- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT00012389
Irinotecan With or Without Oxaliplatin in Treating Patients With Metastatic Colorectal Cancer
A Multicenter, Open-Label, Randomized, Two-Arm Study of Irinotecan (CPT-11) Versus the Combination of Oxaliplatin + Irinotecan (CPT-11) as Second-Line Treatment of Metastatic Colorectal Carcinoma
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 if irinotecan is more effective with or without oxaliplatin in treating metastatic colorectal cancer.
PURPOSE: Randomized phase III trial to compare the effectiveness of irinotecan with or without oxaliplatin in treating patients who have metastatic colorectal cancer.
Przegląd badań
Status
Warunki
Interwencja / Leczenie
Szczegółowy opis
OBJECTIVES:
- Compare the overall survival of patients with metastatic colorectal cancer treated with irinotecan with or without oxaliplatin.
- Compare the response rate, time to tumor-related worsening of symptoms, time to disease progression, onset and duration of responses, and duration of disease stabilization in these patients treated with these regimens.
- Compare the safety of these regimens in these patients.
OUTLINE: This is a randomized, open label, multicenter study. Patients are stratified according to Karnofsky performance status (50-60% vs 70-100%), number of metastatic organs involved (1 vs 2 or more), lactic dehydrogenase (no greater than 1.5 times upper limit of normal (ULN) vs greater than 1.5 times ULN), and prior fluorouracil chemotherapy (adjuvant vs first-line treatment for metastatic disease). Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive irinotecan IV over 90 minutes on day 1.
- Arm II: Patients receive oxaliplatin IV over 120 minutes followed by irinotecan IV over 30 minutes on day 1.
Courses repeat in each arm every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.
Patients are followed at 30 days, every 4 weeks for 3 months, and then every 3 months thereafter.
PROJECTED ACCRUAL: A total of 596 patients (298 per arm) will be accrued for this study within 18 months.
Typ studiów
Faza
- Faza 3
Kontakty i lokalizacje
Lokalizacje studiów
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-
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Aracaiu-SE, Brazylia, CEP: 49094-970
- Hospital Joao Alves Fiho
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Belo Horizonte-MG, Brazylia, CEP: 30180-060
- Hospital Socor
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Curitiba-PR, Brazylia, CEP: 81520-060
- Hospital Erastos Gaertner
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Rio de Janeiro, Brazylia, 20230-130
- Instituto Nacional de Cancer
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Rio de Janeiro, Brazylia, CEP: 22260-020
- Oncologistas Associados
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Sao Paulo, Brazylia, CEP: 01509-010
- Hospital do Cancer A C Comargo
-
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Brazylia, 90035-003
- Porto Alegre Hospital
-
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Sao Paulo
-
Sorocaba, Sao Paulo, Brazylia, 18030-200
- Instituto de Oncologia de Soracaba
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St. Jerome Quebec, Kanada, JYZ 5T3
- Zoom International Incoporated
-
-
Alberta
-
Calgary, Alberta, Kanada, T2N 4N2
- Tom Baker Cancer Center - Calgary
-
Edmonton, Alberta, Kanada, T6G 2R7
- University of Alberta
-
-
Nova Scotia
-
Halifax, Nova Scotia, Kanada, B3H 1V7
- Nova Scotia Cancer Centre
-
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Ontario
-
Barrie, Ontario, Kanada, L4M 6M2
- Royal Victoria Hospital, Barrie
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London, Ontario, Kanada, N6A 4L6
- Cancer Care Ontario-London Regional Cancer Centre
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Ottawa, Ontario, Kanada, K1H 1C4
- Ottawa Regional Cancer Centre
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Sudbury, Ontario, Kanada, P3E 5J1
- Northeastern Ontario Regional Cancer Centre, Sudbury
-
Toronto, Ontario, Kanada, M4N 3M5
- Toronto Sunnybrook Regional Cancer Centre
-
Toronto, Ontario, Kanada, M5G 1X5
- Mount Sinai Hospital - Toronto
-
Toronto, Ontario, Kanada, M5G 2M9
- Princess Margaret Hospital
-
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Quebec
-
Greenfield Park, Quebec, Kanada, J4V 2H1
- Hôpital Charles LeMoyne
-
Laval, Quebec, Kanada, H7M 3L9
- Cité de la Santé de Laval
-
Levis, Quebec, Kanada, G6V 3Z1
- L'Hotel Dieu de Levis
-
Montreal, Quebec, Kanada, H1T 2M4
- Maisonneuve-Rosemont Hospital
-
Montreal, Quebec, Kanada, H4J 1C5
