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临床试验/NCT00220051
NCT00220051已完成2 期

A Phase II Study of Oxaliplatin (Eloxatin) Capecitabine (Xeloda) and Pre-operative Radiotherapy for Patients With Locally Advanced and Inoperable Rectal Cancer.

Royal Marsden NHS Foundation Trust0 个研究点目标入组 109 人开始时间: 2001年11月1日最近更新:
适应症
相关药物

试验速览

阶段
2 期
状态
已完成
入组人数
109
主要终点
Pathological complete response rate.

研究概览

简要总结

To assess the efficacy and safety of pre-operative capecitabine and oxaliplatin followed by capecitabine with concurrent radiotherapy followed by post-operative capecitabine in the treatment of patients with locally advanced or inoperable rectal cancer.

研究设计

研究类型
Interventional
分配方式
Non Randomized
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

  • Histological diagnosis of adenocarcinoma of rectum.
  • Locally advanced/ poor prognosis primary rectal cancer defined by MRI criteria of any of the categories below;
  • Tumour within 2 mm of mesorectal fascia ie circumferential resection margin threatened
  • Any T3 tumour at/below levatores
  • T3c tumour at any other level ie tumour extends >5 mm into peri-rectal fat
  • T4 tumour
  • Any T stage with 4 or more involved lymph nodes
  • WHO performance status 0, 1 or
  • No evidence of metastatic disease as determined by CT scan of chest, abdomen, pelvis or other investigations such as PET scan or biopsy if required.
  • Adequate bone marrow function with platelets > 100 X 109/l; WBC > 3 X 109/l; neutrophils > 1.5 X 109/l
  • Normal renal function, with serum creatinine within the normal range or calculated creatinine clearance >50 ml/min.
  • Adequate hepatic function with serum total bilirubin < 1.5 X upper limit of normal range.
  • No concurrent uncontrolled medical conditions
  • No previous malignant disease other than non-melanotic skin cancer or carcinoma in situ of the uterine cervix
  • Adequate contraceptive precautions if relevant
  • Informed written consent

排除标准

  • Medical or psychiatric conditions that compromise the patient's ability to give informed consent
  • Presence of metastatic disease or recurrent rectal tumour
  • Renal impairment (creatinine clearance<30 ml/min)
  • Pregnancy or breast feeding
  • Patients with a lack of physical integrity of the upper gastrointestinal tract, or known malabsorption syndromes
  • Participation in any investigational drug study within the previous 4 weeks.
  • Clinically significant (i.e. active) cardiac disease (e.g. congestive heart failure, symptomatic coronary artery disease and cardiac arrhythmia even if controlled with medication) or myocardial infarction within the last 12 months)
  • Patients with any symptoms or history of peripheral neuropathy.
  • Prior pelvic radiotherapy

结局指标

主要结局

Pathological complete response rate.

Acute toxicity has been evaluated in previous phase I studies and should occur to a similar extent.

次要结局

  • Progression-free survival
  • Treatment related toxicity
  • Overall survival
  • Radiological response rate
  • Proportion of patients achieving pathological down staging compared with the pre-treatment MRI scan
  • Surgical complications
  • Bowel function and quality of life

研究者

申办方类型
Other
责任方
Sponsor

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