Status:

TERMINATED

Capecitabine, Oxaliplatin, Selenomethionine, and Radiation Therapy in Treating Patients Undergoing Surgery For Newly Diagnosed Stage II or III Rectal Adenocarcinoma

Lead Sponsor:

Roswell Park Cancer Institute

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Colorectal Cancer

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as capecitabine and oxaliplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Se...

Detailed Description

OBJECTIVES: Primary * To determine the complete pathological response rate of the combination of capecitabine, oxaliplatin, selenomethionine, and radiotherapy in patients with stage II or III rectal...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed rectal adenocarcinoma that is involving the distal 12 cm of the rectum (above the anal verge)
  • Staged within 8 weeks prior to initiation of study by endoscopic ultrasound OR MRI or CT scan if endorectal ultrasound is non-conclusive or non-tolerable
  • T3-T4 tumor or evidence of lymph node involvement defined by the presence of at least 1 enlarged peri-rectal lymph node
  • No evidence of distant or known metastases
  • PATIENT CHARACTERISTICS:
  • ECOG performance status (PS) 0-1 OR Karnofsky PS 70-100%
  • Life expectancy \> 1 year
  • Leukocytes ≥ 3,000/µL
  • Absolute neutrophil count ≥ 1,500/µL
  • Platelet count ≥ 100,000/µL
  • Total bilirubin ≤ upper limit of normal (ULN)
  • AST/ALT ≤ 2.5 times ULN
  • Creatinine ≤ ULN OR creatinine clearance ≥ 60 mL/min
  • Able to receive oral medication
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No other concurrent or previous malignancies unless disease free for \> 5 years (excluding nonmelanoma skin cancer)
  • No neuropathy ≥ grade 2
  • No history of allergic reaction attributed to compounds of similar chemical or biologic composition to oxaliplatin, capecitabine, or selenomethionine
  • No uncontrolled intercurrent illness including, but not limited to, any of the following:
  • Ongoing or active infection
  • Symptomatic congestive heart failure
  • Unstable angina pectoris
  • Cardiac arrhythmia
  • Psychiatric illness/social situations that would limit compliance with study requirements
  • PRIOR CONCURRENT THERAPY:
  • No prior radiotherapy to the pelvis
  • No prior chemotherapy
  • No other concurrent investigational or anticancer agents or therapies
  • No concurrent vitamin B6 supplementation (except as part of a standard, multivitamin supplement)

Exclusion

    Key Trial Info

    Start Date :

    March 1 2008

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    December 1 2009

    Estimated Enrollment :

    5 Patients enrolled

    Trial Details

    Trial ID

    NCT00625183

    Start Date

    March 1 2008

    End Date

    December 1 2009

    Last Update

    November 17 2017

    Active Locations (1)

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    Roswell Park Cancer Institute

    Buffalo, New York, United States, 14263-0001