Efficacy of Postoperative Adjuvant Chemotherapy for Stage II Colon Cancer With High Risk Factors(EPAC1)
EPAC1
1 other identifier
interventional
1,254
1 country
1
Brief Summary
The purpose of this study is to design a prospective randomized clinical trial to explore whether postoperative adjuvant chemotherapy may provide survival benefit for stage II colon cancer patients with high risk factors.Therefore the investigators can provide high level clinical evidence of indications for patients with colon cancer with stage II colon cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Jun 2017
Longer than P75 for phase_3
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
June 1, 2017
CompletedFirst Submitted
Initial submission to the registry
June 4, 2017
CompletedFirst Posted
Study publicly available on registry
June 27, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 31, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
July 31, 2024
CompletedMarch 6, 2020
March 1, 2020
4.2 years
June 4, 2017
March 5, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
3-year disease free survival
Disease free survival was defined as the duration after local recurrence or metastasis were found after surgery. Metastasis of any distant organs such as liver, lung, ovary,bone and peritoneum were defined by CT.
At least 3 years after the last patient enrolled
Secondary Outcomes (4)
3-year overall survival
At least 3 years after the last patient enrolled
Rate of metastasis
At least 3 years after the last patient enrolled
Relationship between high risk factors and survival
At least 3 years after the last patient enrolled
Major adverse events
At least 1 years after the last patient enrolled
Study Arms (2)
adjuvant chemotherapy group
ACTIVE COMPARATORpatients enrolled int the adjuvant chemotherapy group will receive adjuvant chemotherapy\[CapeOX(Capecitabine+Oxaliplatin)\] by the current guidelines
observation group
EXPERIMENTALpatients enrolled int the adjuvant chemotherapy group will not receive adjuvant chemotherapy just for observation
Interventions
Patients enrolled in the chemotherapy group would receive postoperative chemotherapy CapeOX(Capecitabine+Oxaliplatin)for 6 months
Patients enrolled in the observation group would not receive any chemotherapy drugs just for observation
Eligibility Criteria
You may qualify if:
- aged 18 to 75 years;
- pathologically confirmed adenocarcinoma of the colon
- after curative resection pathological stage was T3-4N0M0;
- with at least one of the following factors:
- T4 staging
- lymph nodes number less than 12
- poor differentiation (except MSI-H)
- LVI or PNI
- obstruction or perforation
- Elevated preoperative serum CEA
- ECOG Performance status 0-1
- no evidence of distant metastases
- no preoperative chemotherapy or chemoradiation therapy
- ANC \> 1.5 cells/mm3, HGB \> 10.0 g/dL, PLT \> 100,000/mm3, total bilirubin ≤ 1.5 xULN, AST≤ 3 x ULN, ALT ≤ 3 x ULN.
- Patients must read, agree to, and sign a statement of Informed Consent prior to participation in this study.
You may not qualify if:
- combined with other cancer
- Creatinine level greater than 1.5 times the upper limit of normal.
- Patients who have received preoperative chemotherapy or chemoradiotherapy.
- Patients with a history of a prior malignancy within the past 5 years.
- Women who are pregnant or breast-feeding.
- patients may not complete the whole schedule of chemotherapy
- Patients with any other concurrent medical or psychiatric condition or disease which would make them inappropriate candidates for entry into this study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Beijing cancer hospital
Beijing, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Aiwen Wu, M.D.
Peking University Cancer Hospital & Institute
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- M.D. PH.D. Chief, Unit III & Ostomy Service, Gastrointestinal Cancer Center, Peking University Cancer Hospital & Institute
Study Record Dates
First Submitted
June 4, 2017
First Posted
June 27, 2017
Study Start
June 1, 2017
Primary Completion
July 31, 2021
Study Completion
July 31, 2024
Last Updated
March 6, 2020
Record last verified: 2020-03
Data Sharing
- IPD Sharing
- Will not share