- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03997435
FOLFOXIRI With or Without Intensification for Rectal Cancer
May 3, 2023 updated by: CCTU
A Randomized Study of Neoadjuvant Chemoradiotherapy With or Without Intensification With the FOLFOXIRI Chemo-regimen for High-risk Locally Advanced Rectal Cancer
Pathologic complete response rate
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
72
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Jane KOH, RN
- Phone Number: 35051142
- Email: jane@clo.cuhk.edu.hk
Study Contact Backup
- Name: Brigette MA, MD
- Phone Number: 35052118
- Email: brigette@clo.cuhk.edu.hk
Study Locations
-
-
-
Hong Kong, Hong Kong
- Recruiting
- The Chinese University of Hong Kong
-
Contact:
- Jane KOH, RN
- Phone Number: 35051142
- Email: jane@clo.cuhk.edu.hk
-
Contact:
- Brigette Ma, MD
- Phone Number: 3505 2118
- Email: brigette@clo.cuhk.edu.hk
-
Hong Kong, Hong Kong
- Recruiting
- Department of Clinical Oncology, Queen Mary Hospital
-
Contact:
- Kin Sang LAU, MBBS
- Phone Number: +852 2255 6220
- Email: oncology@hku.hk
-
Contact:
- Michael WONG, BSc
- Phone Number: +852 2255 4216
- Email: xmichael@hku.hk
-
Hong Kong, Hong Kong
- Recruiting
- Department of Oncology, Princess Margaret Hospital
-
Contact:
- Dominic C Chan, FHKAM(Radiology) (HK)
- Phone Number: 2781 +852 2990 1111
- Email: ccw319@ha.org.hk
-
Contact:
- Colin K Liu, B.A.Sc(Toronto)
- Phone Number: 2393 +852 2990 1111
- Email: lkm688@ha.org.hk
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Able to provide written informed consent
- Age >= 18 years of either sex.
- ECOG performance status 0-1
- Measurable disease by RECIST 1.1 criteria.
- Histologically confirmed rectal adenocarcinoma (defined as either mid- or low rectal cancer that is located within 12 cm from the anal verge OR below the peritoneal reflection) that is previously untreated.
- 'High risk' rectal cancer, or rectal cancers that are considered marginally perable where there is a significant risk of positive surgical margin:
- T3 or T4, and / or
- Tumour infiltrating perirectal fat and/ or mesorectal fascia, and / or Involvement of pelvic lymph nodes, and/or
- Tumour invading surrounding structures or peritoneum or vasculature.
- Adequate bone marrow, renal and hepatic function as defined by: absolute neutrophil count >= 1.5 x 109/L, hemoglobin >= 9 g/L, platelets >= 100 x 109/L, serum creatinine level < 1.5 x ULN (or calculated creatinine clearance >=50 ml/min, whichever is worse), total bilirubin <=1.5 x the upper limit of normal, alanine aminotransferase (ALT) < 3 upper limit of normal.
Exclusion Criteria:
- Known distant metastasis, even if the metastasis has been resected.
- History of another invasive malignancy within the last 5 years, except for treated basal cell carcinoma of the skin, cervical intraepithelial neoplasia, or breast DCIS.
- Upper rectal cancer that is located above the peritoneal reflection.
- Patients with synchronous colon and rectal cancers are not excluded as long as: (1) these tumors are considered as two separate primaries (i.e. not metastasis or a contiguous part of a large primary), (2) both tumors are not causing imminent obstruction; (3) pelvic radiotherapy is not considered a contraindication.
- Primary tumour associated with any one of the following features:Frank intestinal obstruction, or
- Endoscope unable to pass through the tumour's lumen plus worsening local obstructive symptoms. Note: Patients with such features should be assessed by the surgical team regarding stomal bypass prior to study enrolment. Such patients can still be considered for study enrolment after undergoing stomal bypass.
- Known hypersensitivity reaction to the study drugs (i.e. fluoropyrimidine, irinotecan, oxaliplatin)
- Known peripheral neuropathy of grade 2 or more in severity.\ -Patients who have received an experimental anticancer therapy within the last 28 days.
- Previous pelvic radiotherapy
- Previous oxaliplatin or irinotecan for the treatment of colon or rectal cancer.
- Patient with hip prosthesis
- Major surgery (i.e. requiring general anaesthetics) within the last 28 days. Exception: Any patient who underwent stomal bypass for obstructing primary tumour within the last 14 days are still eligible, as long as the patient has sufficiently recovered from the surgery at the investigator's discretion.
- Known cardiac disease that is symptomatic or poorly controlled, including cardiac failure, arrhythmia or ischemic heart disease.
- Myocardial infarction or cerebrovascular accident within the last 12 months.
- Intercurrent infections or medical illnesses that are serious/ potentially life-threatening and require ongoing treatment.
