Status:
COMPLETED
Chemotherapy and Radiation Therapy Before Surgery Followed by Capecitabine With or Without Oxaliplatin in Treating Patients With Locally Advanced Rectal Cancer
Lead Sponsor:
European Organisation for Research and Treatment of Cancer - EORTC
Conditions:
Colorectal Cancer
Eligibility:
All Genders
18-120 years
Phase:
PHASE3
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. Ra...
Detailed Description
OBJECTIVES: Primary * Investigate whether the addition of oxaliplatin to neoadjuvant chemoradiotherapy and adjuvant chemotherapy comprising capecitabine improves disease-free survival in patients wi...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Histologically confirmed adenocarcinoma of the rectum
- Tumor ≤ 12 cm from the anal verge
- Stage T3-4 or any node-positive disease
- No evidence of metastatic disease (confirmed by negative CT scan of the chest and abdomen)
- Resectable disease or expected to become resectable after preoperative chemoradiation
- May only be randomized once in this trial
- PATIENT CHARACTERISTICS:
- WHO/ECOG performance status 0-2
- Hemoglobin ≥ 10.0 g/dL (transfusion allowed to achieve or maintain levels)
- ANC ≥ 1,500/mm\^3
- Platelet count ≥ 100,000/mm\^3
- ALT and AST ≤ 2.5 times upper level of normal (ULN)
- Alkaline phosphatase ≤ 2.5 times ULN
- Total bilirubin ≤ 1.5 times ULN
- Creatinine clearance \> 50 mL/min
- Creatinine ≤ 1.5 times ULN
- Able to swallow tablets
- No prior or concurrent malignancies within the past 5 years except for adequately treated cone-biopsied carcinoma in situ of the cervix or basal cell carcinoma of the skin
- No clinically significant (i.e., active) cardiac disease, including any of the following:
- Congestive heart failure
- Symptomatic coronary artery disease
- Cardiac arrhythmia
- No myocardial infarction within the past 12 months
- No known significant impairment of intestinal resorption (e.g., chronic diarrhea, inflammatory bowel disease)
- No pre-existing conditions that would preclude chemoradiotherapy or radiotherapy (i.e., fistulas, severe ulcerative colitis \[particularly patients currently taking sulfasalazine\], Crohn's disease, or prior adhesions)
- No peripheral neuropathy ≥ grade 2 by CTCAE v3.0
- No serious uncontrolled intercurrent infections or other serious uncontrolled concomitant disease
- No history of uncontrolled seizures, central nervous system disorders or psychiatric disability that, in the opinion of the principal investigator, is clinically significant and would preclude giving informed consent or interfere with compliance with oral drug administration
- No psychological, familial, sociological, or geographical condition potentially hampering compliance with the study protocol and follow-up schedule
- Not pregnant or nursing
- Fertile patients must use effective contraception
- PRIOR CONCURRENT THERAPY:
- No prior cytotoxic chemotherapy or radiation therapy for rectal cancer
- No prior radiation therapy to the pelvis
- No prior or concurrent investigational drug, agent, or procedure
- More than 4 weeks since prior participation in the active or follow-up period of another investigational protocol
- No known allergy or any other adverse reaction to any of the study drugs or to any related compound
- No known dihydropyrimidine dehydrogenase deficiency
- No organ allograft requiring immunosuppressive therapy
- No concurrent sorivudine or chemically related analogues (e.g., brivudine)
Exclusion
Key Trial Info
Start Date :
August 1 2008
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
Estimated Enrollment :
1094 Patients enrolled
Trial Details
Trial ID
NCT00766155
Start Date
August 1 2008
Last Update
October 12 2016
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