ITMCTR2100005329招募中1 期
TCM evidence-based capacity building and evidence-based implementation plan of TCM combined with chemotherapy in treatment of metastatic colorectal cancer:A bidirectional cohort study of Zhenqiliujun anti-cancer granules combined with mFOLFOX6/FOLFIRI regimen and bevacizumab/cetuximab in first-line treatment of advanced metastatic colorectal
Department of Oncology, Affiliated Hospital of Traditional Chinese Medicine, Southwest Medical University0 个研究点开始时间: 待定最近更新:
适应症
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 发起方
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional study
入排标准
- 性别
- All
入选标准
- •1. Diagnosis of advanced metastatic colorectal cancer by pathology and/or cytology (diagnosis of simultaneous metastasis and postoperative recurrence of atypical metastasis, previous adjuvant chemotherapy or radiotherapy with atypical metastasis for more than 3 months were included);
- •2. Aged 18 ~ 75 years(including boundary value), male or female;
- •3. ECOG PS score 0-2; [Zubrod-Ecog-Who (ZPS, 5-point method)];
- •4. Expected survival >= 3 months;
- •5. Subject has a measurable target lesion examined by CT or MRI or PET-CT according to RECIST 1.1 criteria;
- •6. Signed the informed consent.
排除标准
- •1. Prepare for tumor immunotherapy and/or radiation therapy;
- •3. Patients with unstable brain metastases with cerebral edema;
- •4. Pregnant and lactating women and patients of reproductive age who do not want to take contraceptive measures;
- •5. Patients with mental illness or low intelligence;
- •6. Known allergy or intolerance to the study drug;
- •(1) Absolute neutrophils count (ANC) < 1.5 x 10^9/L, or platelet count (PLT) < 100 x 10^9/L, or hemoglobin < 90g/L; Blood transfusion was not allowed within 1 week before enrollment; 2. Serum total bilirubin > 1.5 x upper normal limit (ULN); AST(SGOT)/ALT(SGPT) > 2.5 x upper normal limit, >= 5 times upper normal limit if it is clearly attributed to liver metastasis; 3. Creatinine clearance rate < 50mL/min; Clinically significant electrolyte abnormalities; Urine protein test results >= 2+ or urine protein volume >= 1.0g/24h); Cardiac function grade III-IV (NYHA grading).
- •8. Has been in the past 4 weeks or is participating in other clinical trials;
- •9. Failure to recover from the toxicity of previous anticancer therapy (NCICTCCAE > grade 1, including oxaliplatin induced hair loss and neurotoxicity <= 2), failure to fully recover from previous surgery, or the duration of previous anticancer therapy or surgery is less than 4 weeks;
- •10. Subjects with clinically detectable second primary malignancies or other malignancies within the last 5 years at the time of enrollment (excluding adequately treated basal cell carcinoma of the skin or carcinoma in situ of the cervix);
- •11. Clinically uncontrolled active infections, such as acute pneumonia, active hepatitis B, hepatitis B, etc. (previous history of hepatitis B virus infection, with or without drug control, HBV DNA >= 10^4 copies /ml or >= 2000IU/ ml);
- •12. Difficulty swallowing or malabsorption of medication;
- •13. Coagulation dysfunction, bleeding tendency or obvious bleeding history after receiving anticoagulant therapy;
- •14. Arterial/venous thromboembolic events, such as cerebrovascular accidents (including transient ischemic attack), occurred within 12 months prior to initial treatment.
- •15. Acute myocardial infarction, acute coronary syndrome, or coronary bypass grafting within 6 months prior to initial treatment;
- •16. A fracture or wound remains unhealed for a long time;
- •17. Patients with brain metastases, digestive tract diseases, peritoneal and mesenteric diseases, and nervous system diseases that can cause non-chemotherapy-related nausea and vomiting;
- •18. Nausea and vomiting within 24 hours before chemotherapy;
- •19. Complications include one of the following symptoms: uncontrolled hypertension (uncontrolled hypertension with monotherapy, i.e., systolic blood pressure > 140mmHg or diastolic blood pressure >90mmHg after monotherapy), coronary artery disease, arrhythmias, and heart failure.
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