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A Trial of Neoadjuvant FOLFOX6 With Short Course Radiotherapy in Patients With Unresectable Rectal Cancer and Liver Metastasis

Phase 2
Completed
Conditions
Rectal Cancer
Registration Number
NCT01269229
Lead Sponsor
Yonsei University
Brief Summary

The purpose of this study is the increase of resection rate of primary cancer in rectal after short course radiotherapy without interrupt chemotherapy schedule during the period of chemotherapy. The subject should have the pathologically confirmed for unresectable (impossible to try Total mesorectal excision) rectal cancer with liver metastasis.

This trial contributes to save the time for decreasing primary tumor in rectal and metastasis cancer to whole body after short course radiotherapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
32
Inclusion Criteria
  • Subject whom should have the pathologically confirmed for unresectable (impossible to try Total mesorectal excision) rectal cancer with liver metastasis.
  • Over 18 years
  • ECOG 0-1
  • Proper organ function (hepatic transaminases : < ULN ⅹ5, Bilirubin: < ULNⅹ2, creatinine (serum): < ULNⅹ 1.5, PLT > 100,000Ul, ANC > 1,500/Ul
  • more than one target lesion (standard by RECIST 1.0)
  • Who should sign on the Informed consent form before participate the trial.
Exclusion Criteria
  • Metastasis in other organ except liver (No matter whether have resection or not)
  • Chronic active hepatitis or cirrhosis
  • History of treatment for colorectal cancer
  • Subject pregnant or breast feeding
  • Uncontrolled disease (eg. infection, hypertension, heart failure, Myocardial Infarction within 6months)
  • Have been used FOLFOX as an adjuvant therapy
  • Have had adjuvant therapy within 6months
  • Uncontrolled peripheral nerve infection
  • Alcoholic or drug addict
  • Subject currently is enrolled in or ≤30 days from ending other clinical trial.
  • History of other type of cancer except resolved from skin cancer and cervical cancer.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
complete resection (R0) rate for rectal and liver lesions.after surgical resection

Complete resection (R0 resection) is defined as no residual cancer cells in the resection margn both primary recal mass and liver metastases after simultaneous surgical resection.

Secondary Outcome Measures
NameTimeMethod
Overall survival rateparticipants will be followed until death
Response rate (RECIST V1.0)every 4 cycles
Toxicity profileparticipants will be followed until disease progression or death
Progression free survival timeparticipants will be followed until disease progression or death

Trial Locations

Locations (1)

Severance Hospital

🇰🇷

Seoul, Korea, Republic of

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