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临床试验/NCT05179889
NCT05179889Enrolling By Invitation2 期

mFOLFIRINOX Versus mFOLFOX 6 as Adjuvant Treatment for High Risk Stage III (pT4N1/2 or pTanyN2) Colon Cancer: Multicenter, Open Labeled, Randomized, Phase II Study

Chungnam National University Hospital1 个研究点 分布在 1 个国家目标入组 308 人开始时间: 2021年7月6日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
Enrolling By Invitation
入组人数
308
试验地点
1
主要终点
Disease free survival (DFS)

研究概览

简要总结

A multicenter, open labeled randomized, phase II trial comparing mFOLFIRINOX and mFOLFOX6 as adjuvant treatment for high risk stage III (pT4N1/2 or pTanyN2) colon cancer

详细描述

After inclusion and exclusion criteria have been fulfilled and the patient consent has been obtained, the patient will be included and randomized to mFOLFIRINOX or mFOLFOX 6 with a 1:1 ratio.

Arm A: mFOLFIRINOX Arm B: mFOLFOX

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
20 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age of 20-70 years with an ECOG ≤ 2
  • Age of 71-75 years with an ECOG = 0
  • Pathologically confirmed high-risk stage III colon adenocarcinoma (pT4N1 or pTanyN2)
  • Curative radical resection (successful R0 resection) within 60 days before randomization
  • Adequate organ functions
  • ANC ≥ 2×106 cells/mL
  • Hemoglobin ≥ 9.0 g/dL
  • Platelets ≥ 100×106 cells/mL
  • Alanine aminotransferase/aspartate aminotransferase ≤2.5 × times the upper limit of normal (ULN)
  • Serum total bilirubin ≤ 1.5 ULN
  • Alkaline phosphatase ≤ 2.5 × ULN
  • Serum creatinine ≤1.5 × ULN or creatinine clearance > 50 mL/min (Cockcroft-Gault formula)
  • Able to understand and willing to sign and date written voluntary informed consent form
  • Life expectancy ≥ 5 years

排除标准

  • Distant metastasis
  • Middle or lower rectal cancer of need for radiotherapy
  • Postoperative complication of 3 or more grades of Clavien-Dindo classification
  • Underlying disease or postoperative condition which is contraindication for chemotherapy
  • Known hypersensitivity reaction to any study treatment component
  • Familial adenomatosis polyposis or hereditary non-polyposis colorectal cancer
  • Inflammatory bowel disease
  • Previous other malignancy which cannot be curatively treated
  • Pregnancy or breast feeding
  • Any other situation would exclude the patient from study based on the investigator's opinion

研究组 & 干预措施

Arm A

Experimental

mFOLFIRINOX

干预措施: mFOLFIRINOX (Drug)

Arm B

Active Comparator

mFOLFOX 6

干预措施: mFOLFOX 6 (Drug)

结局指标

主要结局

Disease free survival (DFS)

时间窗: 3 years after the operation

the time from the date of operation to the date of the first recurrence or the death from any cause

次要结局

  • Overall survival (OS)(3 years after the operation)
  • Incidence of treatment-related adverse events(3 years after the operation)

研究者

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

Kyung-ha Lee

Associate professor

Chungnam National University Hospital

研究点 (1)

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