Unique ID issued by UMIN | UMIN000032254 |
---|---|
Receipt number | R000036781 |
Scientific Title | PhaseIII trial of neoadjuvant chemotherapy using CAPEOX with optional local treatment for locally advanced rectal cancer |
Date of disclosure of the study information | 2018/08/01 |
Last modified on | 2019/04/17 23:58:39 |
PhaseIII trial of neoadjuvant chemotherapy using CAPEOX with optional local treatment for locally advanced rectal cancer
NEXT trial
PhaseIII trial of neoadjuvant chemotherapy using CAPEOX with optional local treatment for locally advanced rectal cancer
NEXT trial
Japan |
Locally advanced rectal cancer
Gastrointestinal surgery |
Malignancy
NO
To evaluate the safety and efficacy of neoadjuvant chemotherapy using CAPEOX with optional local treatment for locally advanced rectal cancer.
Safety,Efficacy
Confirmatory
Pragmatic
Phase II,III
5-year relapse free survival
CRM positive rate, CRT rate, LLND rate, R0 rate, morbidity rate, response rate of neoadjuvant chemotherapy/chemoradiotherapy and completion rate, 5-year local recurrence rate, 5-year overall survival
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is considered as adjustment factor in dynamic allocation.
2
Treatment
Medicine | Maneuver |
Preoperative chemoradiation (Capecitabine + Radiation 50.4Gy) + Surgery(optional LLND)
Neoadjuvant chemotherapy (CAPEOX 4 course)+optional preoperative chemoradiation + Srugery(optional LLND)
20 | years-old | <= |
80 | years-old | >= |
Male and Female
1) Age 20-80
2) Adenocarcinoma proven histologically
3) Lower edge of rectal cancer is less than 10cm from anal verge
4) ECOG Performance Status(PS)0-1
5) Clinical StageII/III (excluded cT4b)
6) Resectable rectal cancer.
7) No prior chemotherapy, radiotherapy and rectal surgery without local resection.
8) Adequate organ function to performed surgery.
1. WBC>=3,000/mm3
2. Neutrophils >=1,500/mm3
3. Hb>=8.0g/dl
4. Plt >=100,000/mm3
5. GOT <=100IU/L
6. GPT <=100IU/L
7. T-Bil <= 2.0mg/dl
8. Cr <= 1.5mg/dl
9) Written informed consent
1) Synchronous or metachronous (within 5 years)malignancies other than carcinoma in situ or mucosal carcinoma
2) Bowel obstruction
3) Uncontrollable diabetes mellitus (HbA1c>=8.0)
4) Unstable ungina pectoris
5) Liver cirrhosis,Liver failure
6) Interstitial pneumonia
7) Pregnant or possibly pregnant women
8) Past history of using 5-FU, oxaliplatin based chemotherapy
9) Past history of radiotherapy
10) Other conditions judged ineligible by physician
440
1st name | Atsushi |
Middle name | |
Last name | Ishibe |
Yokohama City University
Dept. of Gastroenterological surgery
236-0004
3-9 Fukuura, Kanazawa-ku, Yokohama City, 236-0004, Japan
045-787-2650
aishibe@yokohama-cu.ac.jp
1st name | Atsushi |
Middle name | |
Last name | Ishibe |
Yokohama City University
Dept. of Gastroentelorogical Surgery
236-0004
3-9 Fukuura, Kanazawa-ku, Yokohama City, 236-0004, Japan
045-787-2650
aishibe@yokohama-cu.ac.jp
Yokohama City University
Yokohama Clinical Oncology Group(YCOG)
Other
Yokohama City University
1-1-1 Fukuura, Kanazawa-ku
045-370-7627
onodera@yokohama-cu.ac.jp
NO
2018 | Year | 08 | Month | 01 | Day |
Unpublished
Preinitiation
2018 | Year | 04 | Month | 05 | Day |
2019 | Year | 08 | Month | 01 | Day |
2027 | Year | 07 | Month | 31 | Day |
2018 | Year | 04 | Month | 15 | Day |
2019 | Year | 04 | Month | 17 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036781