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Full dose S1 compared to reduced dose S-1/oxaliplatin. First-line treatment for older patients with metastic colorectal cancer.

Conditions
Treatment of older (= 70 years) patients with metastatic colorectal cancer
MedDRA version: 17.0Level: PTClassification code 10052358Term: Colorectal cancer metastaticSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2014-000394-39-NO
Lead Sponsor
Odense University Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
150
Inclusion Criteria

•Age = 70 years
•Histologically verified colorectal adenocarcinoma
•Non-resectable mCRC (ESMO group 2 or 3).
•NOT fit for full dose standard combination chemotherapy as considered by the treating physican.
•Measurable or non-measurable disease.
•Performance status (WHO) of 0-2 and a life expectancy of at least 3 months.
•No prior chemotherapy except adjuvant fluoropyrimidine therapy completed more than 180 days before randomization.
•Adequate haematological function defined as ANC ? 1.5 x 109/l and platelets = 100 x 109/l.
•Adequate organfunction (bilirubin = 1.5 x UNL (upper normal limit), GFR (may be calculated) > 30 ml/min.
•Written informed consent must be obtained according to the local Ethics Committee requirements.

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) no
F.1.2.1 Number of subjects for this age range 0
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 150

Exclusion Criteria

•Prior history of cancer, except cervix in situ carcinoma, in situ urothelial carcinoma or previously treated and cured skin basocellular, and any other cancer in complete remission for at least 2 years.
•Any other condition or therapy, which in the investigator’s opinion may pose a risk to the patient or interfere with the study objectives.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: Progression-free survival (PFS);Secondary Objective: Time-to failure of strategy (TFS)<br>Overall survival (OS)<br>Response rate (RR) according to RECIST criteria version 1.1<br>Toxicity<br>EORTC QLQ-C30<br>”Easy Geriatric Assessment” (Barthel-index, Timed Up and Go (TUG) and Grip Strength, Co-morbidity (Charlson index)<br>Comprehensive Geriatric Assessment in selected patients/institutions<br>Correlation between tumormarkers and outcome<br>;Primary end point(s): Progression-free survival ;Timepoint(s) of evaluation of this end point: 30 months
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): Overall survival <br>Toxicity;Timepoint(s) of evaluation of this end point: 30 months<br>30 months
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