Phase II Study of Irinotecan,Oxaliplatin Plus TS-1 in Untreated Metastatic Colorectal Cancer
Phase 2
- Conditions
- Colorecal NeoplasmsSecondary
- Registration Number
- NCT00506571
- Lead Sponsor
- National Cancer Center, Korea
- Brief Summary
Patients will be treated with irinotecan (150 mg/m2) followed by oxaliplatin (85 mg/m2) on day 1 and S-1 (80 mg/m2/day) from day 1 to 14 every 3 weeks. Patients will receive up to a planned treatment of maximum 12 cycles of chemotherapy. Response assessment will be performed every 2 cycles of chemotherapy.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 42
Inclusion Criteria
- Histologically confirmed unresectable or metastatic colorectal cancer, not amenable to surgery or radiation treatment for curative intent
- At least one unidimensional measurable lesion
- ECOG performance status 0-2.
- No prior chemotherapy in metastatic settings, but adjuvant or neo-adjuvant treatment for non-metastatic (M0) disease is allowed if completed at least 6 months prior to initiation of study treatment
- Adequate major organ functions
- Give written informed consent
Exclusion Criteria
- Prior systemic chemotherapy for metastatic disease
- Prior treatment with oxaliplatin or irinotecan
- Prior radiotherapy is permitted if it was not administered to target lesions selected for this study and provided it has been completed at least 4 weeks before registration
- Prior surgical treatment of stage IV disease is permitted
- CNS metastases
- Prior history of peripheral neuropathy ≥ NCI CTC grade 1
- Uncontrolled or severe cardiovascular disease
- Serious concurrent infection or nonmalignant illness
- Other malignancy within the past 3 years except cured non-melanomatous skin cancer or carcinoma in situ of the cervix
- Organ allografts requiring immunosuppressive therapy
- Psychiatric disorder or uncontrolled seizure that would preclude compliance
- Pregnant, nursing women or patients with reproductive potential without contraception
- Patients receiving a concomitant treatment with drugs interacting with S-1 such as flucytosine, phenytoin, or warfarin et al.
- Prior unanticipated severe reaction to fluoropyrimidine therapy, or known dihydropyrimidine dehydrogenase (DPD) deficiency
- Known hypersensitivity to platinum compounds or any of the components of the study medications
- Major surgery within 3 weeks prior to study treatment starts, or lack of complete recovery from the effects of major surgery
- Received any investigational drug or agent/procedure, i.e. participation in another trial within 4 weeks before beginning treatment with study drug
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Maximal overall response rate During chemotherapy
- Secondary Outcome Measures
Name Time Method Progression-free survival, Overall survival, Toxicity assessment, & Pharmacokinetic characteristics and association with genetic polymorphism
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie the synergy of irinotecan, oxaliplatin, and S-1 in NCT00506571 metastatic colorectal cancer therapy?
How does the irinotecan/oxaliplatin plus S-1 regimen compare to standard FOLFOX or FOLFIRI in untreated metastatic colorectal cancer outcomes?
Which biomarkers correlate with response to irinotecan, oxaliplatin, and S-1 combination therapy in RAS wild-type metastatic colorectal cancer patients?
What are the most common adverse events and management strategies for the irinotecan/oxaliplatin plus S-1 regimen in NCT00506571?
Are there alternative fluoropyrimidine-based combinations to S-1 with irinotecan and oxaliplatin for metastatic colorectal cancer treatment?
Trial Locations
- Locations (1)
National Cancer Center Korea
🇰🇷Goyang, Gyeonggi, Korea, Republic of
National Cancer Center Korea🇰🇷Goyang, Gyeonggi, Korea, Republic ofKyung Hae Jung, M.D.Ph.DContact+82-31-920-1611khjung@ncc.re.krHwa Jeong KimContact+82-31-920-1145ncccoloonco@hanmail.netYong Sang Hong, M.D.Sub InvestigatorSun Young Kim, M.D.Sub InvestigatorHye Suk Han, M.D.Sub InvestigatorSeung-Yong Jeong, M.D.Ph.DSub InvestigatorHyo Seong Choi, M.D.Sub InvestigatorSeok-Byung Lim, M.D.Sub InvestigatorHee Jin Chang, M.D.Ph.D.Sub InvestigatorJun Yong Jeong, M.D.Sub Investigator