Unique ID issued by UMIN | UMIN000032102 |
---|---|
Receipt number | R000036626 |
Scientific Title | Phase II study of resection of primary colorectal caner and synchronous liver metastasis after S-1 + oxaliplatin (SOX) + Bevacizumab(Bmab) therapy and adjuvant S-1 chemotherapy |
Date of disclosure of the study information | 2018/04/04 |
Last modified on | 2018/04/04 20:04:40 |
Phase II study of resection of primary colorectal caner and synchronous liver metastasis after S-1 + oxaliplatin (SOX) + Bevacizumab(Bmab) therapy and adjuvant S-1 chemotherapy
Study of resection of primary colorectal caner and synchronous liver metastasis after SOX + Bmab
Phase II study of resection of primary colorectal caner and synchronous liver metastasis after S-1 + oxaliplatin (SOX) + Bevacizumab(Bmab) therapy and adjuvant S-1 chemotherapy
Study of resection of primary colorectal caner and synchronous liver metastasis after SOX + Bmab
Japan |
Colorectal cancer with synchronous liver metastasis
Gastrointestinal surgery |
Malignancy
NO
The objective of this study was to examine the efficacy and safety of resection of primary colorectal cancer and synchronous liver metrastasis after S-1 + oxaliplatin + bevacizumab and adjuvant S-1 chemotherapy
Safety,Efficacy
Exploratory
progression free survival
Overall survival, Relapse-free survival, R0 rate of primary tumor, R0 rate of liver metastasis, Reoperation rate, Completion rate of S-1 + oxaliplatin + bevacizumab, Safety, Efficacy
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine | Maneuver |
S-1 is administered orally at 80mg/m2/day for 14 consecuitive days followed by a 7 day rest. L-OHP is given intravenously on days 1, at a dose of 130mg/m2/day.Bevacizumab is given intravenously on days 1, at a dose of 7.5mg/kg/day. 21 days are assumed 1 course, and chemotherapy consisted of 4 courses. Surgery is carried out in 8 to 12 weeks after the end of chemotherapy.
20 | years-old | <= |
75 | years-old | >= |
Male and Female
"1) Histologically confirmed Rectum adenocarcinoma
2) Adequate following in the diagnostic imaging within 28 days before registration
1. Clinical stage T3, any N, or T4, any N
2. The edge of tumor is lower than Ra, Rb, P (Within 12cm from anal verge)
3. Unresectable rectal cancer by organ-sparing TME which was judged by high resolutoin MRI
-CRM<=1mm
-T4b
-Lateral lymph node metastasis
3) Without liver, peritoneum and distant metastases
4)Age of 15-75 years
5)Without prior anti-tumor therapy (radiation therapy, chemotherapy and hormone therapy)
6)Aadequate function of important organs
1. WBC: >=3,000/mm3 and 12,000/mm3
2. Neutrophil: >=1,500/mm3
3. Platelet: >=100,000/mm3
4. Hemoglobin: >=9.0g/dL
5. T Bil: <=2.0mg/dL
6. AST, ALT: <100IU/L
7. Serum creatinine: <=1.2mg.DL
8. Creatinin clearance level >= 60mi/min
9. Urine protein<=1+
10. INR<=1.5
7) ECG: without clinically problematic abnormalities within 28 days before registration
8) Eastern Cooperative Oncology Group performance status (PS) 0-1
9) With ability of oral intake
10) Written informed concent "
"1) with gastrointestinal ulceration or bleeding
2) with sensory neuropathy
3) with severe diarrhea
4) had a previous serious drug allergies
5) had pleural effusion or ascites which need therapy
6) with brain metastasis or suspected the brain metastases
7) had surgery within 28 days before registration
8) had thromboembolism, cerebral infarction, pulmonary infarction, interstitial pneumonia
9) had serious complication (e.g. interstitialpneumonia, or pulmonary fibrosis, kidney injury, hepatic failure, uncontrolled diabetes mellitus, uncontrolled hypertension)
10) with active double cancer
11) had active infection disease (over 38.0 degree)
12) with significant abnormal electrocardiogram or cardiovascular disease (e.g. heart failure, myocardial infarction, angina pectoris)
13) receiving Flucytosine
14) pregnant or lactating women, women who are capable of pregnancy, intend to get pregnant or men who want to get their partners pregnant
15) had hemoptysis (2.5 ml or more of fresh blood)
16) had gastrointestinal perforation within 6 months
17) were systemically-administered of steroids
18) with contraindications to TS-1, L-OHP, and Bevacizumab
19) with HBsAg-positive
20) Physician will determine that the patient is inappropriate participate in this trail for the safety. "
28
1st name | |
Middle name | |
Last name | Hajime Morohashi |
Hirosaki University Graduate School of Medicine
Gstroenterological Surgery
5 Zaifu-chou, Hirosaki, Aomori, Japan
0172-39-5079
hm2002@hirosaki-u.ac.jp
1st name | |
Middle name | |
Last name | Hajime Morohashi |
Hirosaki University Graduate School of Medicine
Gstroenterological Surgery
5 Zaifu-chou, Hirosaki, Aomori, Japan
0172-39-5079
hm2002@hirosaki-u.ac.jp
Aomori Colorectal Cancer Study (ACCS) group
None
Self funding
NO
2018 | Year | 04 | Month | 04 | Day |
Unpublished
Open public recruiting
2018 | Year | 02 | Month | 14 | Day |
2018 | Year | 04 | Month | 01 | Day |
2018 | Year | 04 | Month | 04 | Day |
2018 | Year | 04 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036626