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临床试验/NCT06648785
NCT06648785Enrolling By Invitation2 期

Modified Capecitabine and Oxaliplatin (mCAPOX) for Patients With GI Malignancies

University of Vermont Medical Center2 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2024年10月21日最近更新:
适应症
干预措施

试验速览

阶段
2 期
状态
Enrolling By Invitation
入组人数
20
试验地点
2
主要终点
Tolerability

研究概览

简要总结

This study is a single arm, non-randomized feasibility study with tolerability and toxicity evaluation as primary endpoints which seeks to determine if a modified administration schedule of capecitabine with oxaliplatin will result in less toxicity than standard FOLFOX or CAPOX regimens.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patient with GI malignancy
  • Provider plans non-curative intent treatment with either CAPOX or FOLFOX (mFOLFOX6) at standard dosages for >3 months NOTE: Patient is not required to have radiologically measurable disease. NOTE: Planned administration of other anti-cancer medications (eg bevacizumab, epidermal growth factor receptor antibodies, immunotherapy, tyrosine kinase inhibitors) is allowed.

排除标准

  • Patients not meeting standard hematologic parameters for chemotherapy administration as follows:
  • Absolute neutrophil count (ANC) ≥ 1500
  • Platelet count ≥ 100,000 Patients not meeting standard liver function parameters for chemotherapy administration as follows:
  • AST ≤ 5x ULN
  • ALT ≤ 5X ULN
  • Total Bilirubin ≤ 1.5X ULN Patients not meeting standard renal function parameters for chemotherapy administration as follows:
  • Serum Creatinine ≤ 1.2 or creatinine clearance ≥ 30 ml/min NOTE: Planned administration of another cytotoxic chemotherapy (eg irinotecan) is an exclusion.

研究组 & 干预措施

Modified administration schedule of capecitabine with oxaliplatin

Experimental
  • Oxaliplatin (85mg/m2), will be administered IV every 2 weeks
  • Capecitabine (1000mg/m2) will be given twice daily, administered orally (PO) for 7 days, followed by 7 days with no capecitabine Cycles will repeat every 14 days.

干预措施: oxaliplatin (Drug)

Modified administration schedule of capecitabine with oxaliplatin

Experimental
  • Oxaliplatin (85mg/m2), will be administered IV every 2 weeks
  • Capecitabine (1000mg/m2) will be given twice daily, administered orally (PO) for 7 days, followed by 7 days with no capecitabine Cycles will repeat every 14 days.

干预措施: Fluoropyrimidine (Drug)

结局指标

主要结局

Tolerability

时间窗: 115 days

Number of toxicity-related treatment delays Number of dose reductions

Toxicity

时间窗: 115 days

Severity of acute oxaliplatin reactions, graded 1-4

Neuropathy

时间窗: 2-4 months after therapy

Neuropathy will be graded 1-4 after 2 \&4 months of severity

Cytopenias

时间窗: 115 days

Frequency of cytopenia grade 3 or higher.

次要结局

  • Tumor response(115 days)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Randall F Holcombe

Director-Faculty

University of Vermont Medical Center

研究点 (2)

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