Unique ID issued by UMIN | UMIN000015320 |
---|---|
Receipt number | R000017434 |
Scientific Title | Phase II study of neoadjuvant chemotherapy with SOX + bevacizumab in patients with locally advanced rectal cancer |
Date of disclosure of the study information | 2014/10/02 |
Last modified on | 2014/10/02 14:25:48 |
Phase II study of neoadjuvant chemotherapy with SOX + bevacizumab in patients with locally advanced rectal cancer
Phase II study of neoadjuvant chemotherapy with SOX + bevacizumab in patients with locally advanced rectal cancer
Phase II study of neoadjuvant chemotherapy with SOX + bevacizumab in patients with locally advanced rectal cancer
Phase II study of neoadjuvant chemotherapy with SOX + bevacizumab in patients with locally advanced rectal cancer
Japan |
Rectal cancer
Gastrointestinal surgery |
Malignancy
NO
To evaluate efficacy and safety of neoadjuvant chemotherapy with SOX + bevacizumab in patients with locally advanced rectal cancer
Efficacy
R0 resection rate
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
SOX+bevacizumab: 3 courses
Bevacizumab 7.5mg/kg day1
L-OHP 130mg/m2 day1
S-1 80-120mg/day day1 (after dinner)-15(after breakfast) every 3 weeks
SOX: 1 course
L-OHP 130mg/m2 day1
S-1 80-120mg/day day1 (after dinner)-15(after breakfast)
20 | years-old | <= |
80 | years-old | >= |
Male and Female
1) Histologically confirmed adenocarcinoma of the rectum
2) Patients meet all the following criteria by radiological or physical examination before enrollment
i) Main part of the tumor is located in Ra, Rb, P (Rs should be excluded)
ii) Distal border of the tumor is located between peritoneal reflection and anal verge
3) Patients meet either of the following criteria by CT, MRI, or endorectal ultrasound
i) Tumors invade mesorectum beyond rectal muscularis propria
*Tumors which directly invade other organs should be excluded
ii) Lymph node metastases are in the mesorectum (>10 mm in short axis)
* Lymphadenopathy (>5 mm in short axis) in the lateral position should be excluded
4) ECOG Performance Status of 0-1
5) Age of 20 to 80 years
6) Adequate major organ functions within 2 weeks before enrollment, as defined below:
WBC count => 3,000/mm3, <= 12,000/mm3
Neutrophil count => 1,500/mm3
Platelet count => 100,000/mm3
Hemoglobin => 9.0 g/dL
Total bilirubin <= 1.5 x ULN
AST <= 2.5 x ULN
ALT <= 2.5 x ULN
ALP <= 5.0 x ULN
Creatinine <= 1.5 x ULN
CCr => 60 ml/min
urinary protein <= 1+
INR <= 1.5
7) Written informed consent
1) Any distant metastases
2) Neurological disorder by cerebrovascular disorder within a year before enrollment
3) Symptomatic heart disease or heart disease requiring treatment. Cardiac infarction within a year before enrollment
4) Pleural, peritoneal and pericardial effusion
5) Prior systematic chemotherapy, pelvic irradiation and/or surgery for malignant tumor
6) Active double cancer. Asynchronous double cancer with disease-free duration of 5 years or less. (Including colorectal cancer)
7) Interstitial pneumonia or pulmonary fibrosis
8) Poorly controlled infection
9) Grade 2 or worse peripheral neuropathy
10) Bowel obstruction (Patients with diverting stoma are allowed for enrollment)
11) Poorly controlled diarrhea
12) Confirmed or possible pregnancy, lactation, willingness to become pregnant
(for women), or willingness to have a child (for men)
13) Contraindication of bevacizumab
14) Physician concludes that the patient's participation in this trial is inappropriate.
40
1st name | |
Middle name | |
Last name | Hiroyuki Furukawa |
Asahikawa Medical University
Division of Gastroenterologic and General Surgery
2-1-1-1 Midorigaoka-higashi, Asahikawa, Hokkaido, Japan
0166-68-2503
f-hiro@asahikawa-med.ac.jp
1st name | |
Middle name | |
Last name | Masahiro Yamada |
Asahikawa Medical University
Division of Gastroenterologic and General Surgery
2-1-1-1 Midorigaoka-higashi, Asahikawa, Hokkaido, Japan
0166-68-2503
ridai@asahikawa-med.ac.jp
Asahikawa Medical University
None
Self funding
NO
2014 | Year | 10 | Month | 02 | Day |
Unpublished
Open public recruiting
2014 | Year | 03 | Month | 10 | Day |
2014 | Year | 04 | Month | 01 | Day |
2014 | Year | 10 | Month | 02 | Day |
2014 | Year | 10 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017434