Phase III Randomized Study of Intensive Adjuvant Chemotherapy for Resected Colon Cancer at High Risk of Recurrence
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- UNICANCER
- 试验地点
- 30
研究概览
简要总结
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. It is not yet known if combination chemotherapy is more effective with or without irinotecan in treating colon cancer.
PURPOSE: Randomized phase III trial to compare the effectiveness of combination chemotherapy with or without irinotecan in treating patients who have stage III colon cancer.
详细描述
OBJECTIVES:
- Compare the effect of leucovorin calcium and fluorouracil with or without irinotecan on the 3 year survival rate and overall survival of patients with resected node positive colon cancer at high risk of recurrence.
- Compare toxicities of these regimens in these patients.
- Compare quality of life of these patients.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to center, disease type (occlusion vs perforation vs N2 only), delay between surgery and chemotherapy (28 days or less vs over 28 days), and age (under 65 vs 65 and over). Patients are randomized to one of two treatment arms.
- Arm I: Patients receive leucovorin calcium IV over 2 hours and fluorouracil IV over 22 hours on days 1 and 2.
- Arm II: Patients receive irinotecan IV over 90 minutes on day 1 followed by leucovorin calcium and fluorouracil as in arm I.
Treatment repeats every 14 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 主要目的
- Treatment
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •DISEASE CHARACTERISTICS:
- •Histologically proven stage III adenocarcinoma of the colon that has been curatively resected within past 42 days
- •No metastatic disease
- •Node positive
- •No more than 4 nodes affected (Tx, N2, M0) AND/OR
- •N1 or N2 with perforation and/or occlusion
- •No prior rectal cancer within 10 cm of anal margin or that was treated with preoperative radiotherapy
- •No prior inflammatory disease of the intestine
- •PATIENT CHARACTERISTICS:
- •Performance status:
- •Not specified
- •Life expectancy:
- •Not specified
- •Hematopoietic:
- •Neutrophil count at least 2,000/mm3
- •Platelet count at least 100,000/mm3
- •Bilirubin less than 1.25 times upper limit of normal (ULN)
- •SGOT and SGPT less than 3 times ULN
- •Alkaline phosphatase less than 3 times ULN
- •Not specified
- •Cardiovascular:
- •No myocardial infarction within past 6 months
- •No insufficient cardiac function
- •No other serious medical illness
- •No active infection
- •No other malignancy except skin cancer or carcinoma in situ of the cervix
- •No psychological or social condition that would preclude study
- •Fertile patients must use effective contraception
- •PRIOR CONCURRENT THERAPY:
- •Biologic therapy:
- •Not specified
- •Chemotherapy:
- •Not specified
- •Endocrine therapy:
- •Not specified
- •Radiotherapy:
- •See Disease Characteristics
- •See Disease Characteristics
- •No prior extensive intestinal resection
排除标准
- 未提供