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临床试验/NCT04499586
NCT04499586Unknown2 期

A Phase II Trial of Radiotherapy Combined With Raltitrexed and Irinotecan(CPT-11) in Patients With Metastatic or Locally Recurrent Colorectal Cancer

Fudan University1 个研究点 分布在 1 个国家目标入组 30 人开始时间: 2019年1月1日最近更新:
适应症

试验速览

阶段
2 期
入组人数
30
试验地点
1
主要终点
ORR(Objective Response Rate) includes CR(Complete Rate) and PR(Partial Rate)

研究概览

简要总结

The study evaluates the effectiveness of radiotherapy combined with raltitrexed and irinotecan in treating patients who have metastatic or locally recurrent colorectal cancer that has not responded to fluorouracil. The patients will receive radiotherapy combined with raltitrexed and irinotecan, and then the surgeons will evaluate whether they should receive a surgery.

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

  • Histologically proven metastatic, advanced, or locally recurrent fluorouracil (5-FU) and oxaliplatin refractory adenocarcinoma of the colon or rectum; Progression of disease within 6 months of receiving adjuvant 5-FU and oxaliplatin chemotherapy OR Progression of disease during or following completion of 5-FU and oxaliplatin chemotherapy for metastatic disease
  • Evaluable lesions with indications of radiotherapy
  • No other metastatic lesions in the radiation field
  • Karnofsky Performance Status>=70
  • UGT1A1*28 6/6 or 6/7
  • Subject blood routine and biochemical indicators meet the following criteria: hemoglobin ≥ 90g / L; absolute neutrophil count (ANC) ≥ 1.5 × 109 / L; Alanine transaminase (ALT), aspartate aminotransferase (AST) ≤ 2.5 times the upper limit of normal; alkaline phosphatase (ALP) ≤2.5 times the normal upper limit; serum total bilirubin <1.5 times the normal upper limit; serum creatinine <1 times the normal upper limit; serum albumin ≥ 30g / L
  • Able to follow the protocol during the study period
  • Sign the inform consent

排除标准

  • Pregnant or breastfeeding women
  • If there is an uncontrolled history of epilepsy, central nervous system disease or mental disorder, the investigator may determine that the clinical severity may hinder the signing of informed consent or affect the patient's oral medication compliance.
  • Clinically severe (ie, active) heart disease, such as symptomatic coronary heart disease, New York Heart Association (NYHA) class II or more severe congestive heart failure or severe arrhythmia requiring medication intervention (see appendix 12), or a history of myocardial infarction in the last 12 months
  • Organ transplantation requires immunosuppressive therapy
  • Severe uncontrolled recurrent infections, or other serious uncontrolled concomitant diseases
  • Anyone who is allergic to any research medication

结局指标

主要结局

ORR(Objective Response Rate) includes CR(Complete Rate) and PR(Partial Rate)

时间窗: 20 weeks

次要结局

  • PFS(Progression Free Survival)(24 months)
  • the morbidity of hematological adverse events and diarrhea as assessed by CTCAE v4.0(20 weeks)
  • DCR(Disease Control Rate)(20 weeks)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Zhu Ji

professor

Fudan University

研究点 (1)

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