Unique ID issued by UMIN | UMIN000004683 |
---|---|
Receipt number | R000005556 |
Scientific Title | Multicenter phase II trial of mFOLFOX6 with cetuximab as active chemotherapy regimen for liver metastases inappropriate for curative resection in EGFR positive and KRAS wild type colorectal cancer |
Date of disclosure of the study information | 2010/12/08 |
Last modified on | 2016/03/11 12:47:50 |
Multicenter phase II trial of mFOLFOX6 with cetuximab as active chemotherapy regimen for liver metastases inappropriate for curative resection in EGFR positive and KRAS wild type colorectal cancer
FOCAL trial
Multicenter phase II trial of mFOLFOX6 with cetuximab as active chemotherapy regimen for liver metastases inappropriate for curative resection in EGFR positive and KRAS wild type colorectal cancer
FOCAL trial
Japan |
EGFR positive and KRAS wild type colorectal cancer with liver metastases inappropriate for curative resection
Gastrointestinal surgery | Hepato-biliary-pancreatic surgery |
Malignancy
YES
To evaluate the efficacy and safety of mFOLFOX6 with cetuximab as active chemotherapy regimen for liver metastases inappropriate for curative resection in EGFR positive and KRAS wild type colorectal cancer
Efficacy
Exploratory
Explanatory
Phase II
R0 resection rate (Curative resection rate)
Resection rate of liver metastases, Tumor response rate, Adverse events
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Chemotherapy with modified FOLFOX6 plus cetuximab.
Treatment repeats every 14 days for up to 8 courses in the absence of disease progression or unacceptable toxicity.
Liver resection (if possible, 6 weeks after modified FOLFOX6 plus cetuximab)
20 | years-old | <= |
Not applicable |
Male and Female
(1) Histologically proven colorectal cancer in EGFR positive and KRAS wild type
(2) Measurable synchronous liver metastases or measurable metachronous liver metastases.
- Synchronous liver metastasis:
No prior treatment except for original resection. After original resection, curative resection past more than 6 weeks, non-curative resection past more than 4 weeks.
- Metachronous liver metastasis:
No prior treatment for liver metastases, more than 6 months after original postoperative adjuvant therapy
(3) All metastases is unresectable with margin. Or residual liver less than 40% after resection.
(4) Age >=20
(5) The Eastern Cooperative Oncology Group(ECOG) Performance Status(PS) 0-2
(6) Life expectancy of more than 3 months
(7) With a written informed consent
(8) Vital organ functions (listed below) are preserved within 2 weeks prior to entry
i) Medullary function
WBC >= 3,000/mm^3
Neurtophils >= 1,500/mm^3
Platelets >= 100,000/mm^3
ii) Liver function
AST(GOT) <= ULN*5
ALT(GPT) <= ULN*5
Total bilirubin <= ULN*2
iii) Renal function
Creatinine <= ULN*2
(1) Uncontrolled extrahepatic lesion
(2) Symptomatic brain metastasis
(3) Cardiac disease (over Grade 2 by CTCAE v4.0), or myocardial infarction within 1 year
(4) Past or current history (within 5 years) of malignant disease, except for the early cancer healed clearly
(5) Interstitial lung disease, or pulmonary fibrosis
(6) Serious infectious disease
(7) Serious complication (kidney failure, liver failure , hypertension, etc)
(8) Peripheral neuropathy (over Grade 1 by CTCAE v4.0)
(9) No willing of birth-control. Or pregnant or lactating women
(10) Serious drug hypersensitivity or history of drug allergy of Fluorouracil, Levofolinate calcium and/or Oxaliplatin
(11) Participation in other clinical trial within 4 weeks
(12) History of serious drug hypersensitivity
(13) Previously received on anti-EGFR antibody
(14) Case whom investigator deny the enrollment
50
1st name | |
Middle name | |
Last name | Go Wakabayashi |
Iwate Medical University
Dept. of Surgery
19-1, Uchimaru, Morioka, Iwate, 020-8505, Japan
1st name | |
Middle name | |
Last name | Hiroyuki Nitta |
Iwate Medical University
Dept. of Surgery
19-1, Uchimaru, Morioka, Iwate, 020-8505, Japan
Tohoku - Six Universities Research Group by Experts (T-SURGE)
None
Self funding
NO
弘前大学大学院医学研究科 消化器外科学講座(青森県)
秋田大学大学院医学系研究科 消化器外科講座(秋田県)
岩手医科大学 外科学講座(岩手県)
東北大学大学院医学系研究科 外科病態学講座 先進外科学分野(宮城県)
東北大学大学院医学系研究科 外科病態学講座 消化器外科学分野(宮城県)
山形大学医学部 消化器・一般外科 乳腺・甲状腺外科(山形県)
福島県立医科大学医学部 臓器再生外科学講座(福島県)
福島県立医科大学医学部 器官制御外科学講座(福島県)
他関連病院
2010 | Year | 12 | Month | 08 | Day |
Unpublished
Open public recruiting
2010 | Year | 07 | Month | 28 | Day |
2010 | Year | 12 | Month | 01 | Day |
2017 | Year | 12 | Month | 01 | Day |
2010 | Year | 12 | Month | 08 | Day |
2016 | Year | 03 | Month | 11 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005556