- Hôpital du Sacré-Cœur de Montréal
-
Montreal, Quebec, Kanada, H3T 1E2
- Jewish General Hospital - Montreal
-
Quebec City, Quebec, Kanada, G1R 2J6
- Centre Hospitalier Universitaire de Quebec
-
Sainte Foy, Quebec, Kanada, GIV 4G2
- Centre Hospitalier de L'Universitaire de Quebec, Pavillon CHUL
-
Ste-Foy, Quebec, Kanada, G1V 4G5
- L'Hopital Laval
-
-
Saskatchewan
-
Saskatoon, Saskatchewan, Kanada, S7N 4H4
- Saskatoon Cancer Centre
-
-
-
-
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Gliwice, Polska, 44-101
- Maria S. Curie Memorial Institute
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Krakow (Cracow), Polska, 31-826
- Jagiellonian University
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Lodz, Polska, 93509
- Institute of Oncology
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Poznan, Polska, 61-866
- Wielkopolskie Centrum Onkologii Oddzial Chemioterapii
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-
-
-
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Ceske Budejovice, Republika Czeska, 370 01
- Centre of Clinical Oncology and Radiation Oncology
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Hradec Kralove, Republika Czeska, 500 02
- Charles University Hospital
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Prague, Republika Czeska, 128 08
- Onkologicka Klinka A Onkologicka Lab
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Praha, Republika Czeska, 150 06
- Fakultni nemocnice v Motole
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-
-
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Alabama
-
Huntsville, Alabama, Stany Zjednoczone, 35801
- Comprehensive Cancer Institute of Huntsville
-
Mobile, Alabama, Stany Zjednoczone, 36688
- Oncology Center at Providence Park
-
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Arizona
-
Tucson, Arizona, Stany Zjednoczone, 85712
- Arizona Clinical Research Center
-
-
California
-
Covina, California, Stany Zjednoczone, 91722
- Citrus Valley Medical Center
-
Greenbrae, California, Stany Zjednoczone, 94904-2007
- California Cancer Care, Inc.
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Los Angeles, California, Stany Zjednoczone, 90057
- Kenmar Research Institute
-
Los Angeles, California, Stany Zjednoczone, 90048
- Tower Hematology Oncology Medical Group
-
Los Angeles, California, Stany Zjednoczone, 90067
-
Orange, California, Stany Zjednoczone, 92868
- Medical Oncology Care Associates
-
Oxnard, California, Stany Zjednoczone, 93030
- P.M.K. Medical Group, Inc.
-
Rancho Mirage, California, Stany Zjednoczone, 92270
- Cancer and Blood Institute of the Desert
-
San Diego, California, Stany Zjednoczone, 92120
- Kaiser Permanente-Southern California Permanente Medical Group
-
Santa Monica, California, Stany Zjednoczone, 90404
- John Wayne Cancer Institute
-
Vallejo, California, Stany Zjednoczone, 94589
- Kaiser Permanente Medical Center - Vallejo
-
-
Colorado
-
Denver, Colorado, Stany Zjednoczone, 80218
- Rocky Mountain Cancer Center
-
Denver, Colorado, Stany Zjednoczone, 80205
- Colorado Permanente Medical Group, P.C.
-
Denver, Colorado, Stany Zjednoczone, 80220
- University of Colorado Cancer Center
-
-
Connecticut
-
Norwalk, Connecticut, Stany Zjednoczone, 06856
- Whittingham Cancer Center
-
-
District of Columbia
-
Washington, District of Columbia, Stany Zjednoczone, 20037
- George Washington University Medical Center
-
-
Florida
-
Boca Raton, Florida, Stany Zjednoczone, 33428
- Comprehensive Cancer Care Specialists of Boca Raton
-
Boca Raton, Florida, Stany Zjednoczone, 33486
- Center for Hematology-Oncology
-
Fort Lauderdale, Florida, Stany Zjednoczone, 33308
- Southeast Florida Hematology-Oncology Group
-
Fort Myers, Florida, Stany Zjednoczone, 33901
- Florida Cancer Specialists
-
Gainesville, Florida, Stany Zjednoczone, 32610-100277
- Shands Hospital and Clinics, University of Florida
-
Jacksonville, Florida, Stany Zjednoczone, 32209
- University of Florida Health Science Center - Jacksonville
-
Jacksonville, Florida, Stany Zjednoczone, 32207
- Hematology and Oncology Associates of Jacksonville
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Lakeland, Florida, Stany Zjednoczone, 33804
- Lakeland Regional Medical Center
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Leesburg, Florida, Stany Zjednoczone, 34748
- Lake Heart and Cancer Medical Center
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Miami, Florida, Stany Zjednoczone, 33176
- Oncology-Hematology Group of South Florida
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Orlando, Florida, Stany Zjednoczone, 32804
- Hematology and Oncology Consultants, P.A.
