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临床试验/NL-OMON50614
NL-OMON50614已完成3 期

The role of surgery of the primary tumour with few or -absent symptoms in patients with synchronous unresectable metastases of colorectal cancer, a randomized phase III study - CAIRO4

Dutch Colorectal Cancer Group0 个研究点目标入组 176 人开始时间: 待定最近更新:
适应症

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
176

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • Histological proof of colorectal cancer
  • Resectable primary tumour in situ with unresectable distant metastases
  • No indication for neo-adjuvant (chemo)radiation.
  • No severe signs or symptoms related to the primary tumour (i.e. severe
  • bleeding, obstruction, severe abdominal pain) that require immediate surgery or
  • other symptomatic treatment (e.g. stenting) (see 6.4 for exceptions)
  • No prior systemic treatment for advanced disease
  • Age >= 18 years
  • WHO performance status 0-2
  • Laboratory values obtained <= 4 weeks prior to randomization: Adequate bone
  • marrow function (Hb * 6.0 mmol/L, absolute neutrophil count * 1.5 x 109/L,
  • platelets * 100 x 109/L), renal function (serum creatinine <= 1.5x ULN and
  • creatinine clearance, Cockroft formula, * 30 ml/min), liver function (serum
  • bilirubin <= 2 x ULN, serum transaminases <= 3 x ULN without presence of liver
  • metastases or <= 5x ULN with presence of liver metastases)
  • Expected adequacy of follow-up
  • Written informed consent
  • Unidimensionally measurable disease (* 1 cm on CT scan or * 2 cm on chest
  • X-ray; liver ultrasound is not allowed, according to RECIST 1.1)
  • CT abdomen performed <= 4 weeks prior to randomization

排除标准

  • Pregnancy, lactation
  • Unresectable primary tumour (i.e. neurovascular encasement, substantial
  • ingrowth in pancreatic head), or any condition preventing the safety or
  • feasibility of resection of the primary tumour, i.e. massive ascites or
  • extensive peritoneal disease
  • Second primary malignancy within the past 5 years with the exception of
  • adequately treated in situ carcinoma of any organ or basal cell carcinoma of
  • Any medical condition that prevents the safe administration of systemic
  • Previous intolerance of fluoropyrimidines, known complete dihydropyrimidine
  • dehydrogenase (DPD) deficiency
  • (Planned) radical resection of all metastatic disease
  • Uncontrolled hypertension, i.e. values consistently > 150/100 mmHg
  • Use of * 3 antihypertensive drugs
  • Significant cardiovascular disease < 1 yr before randomization (symptomatic
  • congestive heart failure, myocardial infarction, unstable angina pectoris,
  • serious uncontrolled cardiac arrhythmia, cerebrovascular event)
  • Chronic active infection
  • Concurrent treatment with any other anti-cancer therapy as described per

研究者

发起方
Dutch Colorectal Cancer Group

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