- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00075556
Neoadjuvant Radiation Therapy and Capecitabine in Treating Patients With Stage III or Stage IV Colorectal Adenocarcinoma
Phase II Study Of Radiotherapy And Capecitabine As Pre-Operative Treatment In Patients With Colorectal Cancer
RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. Drugs used in chemotherapy, such as capecitabine, use different ways to stop tumor cells from dividing so they stop growing or die. Combining radiation therapy with chemotherapy before surgery may shrink the tumor so that it can be removed.
PURPOSE: This phase II trial is studying how well neoadjuvant radiation therapy and capecitabine work in treating patients who are undergoing surgery for stage III or stage IV colorectal adenocarcinoma.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
OBJECTIVES:
Primary
- Determine the objective tumor response rate in patients with stage III or IV colorectal adenocarcinoma treated with neoadjuvant radiotherapy and capecitabine.
Secondary
- Determine the tolerance profile of this regimen in these patients.
- Determine the rate of preservation of functional integrity of the anal sphincter in patients treated with this regimen.
- Compare the conversion rate from the effects of mutilating surgery vs surgery with sphincter preservation in patients treated with this regimen.
OUTLINE: This is a multicenter study.
Patients receive oral capecitabine twice daily and undergo concurrent radiotherapy 5 days a week on weeks 1-5. Patients undergo surgery on week 6.
Patients are followed every 4 months for 2 years and then every 6 months for 3 years.
PROJECTED ACCRUAL: A total of 48 patients will be accrued for this study within 10 months.
Study Type
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Caen, France, 14076
- Centre Regional Francois Baclesse
-
Dijon, France, 21000
- Hopital Drevon
-
La Rochelle, France, 17000
- Hopital Saint - Louis
-
Le Mans, France, 72000
- Centre Jean Bernard
-
Lyon, France, 69008
- Clinique Saint Jean
-
Metz, France, 57038
- Hopital Notre-Dame de Bon Secours
-
Montfermeil, France, 93370
- Intercommunal Hospital
-
Mulhouse, France, 68051
- Centre Hospitalier de Mulhouse
-
Paris, France, 75970
- Hôpital Tenon
-
Paris, France, 75475
- Hôpital Saint-Louis
-
Senlis, France, 60309
- C.H. Senlis
-
Suresnes, France, 92151
- Centre Médico-Chirurgical Foch
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
DISEASE CHARACTERISTICS:
Histologically or cytologically confirmed colorectal adenocarcinoma
- Clinical stage T3, T4, N+
- Measurable disease
- Awaiting surgery and likely to benefit from neoadjuvant radiotherapy
PATIENT CHARACTERISTICS:
Age
- 18 to 80
Performance status
- ECOG 0-2 OR
- Karnofsky 60-100%
Life expectancy
- Not specified
Hematopoietic
- Absolute neutrophil count at least 2,000/mm^3
- Platelet count at least 100,000/mm^3
- Hemoglobin at least 10 g/dL
Hepatic
- Bilirubin no greater than 1.5 times upper limit of normal (ULN)
- AST and ALT no greater than 2.5 times ULN
- No hepatic condition that would interfere with study medication
Renal
- Creatinine clearance at least 80 mL/min
- No renal condition that would interfere with study medication
Cardiovascular
- No serious cardiac failure with the past year
- No myocardial infarction within the past year
- No cardiac insufficiency
- No angina
- No uncontrolled arrhythmia
- No uncontrolled hypertension
Gastrointestinal
- No superior intestinal tract malfunction
- No malabsorption syndrome
Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No concurrent serious infection
- No other serious illness
- No other malignancy within the past 5 years except curatively treated basal cell skin cancer or carcinoma in situ of the cervix
- No metabolic condition that would interfere with study medication
- No dementia or altered mental status
- No psychiatric illness that would preclude study participation
PRIOR CONCURRENT THERAPY:
Biologic therapy
- Not specified
Chemotherapy
- No prior chemotherapy for colorectal cancer
Endocrine therapy
- Not specified
Radiotherapy
- No prior radiotherapy for colorectal cancer
Surgery
- Not specified
Other
- More than 30 days since prior participation in another clinical study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Masking: NONE
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
---|
Objective tumor response rate
|
Secondary Outcome Measures
Outcome Measure |
---|
Tolerability
|
Rate of preservation of functional integrity of the anal sphincter
|
Comparison of the conversion rate from the effects of mutilating surgery vs surgery with sphincter preservation
|
Collaborators and Investigators
Investigators
- Olivier Dupuis, MD, Centre Jean Bernard
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Colonic Diseases
- Intestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Colorectal Neoplasms
- Adenocarcinoma
- Molecular Mechanisms of Pharmacological Action
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Capecitabine
Other Study ID Numbers
- CDR0000346895
- FRE-GERCOR-R01-01
- EU-20329
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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