Combination Chemotherapy in Treating Patients With Colon Cancer

5-Fluorouracil-Leucovorin With or Without Carboplatin as Adjuvant Treatment for Primary Dukes B2-C Colon Cancer; Chronomodulated Versus Standard Administration. A Multicenter Randomized Phase III Trial of the GRECCR-Belgium (Study 03).


Hauptsponsor: Groupe Regional d'Etudes du Cancer Colorectal

Quelle National Cancer Institute (NCI)
Kurze Zusammenfassung

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known which schedule of chemotherapy is most effective in treating colon cancer.

PURPOSE: Randomized phase III trial to compare different schedules of chemotherapy using carboplatin with fluorouracil and leucovorin in treating patients who have stage IIB or stage III colon cancer.

detaillierte Beschreibung


- Compare the disease-free survival of patients with completely resected stage IIB or III colon cancer treated with adjuvant chronomodulated vs standard schedule fluorouracil and leucovorin calcium with or without carboplatin.

- Compare the overall survival of patients treated with these regimens.

- Compare the toxicity of these regimens in these patients.

- Compare the quality of life of patients treated with these regimens.

- Determine the dose intensities of fluorouracil and carboplatin in these patients.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center and disease stage (IIB vs III). Patients are randomized to 1 of 4 treatment arms.

- Arm I (standard schedule): Patients receive fluorouracil (5-FU) IV continuously and leucovorin calcium (CF) IV on days 1 and 2.

- Arm II (standard + carboplatin schedule): Patients receive 5-FU and CF as in arm I plus carboplatin IV on day 1.

- Arm III (chronomodulated schedule): Patients receive 5-FU IV continuously and CF IV continuously on days 1-4.

- Arm IV (chronomodulated + carboplatin schedule): Patients receive 5-FU and CF as in arm III plus carboplatin IV continuously on days 1-4.

Quality of life is assessed.

Treatment in all arms repeats every 14 days for up to 9 courses in the absence of disease progression or unacceptable toxicity.

PROJECTED ACCRUAL: A total of 660-800 patients will be accrued for this study.

Gesamtstatus Unknown status
Anfangsdatum May 2001
Phase Phase 3
Studientyp Interventional
Primärer Ausgang
Messen Zeitfenster
Disease-free survival
Sekundäres Ergebnis
Messen Zeitfenster
Quality of life
Einschreibung 800

Interventionsart: Drug

Interventionsname: carboplatin

Interventionsart: Drug

Interventionsname: fluorouracil

Interventionsart: Drug

Interventionsname: leucovorin calcium

Interventionsart: Procedure

Interventionsname: adjuvant therapy




- Histologically confirmed adenocarcinoma of the colon

- Stage IIB or III (Dukes stage B2 or C)

- Complete curative resection performed within the past 7 weeks (negative margins)

- No local or regional relapsed disease

- Tumor more than 15 cm above the anal margin

- Carcinoembryonic antigen less than 5 ng/mL (after surgery)

- No rectal cancer

- No metastatic disease



- 18 and over

Performance status

- ECOG 0-1 OR

- Karnofsky 60-100%

Life expectancy

- Not specified


- Neutrophil count at least 2,000/mm3

- Platelet count at least 100,000/mm3


- Bilirubin no greater than 1.5 times upper limit of normal (ULN)

- SGOT and SGPT no greater than 5 times ULN


- Creatinine no greater than 1.5 times ULN


- No serious coronary disease


- Not pregnant

- Fertile patients must use effective contraception

- No concurrent infectious disease

- No other malignancy except adequately treated basal cell skin cancer or carcinoma in situ of the cervix


Biologic therapy

- No prior immunotherapy


- No prior chemotherapy

Endocrine therapy

- Not specified


- No prior radiotherapy (before or after surgery)


- See Disease Characteristics


- No concurrent participation in another clinical trial

Geschlecht: All

Mindestalter: 18 Years

Maximales Alter: N/A

Gesunde Freiwillige: No

Insgesamt offiziell
Nachname Rolle Zugehörigkeit
Christian N.J. Focan, MD, PhD Study Chair Clinique Saint-Joseph
Centre Hospitalier Hutois | Huy, 4500, Belgium
Clinique Saint-Joseph | Liege, B 4000, Belgium
Standort Länder



November 2002

Hat den Zugriff erweitert No
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Studiendesign Info

Zuweisung: Randomized

Hauptzweck: Treatment