Neoadjuvant Chemotherapy and Biological Treatment for Patients With Locally Advanced Colon Cancer
Overview
- Phase
- Phase 2
- Intervention
- Oxaliplatin
- Conditions
- Colon Cancer
- Sponsor
- Vejle Hospital
- Enrollment
- 76
- Locations
- 3
- Primary Endpoint
- The frequency of patients requiring adjuvant chemotherapy based on the histological evaluation of the preparation from the operation.
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
This study will investigate
- the effect of preoperative combination chemotherapy in patients with locally advanced colon cancer with mutation in the KRAS, BRAF or PIK3CA gene
- the effect of preoperative combination chemotherapy in combination with biological treatment in patients without mutation in the KRAS, BRAF or PIK3CA gene.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Histologically verified locally advanced T3 or T4 colon cancer assessed by CT scan
- •Analysis of KRAS, BRAF, PIK3CA
- •Age ≥18 år
- •Performance status ≤ 2
- •Hematology
- •ANC ≥ 1.5x10\^9/l. Thrombocytes ≥ 100x10\^9/l.
- •Biochemistry
- •Bilirubinaemia ≤ 3 x UNL. ALAT ≤ 5 x UNL
- •Consent to translational research
- •Fertile women must present a negative pregnancy test and use secure birth control during and 3 months after treatment.
Exclusion Criteria
- •Clinically significant cardiovascular disease (including myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) ≤ 1 year before enrollment, active severe infections or other concurrent disease.
- •Peripheral neuropathy NCI grade \>1
- •Other malignant disease within 5 years prior to enrollment, except basal cell squamous carcinoma of the skin and cervical carcinoma-in-situ
- •Other investigational treatment within 30 days prior to treatment start
- •History of interstitial lung disease e.g. pneumonitis or pulmonary fibrosis or evidence of interstitial lung disease on baseline chest CT scan.
- •Bleeding tumors
- •Hypersensitivity to one or more of the substances
Arms & Interventions
Chemotherapy only
Chemotherapy only, if mutations in KRAS, BRAF or PIK3CA gene
Intervention: Oxaliplatin
Chemotherapy only
Chemotherapy only, if mutations in KRAS, BRAF or PIK3CA gene
Intervention: Capecitabine
Chemotherapy + biological treatment
Addition of biological treatment, if no mutations in KRAS, BRAF, and PIK3CA genes.
Intervention: Oxaliplatin
Chemotherapy + biological treatment
Addition of biological treatment, if no mutations in KRAS, BRAF, and PIK3CA genes.
Intervention: Capecitabine
Chemotherapy + biological treatment
Addition of biological treatment, if no mutations in KRAS, BRAF, and PIK3CA genes.
Intervention: Panitumumab
Outcomes
Primary Outcomes
The frequency of patients requiring adjuvant chemotherapy based on the histological evaluation of the preparation from the operation.
Time Frame: Within 1 week after surgery
Secondary Outcomes
- Recurrence free survival(Up to 2 years.)
- Overall survival(Up to 2 years.)