Neoadjuvant Sequential Therapy in Locally Advanced Mid/Low Rectal Cancer
Efficacy and Safety of Neoadjuvant Chemo-chemoradio-chemo Sequential Therapy in Locally Advanced Mid/Low Rectal Cancer: a Phase II Trial
1 other identifier
interventional
80
1 country
1
Brief Summary
Compared curative effect,safety and compliance between concurrent chemoradiotherapy and chemo-chemoradio-chemo sequential therapy in locally advanced mid/low rectal cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jul 2013
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2013
CompletedFirst Submitted
Initial submission to the registry
December 9, 2013
CompletedFirst Posted
Study publicly available on registry
December 30, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2018
CompletedDecember 30, 2013
December 1, 2013
2 years
December 9, 2013
December 23, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Disease free survival
3-year
Secondary Outcomes (4)
Local recurrence rate
3 years
Safety: Number of Participants with Adverse Events
3 years
R0 resection rate
1 year
Pathologic complete response
1 year
Other Outcomes (1)
Compliance
1 year
Study Arms (2)
Concurrent chemoradiotherapy
ACTIVE COMPARATORCapecitabine neoadjuvant concurrent radiochemotherapy and XELOX adjuvant therapy
Sequential therapy
EXPERIMENTALXELOX/capecitabine/XELOX neoadjuvant chemo-chemoradio-chemo sequential therapy and XELOX adjuvant therapy
Interventions
50Gy, 2Gy/day per time, 5 days a week, for 5 weeks+capecitabine 850mg/m2 bid on the day accept radiotherapy. Rest for 8 weeks and surgery followed.
XELOX 2 cycles (oxaliplatin 130mg/m2 ivgtt 2-6h day 1,capecitabine 1000 mg/m2 bid day 1-14 repeat every 3 weeks) → 50Gy, 2Gy/day per time, 5 days a week, for 5 weeks+capecitabine 850mg/m2 bid on the day accept radiotherapy → XELOX 1 cycle. Rest for 2 weeks and surgery followed.
Eligibility Criteria
You may qualify if:
- Pathology rectal adenocarcinoma
- Distal distance of tumor from anal verge \< 10cm
- TNM staging T3-4N0-2(MRI)
- No distant metastasis
- Karnofsky score≥70
- Female patients need contraception during the test
- Postmenopausal women for at least 12 months, expect pregnancy possibility
- Patients did not receive chemotherapy, radiotherapy in any form before
- No other severe related diseases (such as other tumor, severe cardiac and central nervous system diseases, etc.)
You may not qualify if:
- Be treated by radiotherapy, chemotherapy or tumor biological therapy before
- Received immunosuppressive therapy (including corticosteroids)
- Participated in other clinical trial(s) in 1 month
- With malignant tumor of colon
- Peripheral neuropathy (WHO I level and above)
- Neurological or psychiatric abnormalities affecting cognition , including central nervous system metastasis
- Severe allergies or allergic history
- Severe pulmonary or heart disease
- Pregnant or lactation or refuse contraception during the test
- Suffering other malignant tumors in past
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150081, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Binbin Cui, MD
Department of Abdominal Surgery, Harbin Medical University Cancer Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director of Abdominal Surgery Department
Study Record Dates
First Submitted
December 9, 2013
First Posted
December 30, 2013
Study Start
July 1, 2013
Primary Completion
July 1, 2015
Study Completion
January 1, 2018
Last Updated
December 30, 2013
Record last verified: 2013-12