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Port Saint Lucie, Florida, Stany Zjednoczone, 34952
- Hematology/Oncology Associates
-
Tamarac, Florida, Stany Zjednoczone, 33321
- Oncology & Hematology Associates of West Broward
-
Tampa, Florida, Stany Zjednoczone, 33613
- University Community Hospital
-
Titusville, Florida, Stany Zjednoczone, 32796
- Hematology and Oncology Consultants
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Idaho
-
Coeur d'Alene, Idaho, Stany Zjednoczone, 83814
- North Idaho Cancer Center
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Illinois
-
Arlington Heights, Illinois, Stany Zjednoczone, 60004
- Northwest Medical Specialists, P.C.
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Aurora, Illinois, Stany Zjednoczone, 60506
- Dreyer Medical Clinic
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Chicago, Illinois, Stany Zjednoczone, 60611
- Northwestern Medical Faculty Foundation
-
-
Indiana
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New Albany, Indiana, Stany Zjednoczone, 47150
- Cancer Care Center
-
-
Kentucky
-
Lexington, Kentucky, Stany Zjednoczone, 40536-0084
- Albert B. Chandler Medical Center, University of Kentucky
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Louisville, Kentucky, Stany Zjednoczone, 40202
- James Graham Brown Cancer Center
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Louisville, Kentucky, Stany Zjednoczone, 40202
- Kentuckiana Cancer Institute
-
Louisville, Kentucky, Stany Zjednoczone, 40202
- Norton Healthcare Pavilion
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Louisville, Kentucky, Stany Zjednoczone, 40206
- Veterans Affairs Medical Center - Louisville
-
-
Louisiana
-
Baton Rouge, Louisiana, Stany Zjednoczone, 70806
- Baton Rouge General Medical Center
-
Lafayette, Louisiana, Stany Zjednoczone, 70506
- Louisiana Oncology Associates
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Metairie, Louisiana, Stany Zjednoczone, 70006
- Doctors Hospital of Jefferson
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New Orleans, Louisiana, Stany Zjednoczone, 70112
- Stanley Scott Cancer Center
-
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Maryland
-
Baltimore, Maryland, Stany Zjednoczone, 21204
- Greater Baltimore Medical Center and Cancer Center
-
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Massachusetts
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Boston, Massachusetts, Stany Zjednoczone, 02120
- Medical Center of Boston
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Pittsfield, Massachusetts, Stany Zjednoczone, 01201
- Berkshire Hematology Oncology, P.C.
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Michigan
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Detroit, Michigan, Stany Zjednoczone, 48201-1379
- Barbara Ann Karmanos Cancer Institute
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Flint, Michigan, Stany Zjednoczone, 48532
-
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Minnesota
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Roseville, Minnesota, Stany Zjednoczone, 55113
- Parker Hughes Cancer Center
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Mississippi
-
Jackson, Mississippi, Stany Zjednoczone, 39202
- Jackson Oncology Associates, PLLC
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Missouri
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Kansas City, Missouri, Stany Zjednoczone, 64128
- Veterans Affairs Medical Center - Kansas City
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Saint Louis, Missouri, Stany Zjednoczone, 63110
- Siteman Cancer Center
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Saint Louis, Missouri, Stany Zjednoczone, 63141
- St. John's Mercy Medical Center
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St. Charles, Missouri, Stany Zjednoczone, 63301
- Missouri Cancer Care, P.C.