- Patients who are unable to take capecitabine tablets uncrushed by the oral route (e.g. enteral feeding). Patients with significantly impaired gastrointestinal integrity and absorption are excluded.
- Patients with known and untreated bilateral hydronephrosis and/or hydroureters (or unilateral hydronephrosis and/or hydroureters in any patient with a single kidney) are excluded. The obstruction should be treated with ureteric stent(s) or percutaneous nephrostomy(s) prior to study enrolment. Patients with unilateral hydronephrosis and/or hydroureters and adequate renal function (i.e. as stated in the eligibility criteria: serum creatinine level < 1.5 x ULN, or calculated creatinine clearance >=50 ml/min - whichever is worse) are not excluded.
- Patients on warfarin therapy. Patients on low molecular weight heparin are not excluded.
- Pregnant or lactating women.
- Patients with reproductive potential who are not willing to use barrier method of birth control.
- Patients who are unable to provide written informed consent, or to comply with study requirements as judged by the investigator.
- Patients who refuse surgical treatment of the rectal cancer.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Control arm
neoadjuvant concurrent capecitabine-radiotherapy followed by surgery and postoperative chemotherapy
|
neoadjuvant concurrent capecitabine-radiotherapy followed by surgery and postoperative chemotherapy.
|
Experimental: Experimental arm
Neoadjuvant FOLFOXIRI x4 cycles, then capecitabine-radiotherapy and postoperative chemotherapy
|
Neoadjuvant FOLFOXIRI x4 cycles, then capecitabine-radiotherapy and postoperative chemotherapy.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Rate of pathologic complete response
Time Frame: 2 years
|
2 years
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Rate of overall survival
Time Frame: 5 years
|
5 years
|
Rate of circumferential resection margin (CRM) clearance
Time Frame: 2 years
|
2 years
|
Rate of tumour downstaging
Time Frame: 2 years
|
2 years
|
Number of Participants with Adverse Events
Time Frame: 2 years
|
2 years
|
Time to local (and distant) recurrence
Time Frame: 5 years
|
5 years
|
Number of response to neoadjuvant therapy
Time Frame: 2 years
|
2 years
|
Rate of tumour regression grade
Time Frame: 2 years
|
2 years
|
Number of objective tumour response
Time Frame: 2 years
|
2 years
|
Rate of disease-free survival, relapse-free survival
Time Frame: 5 years
|
5 years
|
Number of patients with 30-days post-operative mortality
Time Frame: 1 month
|
1 month
|
Rate of compliance to study treatment
Time Frame: 2 years
|
2 years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 10, 2019
Primary Completion (Anticipated)
March 31, 2024
Study Completion (Anticipated)
March 31, 2025
Study Registration Dates
First Submitted
June 19, 2019
First Submitted That Met QC Criteria
June 23, 2019
First Posted (Actual)
June 25, 2019
Study Record Updates
Last Update Posted (Estimate)
May 4, 2023
Last Update Submitted That Met QC Criteria
May 3, 2023
Last Verified
May 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- COL026
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
Clinical Trials on Rectal Cancer
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Ohio State University Comprehensive Cancer CenterNovartis Pharmaceuticals; National Comprehensive Cancer NetworkCompletedStage IIA Rectal Cancer | Stage IIB Rectal Cancer | Stage IIC Rectal Cancer | Stage IIIA Rectal Cancer | Stage IIIB Rectal Cancer | Stage IIIC Rectal Cancer | Recurrent Rectal CancerUnited States
-
M.D. Anderson Cancer CenterRecruitingEvaluation of Quality of Life and Utilities Following Surgical Treatment of Stage I-IV Rectal CancerStage III Rectal Cancer AJCC v8 | Stage IIIA Rectal Cancer AJCC v8 | Stage IIIB Rectal Cancer AJCC v8 | Stage IIIC Rectal Cancer AJCC v8 | Stage IV Rectal Cancer AJCC v8 | Stage IVA Rectal Cancer AJCC v8 | Stage IVB Rectal Cancer AJCC v8 | Stage IVC Rectal Cancer AJCC v8 | Rectal Adenocarcinoma | Stage... and other conditionsUnited States
