Unique ID issued by UMIN | UMIN000007184 |
---|---|
Receipt number | R000008449 |
Scientific Title | Phase2 study of limited Surgery for T1 or T2 lower rectal Cancer with adjuvant chemoradiotherapy |
Date of disclosure of the study information | 2012/03/01 |
Last modified on | 2021/05/25 15:55:14 |
Phase2 study of limited Surgery for T1 or T2 lower rectal Cancer with adjuvant chemoradiotherapy
Limited Surgery for T1 or T2 lower rectal Cancer with adjuvant chemoradiotherapy
Phase2 study of limited Surgery for T1 or T2 lower rectal Cancer with adjuvant chemoradiotherapy
Limited Surgery for T1 or T2 lower rectal Cancer with adjuvant chemoradiotherapy
Japan |
Rectal cancer
Surgery in general | Gastrointestinal surgery |
Malignancy
NO
To investigate safety and efficacy of combination thrapy of limited Surgery with adjuvant chemoradiotherapy for T1 or T2 lower rectal Cancer.
Efficacy
Exploratory
Phase II
Relapse-free survival
Disease-free survival
Overall survival
Local relapse-free survival
Adverse events,
Anal sphincter preservation
Anal function
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
S-1 (80 mg/m2/d) was given orally after breakfast and dinner on Days 1 to 5, 8 to 12, 22 to 26, and 29 to 33.
Radiotherapy was administered in fractions of 1.8 Gy/d, given 5 days per week for 5 weeks. The total dose of radiation was 45 Gy.
20 | years-old | <= |
Not applicable |
Male and Female
1) Main part of the tumor is located in P-Rb.
2) Previously untreated locally advanced lower rectal cancer with preoperative diagnosis of T1/2 and N0-3 and M0.
3) Tumor diameter=< 30mm
4) Well differentiated adenocarcinoma or Moderately differentiated adenocarcinoma
5) Has at least one of the following factors
i. Invaded the submucosa (SM)>= 1000um or muscularis propria (MP).
ii. Has venous or lympho-vessel invasion
iii. Tumor budding Grade2/3
6) Negative surgical margin
7) No prior therapy expect the operation.
8) No severe complications
9) Age :> =65 years
10) Performance status (ECOG) of 0-1
11) Capability of oral intake
12) Patients who have satisfied the following the clinical test values within two weeks before the registration.
i. WBC: 3,000-12,000 /mm3
ii. Neutrophile:>= 1,500/mm3
iii. Platelet :> = 100,000/mm3
iv. Hemoglobin :> = 9.0g/dL
v. Total bilirubin: =< 2.0 mg/dL
vi. AST :=< 100IU/L
vii. ALT :=< 100IU/L
viii. Ccr: >= 40 ml/min
13) Written informed consent.
1)Active synchronous or metachronous malignancy carcinoma in situ.
2) Non-treated radiotherapy
3) Medical history of severe anaphylaxis or allergia to any drug.
4) Severe diarrhea.
5)Undergoing treatment with fluorocytosine.
6) Severe complication.
7) Pregnant or lactating woman at any time during study. Men of the fertility hope.
8) Severe mental disorder.
9) Patients judged inappropriate for the study by their physicians.
50
1st name | Shingo |
Middle name | |
Last name | Noura |
Toyonaka Municipal Hospital
Surgery
560-8565
4-14-1 Shibaharatyou, Toyonaka, Osaka 560-8565,Japan
06-6843-0101
s-noura@umin.ac.jp
1st name | Norikatsu |
Middle name | |
Last name | Miyoshi |
Osaka University Graduate School of Medicine
Department of Gastroenterological Surgery
565-0871
2-2 Yamadaoka, Suita, Osaka 565-0871,Japan
06-6879-3251
nmiyoshi@gesurg.med.osaka-u.ac.jp
Multicenter Study Group of Osaka (MCSGO), Colorectal Cancer Treatment Group
None
Self funding
Osaka University Hospital
2-15 Yamadaoka, Suita, Osaka 565-0871,Japan
06-6879-5685
rinri@hp-crc.med.osaka-u.ac.jp
NO
2012 | Year | 03 | Month | 01 | Day |
Unpublished
No longer recruiting
2012 | Year | 01 | Month | 11 | Day |
2012 | Year | 03 | Month | 01 | Day |
2012 | Year | 02 | Month | 01 | Day |
2021 | Year | 05 | Month | 25 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008449