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临床试验/KCT0007169
KCT0007169招募中未知

Total neoadjuvant therapy with short-course radiotherapy versus long-course neoadjuvant chemoradiotherapy in locally advanced rectal cancer

Seoul National University Hospital0 个研究点目标入组 348 人开始时间: 待定最近更新:
适应症

试验速览

阶段
未知
状态
招募中
入组人数
348

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional Study

入排标准

年龄范围
19(Year) 至 80(Year)(—)
性别
All

入选标准

  • (1) Histologically diagnosed locally advanced rectal cancer (stage II/III)
  • (2) The distal border of the tumor located =10 cm from the anal verge
  • (3) Men and women aged 19-80 years
  • (4) No evidence of distant metastasis (including paraaortic LN, common & external iliac LN) on abdominal pelvic CT or chest CT scan
  • (5) ECOG performance =1 and be capable of activities for daily living
  • (6) American Society of Anesthesiologists (ASA) Physical Status Classification System Class I~II
  • (7) No history of any other systemic treatment (chemotherapy, immunotherapy) or radiotherapy for rectal cancer
  • (8) No history of intrapelvic radiotherapy
  • (9)The following investigation criteria should be satisfied:
  • Bone marrow function: absolute neutrophils =1,500/mm3, platelets =75,000/mm3
  • Liver function: bilirubin =2.0 X upper limit of normal, liver function enzymes level (AST/ALT) =2.5 X upper limit of normal
  • Renal function: creatinine =1.5 X upper limit of normal or renal filtration rate (Ccr, calculated using Cockcroft formula) =50 ml/min
  • (10) Patients who can comply with the study protocol for the duration of the study
  • (11) Patients who understand the study process and treatment plan and have signed the informed consent

排除标准

  • (1) Histological carcinoma other than rectal adenocarcinoma or adenocarcinoma arising from inflammatory bowel disease
  • (2) Suspected distant metastasis
  • (3) NCI CTC grade 1 or higher peripheral neuropathy
  • (4) Uncontrolled or severe cardiovascular disease, myocardial infarction within 6 months, NYHA grade 3 or higher heart failure, or uncontrolled angina
  • (5) Infection or other disease that is not currently controlled
  • (6) History of other malignancies within 5 years (except for cured superficial skin cancer or cervical carcinoma in situ)
  • (7) History of organ transplant requiring immunosuppressive therapy
  • (8) Uncontrolled epilepsy or psychosis
  • (9) Pregnant or lactating women, women of childbearing potential who do not intend to actively use contraception, or men who are planning pregnancy or do not intend to actively use contraception
  • (10) Cases required to continue concomitant treatment expected to interact with oxaliplatin, such as flucytosine, phenytoin, or warfarin
  • (11) Previous hypersensitivity to fluoropyrimidine agents or confirmed DPD deficiency
  • (12) Patients on tegafur, gimeracil, or oteracil potassium combinations or those who have stopped the administration of those drugs within 7 days
  • (13) Patients on sorivudine or brivudine
  • (14) Hypersensitivity to platinum, leucovorin, or capecitabine
  • (15) Patients with genetic problems such as galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption
  • (16) Participation in other clinical study within 4 weeks prior to the start of the study
  • (17) Patients treated with bevacizumab, cetuximab, oxaliplatin, or irinotecan prior to surgery

研究者

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