Unique ID issued by UMIN | UMIN000003783 |
---|---|
Receipt number | R000004238 |
Scientific Title | A multicenter randomized phase II/III trial of preoperative versus postoperative chemotherapy with XELOX plus bevacizumab in patients with resectable colorectal liver metastasis. |
Date of disclosure of the study information | 2010/07/01 |
Last modified on | 2024/07/26 14:35:29 |
A multicenter randomized phase II/III trial of preoperative versus postoperative chemotherapy with XELOX plus bevacizumab in patients with resectable colorectal liver metastasis.
Randomized phase II/III trial of preoperative versus postoperative chemotherapy in patients with resectable colorectal liver metastasis. (HiSCO-01)
A multicenter randomized phase II/III trial of preoperative versus postoperative chemotherapy with XELOX plus bevacizumab in patients with resectable colorectal liver metastasis.
Randomized phase II/III trial of preoperative versus postoperative chemotherapy in patients with resectable colorectal liver metastasis. (HiSCO-01)
Japan |
Resectable liver metastasis from colorectal cancer
Gastroenterology | Hepato-biliary-pancreatic medicine | Gastrointestinal surgery |
Hepato-biliary-pancreatic surgery |
Malignancy
NO
Compare the progression-free survival of patients with resectable colorectal liver metastases treated with surgery and preoperative or postoperative XELOX and bevacizumab.
Safety,Efficacy
Confirmatory
Phase II,III
Treatment compliance (phase II)
Progression-free survival (phase III)
Overall survival, Time to treatment failure, Response rate, Mode of recurrence, Resection rate, Incidence of adverse events, Morbidity, Pathological liver injury
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is considered as adjustment factor in dynamic allocation.
NO
Central registration
2
Treatment
Medicine | Maneuver |
A: Within 56 days after surgery, patients receive infusional oxaliplatin and oral capecitabine. Patients receive infusional bevacizumab as from second course. Treatment repeats every 21 days for 8 courses in the absence of disease progression or unacceptable toxicity.
B: Patients receive infusional oxaliplatin, bevacizumab and oral capecitabine. Treatment repeats every 21 days for 8 courses in the absence of disease progression or unacceptable toxicity. Patients do not receive bevacizumab at last course. Within 56 days after chemotherapy, patients receive surgery.
20 | years-old | <= |
80 | years-old | >= |
Male and Female
1) Histologically confirmed adenocarcinoma
2) Four or less liver metastasis or maximum size of 5cm or less
3) Liver metastasis curable within 60% liver resection
4) No extrahepatic disease
5) Primary colorectal lesion curable or after curative resection
6) No prior radiofrequency ablation or cryotherapy for liver metastasis
7) No prior chemotherapy or radiotherapy
8) Child-Pugh class A
9) No evident bleeding or obstruction due to colorectal cancer
10) Patient age is 20 or more and 80 or less.
11) PS: 0, 1
12) Organ function is kept
13) Written informed consent
1) Multiple cancer patients
2) Pregnant or lactating woman
3) Steroid administration
4) Patients must use flucytosine, phenytoin or warfarin potassium
5) Uncontrollable hypertension or diabetes mellitus
6) Diarrhea or peripheral neuropathy greater than grade 1
7) Portal vein embolization
8) Clinically significant pulmonary disease, coagulopathy or thrombosis.
9) Clinically significant gastrointestinal bleeding, obstruction or ulcer.
10) Clinically significant abdominal, pleural or pericardial effusion.
11) Presence of psychological or central nervous system disorder.
12) Major abdominal or thoracic surgery within 4 weeks.
13) Presence of non-healing bone fracture
14) Hepatitis B virus infection
260
1st name | Hideki |
Middle name | |
Last name | Ohdan |
Hiroshima University Hospital
Gasroenterological Surgery
734-8551
1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, JAPAN
082-257-5222
jimukyoku@hisco-jpn.com
1st name | Tsuyoshi |
Middle name | |
Last name | Kobayashi |
Hiroshima University Hospital
Gasroenterological Surgery
734-8551
1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, JAPAN
082-257-5222
http://www.hisco-jpn.com/index.html
tsukoba@hiroshima-u.ac.jp
Hiroshima Surgical study group of Clinical Oncology
Hiroshima Surgical study group of Clinical Oncology
Other
Japan
the institutional review board of Hiroshima University
1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, JAPAN
082-257-5907
gaku-hiroshimajimu@office.hiroshima-u.ac.jp
NO
井野口病院(広島県)、太田川病院(広島県)、尾道総合病院(広島県)、呉医療センター(広島県)、呉市医師会病院(広島県)、県立広島病院(広島県)、庄原赤十字病院(広島県)、中国労災病院(広島県)、中電病院(広島県)、土谷総合病院(広島県)、東広島医療センター(広島県)、広島市民病院(広島県)、広島大学病院(広島県)、広島鉄道病院(広島県)、広島西医療センター(広島県)、三次中央病院(広島県)、吉田総合病院(広島県)
2010 | Year | 07 | Month | 01 | Day |
Unpublished
81
Delay expected |
in preparation
Completed
2010 | Year | 05 | Month | 20 | Day |
2010 | Year | 05 | Month | 28 | Day |
2010 | Year | 07 | Month | 01 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2010 | Year | 06 | Month | 19 | Day |
2024 | Year | 07 | Month | 26 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004238