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临床试验/NCT05111860
NCT05111860招募中1 期

Efficacy and Safety of Neoadjuvant Bevacizumab + Chemotherapy Combined With Short-course Radiotherapy for RAS Mutant-type Locally Advanced Rectal Cancer

Shanghai Minimally Invasive Surgery Center1 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2022年11月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
招募中
发起方
入组人数
20
试验地点
1
主要终点
Peri-operative complications

研究概览

简要总结

Prospectively Investigate the effectiveness and safety of neoadjuvant Bevacizumab + chemotherapy (mFOLFOX6) combined with short-course radiotherapy (25Gy/5Fx) for RAS mutant-type locally advanced rectal cancer

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 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • A biopsy proven histological diagnosis of rectal adenocarcinoma;
  • An ARMS-PCR proven KRAS, NRAS mutation, excluding BRAF mutation or microsatellite instablility-High;
  • No intestinal obstruction, distant metastasis was excluded by CT, MRI or PET / CT;
  • MRI proven T3c-T4, CRM positive, N2, extramural vascular invasion positive or lateral lymph node positive of locally advanced rectal cancer;
  • Age between 18-75 years;
  • ECOG (Eastern US Cooperative Oncology Group) score: 0-1;
  • Has sufficient organ function:
  • Hemopoietic function: hemoglobin ≥ 90 g / L, platelet ≥ 80 g / L × 109 / L,
  • neutrophils ≥ 1.5 × 109/L
  • Liver function: ALT and AST < 2.5 × ULN;
  • Renal function: serum creatinine < 1.5 ULN;
  • Willing to participate and informed consent signed;

排除标准

  • An ARMS-PCR proven RAS wild type, BRAF mutation and microsatellite instablility-High;
  • Patients having undergone chemotherapy, radiotherapy or surgery for colorectal cancer;
  • Patients with other uncontrolled malignant tumors (except early-stage basal cell carcinoma or cervical carcinoma in situ) ;
  • Female patients who are pregnant or breastfeeding;
  • Patients with severe heart, liver, or kidney, or neurological or psychiatric disease;
  • Patients with active infection;
  • Poor overall health status, ECOG ≥ 2;
  • Patients with concomitant diseases that seriously endanger the safety of patients or affect the completion of the study in the judgment of the investigator;
  • Known hypersensitivity reactions to any investigational drugs;

研究组 & 干预措施

Group 1

Experimental

干预措施: Bevacizumab+mFOLFOX6 (Drug)

结局指标

主要结局

Peri-operative complications

时间窗: From the start of treatment to 3 months after surgery

Complications occurring in the perioperative period

次要结局

  • Pathological complete response rate(2 weeks after surgery)
  • 2-year local control rate(2 years)
  • Pathological response rate(2 weeks after surgery)
  • 2-year metastasis-free rate(2 years)
  • Overall survival(2 years)

研究者

发起方
Shanghai Minimally Invasive Surgery Center
申办方类型
Other
责任方
Sponsor

研究点 (1)

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