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OHSU Knight Cancer InstituteNatera, Inc.RecruitingEstablishing a ctDNA Biomarker to Improve Organ Preserving Strategies in Patients With Rectal CancerStage III Rectal Cancer AJCC v8 | Stage IIIA Rectal Cancer AJCC v8 | Stage IIIB Rectal Cancer AJCC v8 | Stage IIIC Rectal Cancer AJCC v8 | Rectal Adenocarcinoma | Stage IIA Rectal Cancer AJCC v8 | Stage IIB Rectal Cancer AJCC v8 | Stage II Rectal Cancer AJCC v8 | Stage IIC Rectal Cancer AJCC v8United States
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)RecruitingStage III Rectal Cancer AJCC v8 | Stage IIIA Rectal Cancer AJCC v8 | Stage IIIB Rectal Cancer AJCC v8 | Stage IIIC Rectal Cancer AJCC v8 | Rectal Adenocarcinoma | Stage IIA Rectal Cancer AJCC v8 | Stage IIB Rectal Cancer AJCC v8 | Stage II Rectal Cancer AJCC v8 | Stage IIC Rectal Cancer AJCC v8United States
-
Roswell Park Cancer InstituteNational Cancer Institute (NCI)WithdrawnStage IIA Rectal Cancer | Stage IIB Rectal Cancer | Stage IIC Rectal Cancer | Stage IIIA Rectal Cancer | Stage IIIB Rectal Cancer | Rectal AdenocarcinomaUnited States
-
OHSU Knight Cancer InstituteOregon Health and Science University; Taiho Pharmaceutical Co., Ltd.RecruitingStage III Rectal Cancer AJCC v8 | Stage IIIA Rectal Cancer AJCC v8 | Stage IIIB Rectal Cancer AJCC v8 | Stage IIIC Rectal Cancer AJCC v8 | Rectal Adenocarcinoma | Stage IIA Rectal Cancer AJCC v8 | Stage IIB Rectal Cancer AJCC v8United States
-
Jonsson Comprehensive Cancer CenterNatera, Inc.; The Joseph Drown FoundationRecruitingStage III Rectal Cancer AJCC v8 | Stage IIIA Rectal Cancer AJCC v8 | Stage IIIB Rectal Cancer AJCC v8 | Stage IIIC Rectal Cancer AJCC v8 | Rectal Adenocarcinoma | Stage IIA Rectal Cancer AJCC v8 | Stage IIB Rectal Cancer AJCC v8 | Stage II Rectal Cancer AJCC v8 | Stage IIC Rectal Cancer AJCC v8 | Locally...United States
-
Case Comprehensive Cancer CenterCompletedStage IIA Rectal Cancer | Stage IIB Rectal Cancer | Stage IIC Rectal Cancer | Stage IIIA Rectal Cancer | Stage IIIB Rectal Cancer | Stage IIIC Rectal Cancer | Stage IIIA Colon Cancer | Stage IIIB Colon Cancer | Stage IIIC Colon Cancer | Recurrent Colon Cancer | Recurrent Rectal Cancer | Stage IVA Colon Cancer | Stage IVA Rectal Cancer and other conditionsUnited States
-
City of Hope Medical CenterWithdrawnRecurrent Rectal Cancer | Stage I Rectal Cancer | Stage II Rectal Cancer | Stage III Rectal Cancer
-
National Cancer Institute (NCI)TerminatedMetastatic Rectal Adenocarcinoma | Rectal Adenocarcinoma | Stage III Rectal Cancer AJCC v7 | Stage IIIA Rectal Cancer AJCC v7 | Stage IIIB Rectal Cancer AJCC v7 | Stage IIIC Rectal Cancer AJCC v7 | Stage IV Rectal Cancer AJCC v7 | Stage IVA Rectal Cancer AJCC v7 | Stage IVB Rectal Cancer AJCC v7 | Locally...United States
Clinical Trials on Control arm
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Centre Leon BerardNational Cancer Institute, France; Fondation de France; Cancéropôle Lyon Auvergne... and other collaboratorsCompletedImpact of Nutritional Intervention in Women With Breast Cancer Under Adjuvant Chemotherapy (PASAPAS)Breast Cancer | Adequate Physical ConditionFrance
-
Kaiser PermanenteRecruitingAdolescent Behavior | Mental Health IssueUnited States
-
Heart of England NHS TrustAstraZenecaUnknown
-
Imperial College LondonKing Khalid UniversityRecruitingCardiovascular Diseases | Acute Coronary SyndromeUnited Kingdom
-
McGill University Health Centre/Research Institute...Canadian Institutes of Health Research (CIHR); St. Justine's HospitalActive, not recruitingDiabetes Mellitus, Type 1 | Type1diabetes | Insulin Dependent DiabetesCanada
-
Lawson Health Research InstituteCompletedChronic Kidney DiseaseCanada
-
Herlev and Gentofte HospitalUniversity of Aarhus; Danish Cancer Society; The Novo Nordic Foundation; University...Recruiting
-
Kaiser Clinic and HospitalCompletedObesity | Weight GainBrazil
-
Duke UniversityTerumo BCTCompletedAllogenic Transfusion of Platelets During Cardiac SurgeryUnited States
-
Istituto Nazionale di Ricovero e Cura per AnzianiRecruitingStroke | Aging Problems | Innovative Rehabilitation Treatment Based on RoboticsItaly