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Phase 1 trial of neoadjuvant chemotherapy with S1 plus radiation in patients with locally advanced rectal cancer

Not Applicable
Conditions
rectal cancer
Registration Number
JPRN-UMIN000003382
Lead Sponsor
Toho University School of Medicine
Brief Summary

All patients achieved the planned 45 gray of radiation therapy There was no grade 3 toxicity The recommended dose of S-1 was determined to be 80 mg/day The dose intensity of S-1 was well maintained and the combination of S-1 plus radiation therapy was well tolerated by all patients Sphincter preserving procedures were possible in all but one (89%) patient High rates of tumor shrinkage and nodular downstaging were achieved The histological response rate was 78% including one complete response

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
12
Inclusion Criteria

Not provided

Exclusion Criteria

1.Impossible to receive TS-1 contained chemotherapy 2.Recieving the radiation therapy in a pelvis 3.Infection 4.Serious complications 5.Myocardial infarction within the last 6 months, previous serious medical illness or allergy for drug 6.Multiple malignancies 7. Pleural effusion or ascites requiring 8.Current or previous Brain metastasis 9.Diarrhea(watery stool) 10.Fresh bleeding of digestive organs 11.Need to treatment with flucytosine, atazanavir sulfate, or warfalin 12.Evidence of psychiatric disability interfering with enrollment to clinical trial 13.Pregnant or lactating women, women who are capable of pregnancy or intend to get pregnant 14.Man of wanting child 15.Need Systemically administration of corticosteroids 16.Patients judged inappropriate for this study by the physicians

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Maximum tolerated dose Recommended dose
Secondary Outcome Measures
NameTimeMethod
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