Recruiting PHASE1 Colorectal (Colon or Rectal) Cancer

New treatment option for Colorectal (Colon or Rectal) Cancer

Official title Evaluation of Circulating Immune Response After Histosonics in Colorectal Cancer (ECHO-CRC)

ClinicalTrials.gov ID: NCT07361107

What this study is testing

What it's testing
This is a single-center, non-randomized, open-label, single-arm pilot study investigating the systemic immune response to histotripsy in patients with colorectal cancer with liver metastasis. Histotripsy is an FDA-approved, non-invasive therapeutic modality for the treatment of liver tumors, including both primary and metastatic lesions.
  • Phase 1: an early, usually small safety study
  • Which group you join is decided by chance.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Gender: Both male and female patients will be eligible for enrollment.
  • Age at least 18 years.
  • Histologic (biopsy-proven) confirmation of metastatic microsatellite stable colorectal cancer with at least one radiographically evident hepatic...
  • Planned treatment with standard-of-care histotripsy.
  • Radiographic confirmation of hepatic metastases with computed tomography (CT) or magnetic resonance imaging (MRI), with CT preferred. Imaging must be...

You likely can't join if

  • Major surgical procedure or significant traumatic injury within 14 days prior to histotripsy.
  • Therapy with an investigational drug within 14 days prior to histotripsy.
  • Clinically significant cardiovascular or cerebrovascular disease, including:
  • Myocardial infarction within 3 months prior to enrollment.
  • Unstable angina.
  • Congestive heart failure (New York Heart Association Classification Class \> II). v. 3.0 22July2025 9
See the full eligibility criteria
Who can join
  • Gender: Both male and female patients will be eligible for enrollment.
  • Age at least 18 years.
  • Histologic (biopsy-proven) confirmation of metastatic microsatellite stable colorectal cancer with at least one radiographically evident hepatic metastasis.
  • Planned treatment with standard-of-care histotripsy.
  • Radiographic confirmation of hepatic metastases with computed tomography (CT) or magnetic resonance imaging (MRI), with CT preferred. Imaging must be performed within 60 days of the date of consent.
  • Adequate organ and marrow function as defined below:
  • Absolute neutrophil count: ≥ 1,000/mcL
  • Platelets: ≥ 100,000/mcL
  • Total bilirubin ≤ 3x the upper limit of normal (ULN). This may be up to 5x ULN if Gilbert's syndrome is documented.
  • AST and ALT ≤ 8x institutional ULN.
  • Serum creatinine ≤ 2x ULN unless on dialysis.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 to 3.
  • Estimated life expectancy of at least 90 days as determined by the treating physician.
  • Demographic group: There are no restrictions based on race or ethnicity. Efforts will be made to ensure a representative patient population reflecting the diversity of individuals affected by CRCLM.
  • Ability to understand and willingness to sign a written informed consent document.
What rules you out
  • Major surgical procedure or significant traumatic injury within 14 days prior to histotripsy.
  • Therapy with an investigational drug within 14 days prior to histotripsy.
  • Clinically significant cardiovascular or cerebrovascular disease, including:
  • Myocardial infarction within 3 months prior to enrollment.
  • Unstable angina.
  • Congestive heart failure (New York Heart Association Classification Class \> II). v. 3.0 22July2025 9
  • Serious cardiac arrhythmia (controlled atrial fibrillation or definitively treated arrhythmias via ablation are not considered exclusion criteria).
  • Cerebrovascular stroke with deficit within 3 months prior to enrollment.
  • Active infection requiring systemic therapy within 14 days prior to histotripsy, unless deemed to be a chronic disease state by the study PI.
  • Active pregnancy.
  • Patients with active infections, autoimmune diseases requiring systemic immunosuppression, or other uncontrolled comorbidities that could interfere with study participation will be excluded.
  • Severe cancer-associated cachexia that may interfere with systemic immune response, as assessed by the treating physician.
  • Any ongoing medical illness or injury that would significantly impact side effects of therapy, including but not limited to:
  • Serious, non-healing or dehiscing wound, active ulcer, or untreated bone fracture.
  • Clinical signs or symptoms of gastrointestinal obstruction or requirement for routine parenteral hydration, parenteral nutrition, or tube feeding.
  • Any other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding that contraindicates histotripsy, may affect the interpretation of study results, or may render the patient at high...
  • Anyone that is unable to consent due to cognitive, psychological or other reasons that impact their capacity.
  • Deemed to be inappropriate for enrollment by the study PI.

The study team makes the final eligibility decision.

Where it's taking place

  • New Hyde Park, New York, United States

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include New Hyde Park, New York, United States. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.