HAI Therapy Applications For CRLM And iCCA

Colorectal Cancer Liver Metastases

Colorectal cancer is the third leading cause of cancer-related death, with over 150,000 people newly diagnosed every year in the US 1. As many as 50-60% of these patients ultimately develop liver metastases 2. Colorectal cancer is the leading cause of cancer-related death in men younger than 50 years of age3.

Surgical resection is the best opportunity to improve overall survival; however, only a fraction of patients are eligible:

  • 20% at diagnosis 4
  • 15% after systemic treatment *5

*some regimens may potentially increase that % rate

Even if resection is possible, recurrence is high:

  • 75% recur within 2 years 6
  • 50% of which recur in the liver 6

Adjuvant systemic chemotherapy does not improve overall survival 6.

Liver and hepatic artery

Medical oncologists need more impactful solutions to increase patients’ chances for resection and change the course of disease progression.

HAI Pump

HAI therapy can benefit patients with CRLM in unresectable and adjuvant applications with the potential to:

  • Reduce tumor burden and improve disease control to achieve conversion to surgical resection
  • Prevent or delay recurrence post resection
  • Increase overall survival
Review clinical evidence for HAI CRLM applications

Intrahepatic Cholangiocarcinoma

iCCA is a rare condition contributing to 3% of worldwide gastrointestinal malignancies, impacting about 5,000 people in the United States each year.

While standard-of-care chemotherapy for iCCA continues to evolve, prognosis remains poor, with median survival ranging from 13-17 months. 3 year survival was 0% for patients treated with systemic chemotherapy alone as reported by the ABC trials 8.

Better treatment options are needed to improve survival rates for patients with intrahepatic cholangiocarcinoma.

Liver with tumors HAI pump

HAI therapy can benefit patients with iCCA with the potential to increase overall survival.

HAI combined with systemic chemotherapy may contribute to substantially extending overall survival for patients with unresectable iCCA. Studies demonstrated that patients treated with HAI achieved 25 months median overall survival and 39.5% survived to 3 years 7, 8.

Review clinical evidence for HAI iCCA applications

1 Siegel et al, Colorectal Cancer Statistics, 2020, CA CANCER J CLIN 2020;70:145–164; 2 Zarour LR, et al. Colorectal Cancer Liver Metastasis: Evolving Paradigms and Future Directions. Cell Mol Gastroenterol Hepatol. 2017 Jan 20;3(2):163-173; 3https://acsjournals.onlinelibrary.wiley.com/ doi/10.3322/ caac.21772; 4 Adam R, Vine TE. Regional treatment of metastasis: surgery of colorectal liver metastases. Ann Oncol. 2004;15(Suppl 4): iv103-6.; 5 Venook AP, Curley SA. Management of potentially resectable colorectal cancer liver metastases. Up To Date. April 23, 2018.; 6 Kemeny N, Huang Y, Cohen AM, et al. Hepatic arterial infusion of chemotherapy after resection of hepatic metastases from colorectal cancer. N Engl J Med. 1999 Dec 30;341(27):2039-48. doi:10.1056/NEJM199912303412702. PMID: 10615075.; 7Cercek A et al. JAMA Oncol Oct 31, 2019; 8 Holster J et al., Ann Surg Oncol (2022) 29:5528–5538