-
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Montana
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Great Falls, Montana, Stany Zjednoczone, 59405
- Great Falls Clinic
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Missoula, Montana, Stany Zjednoczone, 59807-7609
- Western Montana Clinic
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New Jersey
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Somerville, New Jersey, Stany Zjednoczone, 08876
- Somerset Medical Center
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Voorhees, New Jersey, Stany Zjednoczone, 08043
- Cooper Cancer Institute
-
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New York
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Albany, New York, Stany Zjednoczone, 12208
- Veterans Affairs Medical Center - Albany
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Bronx, New York, Stany Zjednoczone, 10467-2490
- Montefiore Medical Center
-
Fresh Meadows, New York, Stany Zjednoczone, 11365
- Queens Medical Associates, PC
-
Jamaica, New York, Stany Zjednoczone, 11432
- Queens Hospital Center
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Rochester, New York, Stany Zjednoczone, 14623
- Interlakes Oncology/Hematology PC
-
Valhalla, New York, Stany Zjednoczone, 10595
- New York Medical College
-
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North Carolina
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Chapel Hill, North Carolina, Stany Zjednoczone, 27599-7295
- Lineberger Comprehensive Cancer Center, UNC
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Raleigh, North Carolina, Stany Zjednoczone, 27609
- Raleigh Hematology/Oncology Associates - Wake Practice
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Winston-Salem, North Carolina, Stany Zjednoczone, 27103
- Piedmont Hematology-Oncology Associates
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Ohio
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Cleveland, Ohio, Stany Zjednoczone, 44195
- Cleveland Clinic Taussig Cancer Center
-
Columbus, Ohio, Stany Zjednoczone, 43235
- Hematology Oncology Consultants Inc
-
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Oregon
-
Bend, Oregon, Stany Zjednoczone, 97701
- Bend Memorial Clinic
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Portland, Oregon, Stany Zjednoczone, 97227
- Kaiser Permanente - Portland
-
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Pennsylvania
-
Harrisburg, Pennsylvania, Stany Zjednoczone, 17105-8700
- Pinnacle Health Hospitals
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Meadowbrook, Pennsylvania, Stany Zjednoczone, 18974
- Abington Hematology Oncology Associates, Incorporated
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Philadelphia, Pennsylvania, Stany Zjednoczone, 19104
- University of Pennsylvania Cancer Center
-
Philadelphia, Pennsylvania, Stany Zjednoczone, 19106
- Pennsylvania Oncology Hematology Associates
-
Pittsburgh, Pennsylvania, Stany Zjednoczone, 15213
- University of Pittsburgh Cancer Institute
-
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Rhode Island
-
Providence, Rhode Island, Stany Zjednoczone, 02906
- Lifespan: The Miriam Hospital
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South Carolina
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Greenville, South Carolina, Stany Zjednoczone, 29615
- Cancer Centers of the Carolinas
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Greenville, South Carolina, Stany Zjednoczone, 27834
- Physicians East - Quadrangle
-
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Tennessee
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Chattanooga, Tennessee, Stany Zjednoczone, 37403
- Erlanger Health Systems
-
Knoxville, Tennessee, Stany Zjednoczone, 37901
- Baptist Regional Cancer Center - Knoxville
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Memphis, Tennessee, Stany Zjednoczone, 38119
- Memphis Cancer Center
-
Memphis, Tennessee, Stany Zjednoczone, 38117
- West Clinic
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Nashville, Tennessee, Stany Zjednoczone, 37232-6307
- Vanderbilt-Ingram Cancer Center
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Nashville, Tennessee, Stany Zjednoczone, 37205
- Tennessee Oncology, P.L.L.C.
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Texas
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Austin, Texas, Stany Zjednoczone, 78759
- Lone Star Oncology
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Dallas, Texas, Stany Zjednoczone, 75230
- Center for Oncology Research and Treatment, Medical City Hospital
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San Antonio, Texas, Stany Zjednoczone, 78205
- Baptist Health System Cancer Program
-
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Utah
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Salt Lake City, Utah, Stany Zjednoczone, 84112
- Huntsman Cancer Institute
-
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Virginia
-
Charlottesville, Virginia, Stany Zjednoczone, 22908
- Cancer Center at the University of Virginia
-
Fredericksburg, Virginia, Stany Zjednoczone, 22401
- Hematology-Oncology Associates of Frederiksburg, Inc.
