Status:
COMPLETED
Radiation Therapy and Capecitabine With or Without Oxaliplatin in Treating Patients Who Are Undergoing Surgery for Stage II or Stage III Rectal Cancer
Lead Sponsor:
UNICANCER
Conditions:
Colorectal Cancer
Eligibility:
All Genders
18-80 years
Phase:
PHASE3
Brief Summary
RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs used in chemotherapy, such as capecitabine and oxaliplatin, work in different ways to stop the growth of tumor cells, ei...
Detailed Description
OBJECTIVES: Primary * Compare the efficacy of neoadjuvant chemoradiotherapy comprising radiotherapy and capecitabine with vs without oxaliplatin followed by total mesorectal excision, in terms of th...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Histologically confirmed adenocarcinoma of the rectum
- T3-4, N0-2, M0 disease by endorectal ultrasound
- T2 disease located in the low rectum allowed provided lower pole is ≤ 6 cm from the anal verge
- Tumor must be accessible to digital rectal examination (i.e., tumor located at low- or mid-rectum)
- Resectable disease treatable with chemoradiotherapy
- No unresectable disease (i.e., T4 disease with high risk for incomplete gross resection \[i.e., R2\])
- PATIENT CHARACTERISTICS:
- Age
- 18 to 80
- Performance status
- ECOG 0-2
- Life expectancy
- Not specified
- Hematopoietic
- WBC ≥ 1,500/mm\^3
- Platelet count ≥ 100,000/mm\^3
- Hemoglobin \> 10 g/dL
- Hepatic
- Alkaline phosphatase normal
- Bilirubin normal
- Renal
- Creatinine ≤ 130 μmol/L
- No severe renal insufficiency
- Cardiovascular
- No cardiac insufficiency
- No symptomatic coronary artery disease
- Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No contraindication to study treatment
- Prior acute intestinal obstruction allowed provided patient underwent surgical diversion with stoma
- No history of other cancer except basal cell skin cancer or carcinoma in situ of the cervix
- No peripheral neuropathy
- No uncontrolled diabetes
- No other uncontrolled severe disease
- No geographical, social, or psychological condition that would preclude study follow-up
- PRIOR CONCURRENT THERAPY:
- Biologic therapy
- Not specified
- Chemotherapy
- No prior chemotherapy for cancer
- No other concurrent chemotherapy
- Endocrine therapy
- Not specified
- Radiotherapy
- No prior radiotherapy for cancer
- Surgery
- Not specified
- Other
- No concurrent phenytoin
- No concurrent participation in another clinical trial of an experimental medical treatment
Exclusion
Key Trial Info
Start Date :
November 8 2005
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
July 15 2013
Estimated Enrollment :
598 Patients enrolled
Trial Details
Trial ID
NCT00227747
Start Date
November 8 2005
End Date
July 15 2013
Last Update
February 17 2021
Active Locations (69)
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1
Centre Hospitalier d'Abbeville
Abbeville, France, 80101
2
Centre Hospitalier
Altkirch, France, 68134
3
Institut Sainte Catherine
Avignon, France, 84000
4
Hopital Duffaut
Avignon, France, 84902