal liver metastases

Author Treatment modality Study design Number of patients Lesion size Local control or complete response rate Acute mild/grade 1–2 toxicities Acute severe/grade 3+ toxicities
Choti et al54 Surgery Retrospective 226 Median 3.9 cm 5-yr disease-free survival 20% NR 2 peri-operative deaths
Petrelli et al55 SABR Systematic review 656 Median 2–3.5 cm (0.6 – 11.6) 60 – 96% 31% 9%
Van Amerongen et al56 RFA vs surgical resection Meta-analysis 751 RFA
1,276 surgery
NR 32–82% RFA
77–98% surgery
Total complication rate reported:
12% RFA, 2 grade 5
25% surgery, 8 grade 5
Kron et al57 RFA vs surgical resection Systematic review 779 RFA
1359 surgery
NR 24–85% RFA
60–98 % surgery
NR NR
Gavriildis et al58 MWA vs RFA vs surgery Meta-analysis 350 MWA
1253 RFA
1798 Surgery
NR 42–74% MWA
63–71% RFA
43–94% Surgery
NR NR
Correa-Gallego et al59 Open RFA or MWA Retrospective 127 Median 1.0 cm (1.0–2.0) 80% for RFA at 2.5 years,
94% for MWA at 18 months
24% vs 27% Not reported
Wasan et al10 FOLFOX +/− TARE Combined analysis of 3 phase III trials 1,103 NR At best response, CR rate
4.5% for TARE+FOLFOX
vs 1.6% for FOLFOX alone
74% TARE+FOLFOX
67% FOLFOX alone
16.4% from TARE, 8 were grade 5
Van Hazel et al60 TARE + FOLFOX vs FOLFOX + Bevacizumab Phase III randomized trial 263 mFOLFOX6
267 TARE + mFOLFOX6
NR At best response, CR rate
6% mFOLFOX6 + TARE
1.9% mFOLFOX6
58% with TARE + mFOLFOX6
46% with mFOLFOX6 + Bevacizumab
85.4% with TARE, 9 were grade 5
73% with FOLFOX + Bev, 5 were grade 5
Kemeny et Al17 5-FU +/− HAI Phase III randomized trial 74
5-FU/leucovorin
82
5-FU/leucovorin + HAI
NR 2-yr survival free of hepatic recurrence
60% 5-FU/leucovorin
90% 5-FU/leucovorin + HAI
NR 7% 5-FU/leucovorin
6% 5-FU/leucovorin + HAI

Abbreviations: CR, complete response; HAI, hepatic artery infusion; MWA, microwave ablation; NR, not reported; OS, overall survival; RFA, radiofrequency ablation; SABR, stereotactic ablative radiotherapy; TARE, transarterial radioembolization