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Washington
-
Seattle, Washington, Stany Zjednoczone, 98101
- Virginia Mason Medical Center
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Wisconsin
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Milwaukee, Wisconsin, Stany Zjednoczone, 53209
- Advanced Health Care
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Wausau, Wisconsin, Stany Zjednoczone, 54401
- UW Cancer Center Wausau Hospital
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Wyoming
-
Laramie, Wyoming, Stany Zjednoczone, 82070
- Irving Cancer Center
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-
-
-
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Budapest, Węgry, 1125
- National Institute of Oncology
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Budapest, Węgry, 1082
- Semmelweis University
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Budapest, Węgry, H-1032
- Fovarosi Onkormanyzat Szent Margit Korhaz, Okologia
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Budapest, Węgry, H-1097
- Szent Laszlo Korhaz
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Budapest, Węgry, H-1134
- Kozponti Honvedkorhaz I. Belgyogyaszat
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Debrecen, Węgry, H-4012
- Debreceni Egyetem Onkologiai Tanzek
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Gydr, Węgry, h-9024
- Petz Aladar County Hospital
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-
-
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England
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Guildford, England, Zjednoczone Królestwo, GU2 5XX
- St. Luke's Cancer Center
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London, England, Zjednoczone Królestwo, SE1 9RT
- Guy's and St. Thomas' Hospitals NHS Trust
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London, England, Zjednoczone Królestwo, W6 8RF
- Charing Cross Hospital
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London, England, Zjednoczone Królestwo, EC1A 7BE
- St. Bartholomew's Hospital
-
Maidstone, England, Zjednoczone Królestwo, ME16 9QQ
- Maidstone Hospital
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Manchester, England, Zjednoczone Królestwo, M20 4BX
- Christie Hospital N.H.S. Trust
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Plymouth, England, Zjednoczone Królestwo, PL6 8DH
- Derriford Hospital
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Sheffield, England, Zjednoczone Królestwo, S1O 2SJ
- Weston Park Hospital
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Sutton, England, Zjednoczone Królestwo, SM2 5PT
- Royal Marsden Hospital
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-
Scotland
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Aberdeen, Scotland, Zjednoczone Królestwo, AB25 2ZN
- Aberdeen Royal Infirmary
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
DISEASE CHARACTERISTICS:
- Histologically or cytologically confirmed adenocarcinoma of the colon or rectum
- Metastatic or recurrent disease that is not amenable to potentially curative treatment
- Progressive or recurrent disease during or after 1, and only 1, regimen of fluorouracil with or without leucovorin calcium or during or within 6 months after adjuvant chemotherapy with fluorouracil and leucovorin calcium
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- Karnofsky 50-100%
Life expectancy:
- Not specified
Hematopoietic:
- Absolute neutrophil count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
Hepatic:
- Bilirubin no greater than 1.5 times upper limit of normal (ULN)
- SGOT/SGPT no greater than 2 times ULN (no greater than 5 times ULN if liver metastases present)
- Alkaline phosphatase no greater than 2 times ULN (no greater than 5 times ULN if liver metastases present)
Renal:
- Creatinine no greater than 1.5 times ULN
Cardiovascular:
- No unstable angina
- No New York Heart Association class III or IV congestive heart failure
- No serious cardiac arrhythmia
- No history of cardiac toxicity from fluorouracil/leucovorin calcium
- No myocardial infarction within past 6 months
Pulmonary:
- No interstitial pneumonia or extensive and symptomatic fibrosis of the lung
Other:
- No uncontrolled predisposing colonic or small bowel disorder
- No prior chronic enteropathy, chronic diarrhea, or unresolved bowel obstruction/subobstruction
- No diabetes
- No active infection
- No known current peripheral neuropathy
- No concurrent active cancer except curatively treated nonmelanoma skin cancer or carcinoma in situ of the cervix
- No intolerance of appropriate antiemetics
- No history of anaphylaxis or potential intolerance to atropine sulfate or loperamide
- Not pregnant or nursing
- Negative pregnancy test
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- See Disease Characteristics
- At least 3 weeks since prior chemotherapy
- No prior irinotecan or oxaliplatin
- No other prior chemotherapy agents except fluorouracil with or without leucovorin calcium as first-line therapy for metastatic disease or in the adjuvant setting
Endocrine therapy:
- Not specified
Radiotherapy:
- Prior radiotherapy to non-target lesions allowed
- No prior radiotherapy to target lesions unless disease progression is documented within the radiation port
- At least 3 weeks since prior radiotherapy
Surgery:
- At least 4 weeks since prior major surgical procedure and recovered
- Prior surgery for primary tumor or metastasis allowed
Other:
- At least 30 days since prior investigational drug
- No concurrent investigational agents
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Maskowanie: Brak (otwarta etykieta)
Współpracownicy i badacze
Sponsor
Śledczy
- Krzesło do nauki: Daniel G. Haller, MD, Abramson Cancer Center of the University of Pennsylvania
Publikacje i pomocne linki
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów
Ukończenie studiów (Rzeczywisty)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Oszacować)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Oszacować)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Choroby Układu Pokarmowego
- Nowotwory
- Nowotwory według lokalizacji
- Nowotwory przewodu pokarmowego
- Nowotwory Układu Pokarmowego
- Choroby przewodu pokarmowego
- Choroby okrężnicy
- Choroby jelit
- Nowotwory jelit
- Choroby odbytu
- Nowotwory jelita grubego
- Molekularne mechanizmy działania farmakologicznego
- Inhibitory enzymów
- Środki przeciwnowotworowe
- Inhibitory topoizomerazy
- Inhibitory topoizomerazy I
- Oksaliplatyna
- Irynotekan
Inne numery identyfikacyjne badania
- CDR0000068524
- SANOFI-EFC4585
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