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Clinical Trials/NCT01227239
NCT01227239
Unknown
Phase 1

A Phase I/II Study of S-1 and Oxaliplatin Combined With Radiation for Preoperative Locally Advanced Rectal Carcinoma. (SHOGUN Trial)

Japan Clinical Cancer Research Organization6 sites in 1 country45 target enrollmentSeptember 2010

Overview

Phase
Phase 1
Intervention
S-1
Conditions
Rectal Carcinoma
Sponsor
Japan Clinical Cancer Research Organization
Enrollment
45
Locations
6
Primary Endpoint
Phase I: Determine the Recommended dose (RD)
Last Updated
13 years ago

Overview

Brief Summary

The purpose of this study is to assess the safety and efficacy of S-1 and oxaliplatin combined with radiation by Phase I/II study.

The purpose of this study is as follows,

  • In phase I, to determine the dose limiting toxicities (DLTs) and the maximum tolerated dose (MTD).
  • In phase II, to evaluate the antitumor effect (pCR rate) and the safety .
Registry
clinicaltrials.gov
Start Date
September 2010
End Date
August 2016
Last Updated
13 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Eligibility Criteria

Inclusion Criteria

  • Patients with confirmed locally advanced and non-metastatic rectal adenocarcinoma (clinical stage T3, anyN or T4, anyN)
  • Possible to R0 resection
  • Received no prior therapy
  • Performance status (ECOG) 0-1
  • Normal organ and marrow function.
  • Sufficient oral intake

Exclusion Criteria

  • History of serious allergic reaction
  • Patients without serious complications such as sensory neurotoxicity or serious diarrhea (with watery stool).
  • Female with pregnancy or lactation
  • Have another malignancy in the past 5 years except early stage other cancer that cure by local treatment

Arms & Interventions

1

Intervention: S-1

1

Intervention: Oxaliplatin

1

Intervention: Radiation

Outcomes

Primary Outcomes

Phase I: Determine the Recommended dose (RD)

Time Frame: 10 weeks

Based on the incidence of dose-limited toxicities(DLT), the RD is determined from 4 test levels

Phase II: pathological complete response rate

Time Frame: 12-16 week

Pathological complete response(pCR) rate is calculated by numbers of pCR cases (grade 3) devided the number of subjected cases.

Secondary Outcomes

  • R0 resection rate(12-16 weeks)
  • down staging rate(12-16 weeks)
  • local reccurence rate(3 years)
  • desease free survuval(3 years)
  • safety(16-20 weeks)

Study Sites (6)

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