Biological Therapy With Combination Chemotherapy in Patients With Colorectal Cancer

NCT ID: NCT00003063

Last Updated: 2013-09-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

1050 participants

Study Classification

INTERVENTIONAL

Study Start Date

1991-11-30

Brief Summary

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RATIONALE: Biological therapies use different ways to stimulate the immune system and stop cancer cells from growing. Combining chemotherapy with biological therapy may kill more tumor cells.

PURPOSE: Randomized phase III trial to compare the effectiveness of treatment using levamisole with treatment using interferon alfa and combination chemotherapy consisting of fluorouracil and leucovorin in patients with stage II or stage III colorectal cancer.

Detailed Description

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OBJECTIVES:

* Assess the efficacy of the addition of levamisole or alfa interferon to fluorouracil and leucovorin calcium (folinic acid) as an adjuvant treatment of intraperitoneal colorectal cancer.

OUTLINE: This is a three arm study. Patients are randomized to receive either levamisole, alfa interferon, or no treatment.

* Arm I: Patients receive levamisole PO for 3 days every 2 weeks for 6 months before and after surgery. Fluorouracil IV bolus and leucovorin calcium (folinic acid) IV over 1 hour are administered on days 1-5 every 4 weeks for 6 cycles after surgery.
* Arm II: Patients receive alfa interferon-2a SC on 3 alternate days for a week before surgery and for 6 months after surgery. Fluorouracil IV bolus and folinic acid IV over 1 hour are administered on days 1-5 every 4 weeks for 6 cycles after surgery.
* Arm III: Patients undergo surgery followed by fluorouracil IV bolus and folinic acid IV over 1 hour on days 1-5 every 4 weeks for 6 cycles.

Patients are followed every 3 months for 2 years, then every 6 months.

PROJECTED ACCRUAL: 350 patients per arm will be accrued for a total of 1,050 patients.

Conditions

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Colorectal Cancer

Keywords

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stage II colon cancer stage III colon cancer stage II rectal cancer stage III rectal cancer

Study Design

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Allocation Method

RANDOMIZED

Primary Study Purpose

TREATMENT

Interventions

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recombinant interferon alfa

Intervention Type BIOLOGICAL

fluorouracil

Intervention Type DRUG

leucovorin calcium

Intervention Type DRUG

levamisole hydrochloride

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Histologically confirmed stage T3-T4 N0 or T1-T4 N1-3 colorectal cancer
* No evidence of residual disease after surgery
* Tumor located above peritoneal reflection
* No distant metastases

PATIENT CHARACTERISTICS:

Age:

* 75 and under

Performance status:

* WHO 0-1

Life expectancy:

* Not specified

Hematopoietic:

* WBC at least 3500/mm3
* Platelet count at least 100,000/mm3

Hepatic:

* Bilirubin no greater than 2.0 mg/dL
* SGPT less than 2 times upper limit of normal

Renal:

* Creatinine no greater than 2.0 mg/dL

Cardiovascular:

* No serious cardiac ischemia

Other:

* Adequate metabolic functions
* No prior neoplasm
* No prior/concurrent illness
* No insulin-dependent diabetes

PRIOR CONCURRENT THERAPY:

Biologic therapy

* No prior immunotherapy for the current cancer

Chemotherapy

* No prior chemotherapy for the current cancer

Endocrine therapy

* Not specified

Radiotherapy

* No prior radiotherapy for the current cancer

Surgery

* Not specified
Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European Institute of Oncology

OTHER

Sponsor Role lead

Principal Investigators

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Francesco Tonelli, MD

Role: STUDY_CHAIR

Universita Degli Studi di Florence - Policlinico di Careggi

Locations

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George Papanicolaou General Hospital

Thessaloniki, , Greece

Site Status

Ospedale Bassini

Balsamo Cinisello, , Italy

Site Status

Universita Degli Studi di Bari Policlinico

Bari, , Italy

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Spedali Civili

Brescia, , Italy

Site Status

Cattedra di Oncologia Medica - Universita

Cagliari, , Italy

Site Status

Ospedale Oncologico A. Businco

Cagliari, , Italy

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Ospedale San Michele

Cagliari, , Italy

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Ospedale Sant Anna

Como, , Italy

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Ospedale Valduce

Como, , Italy

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Ospedale Di Conselice

Conselice, , Italy

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Ospedale Civile Cosenza

Cosenza, , Italy

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Ospedale Maggiore Crema

Crema, , Italy

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Ospedale Santa Croce

Cuneo, , Italy

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Ospedale Civile Feltre

Feltre, , Italy

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Universita di Ferrara

Ferrara, , Italy

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Universita Degli Studi di Firenze - Policlin. di Careggi

Firenze (Florence), , Italy

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Policlinico di Careggi

Firenze (Florence), , Italy

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U.S.L. 10 Villa Ognissanti

Florence, , Italy

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Istituto Nazionale per la Ricerca sul Cancro

Genoa (Genova), , Italy

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Ospedale San Martino/Cliniche Universitarie Convenzionate

Genoa (Genova), , Italy

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Ospedale Galliera Oncologia

Genova (Genoa), , Italy

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Ospedale Di Gorgonzola

Gorgonzola, , Italy

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Ospedale Legnago USSL 21

Legnago, , Italy

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Ospedale Maggiore Lodi

Lodi, , Italy

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Ospedale Umberto I

Lugo DI Romagna, , Italy

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U.S.S.L. 72 Magenta

Magenta, , Italy

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Carlo Poma Hospital

Mantova, , Italy

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Ospedale Di Predabissi Melegnano

Melegnano, , Italy

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Azienda USSL NO 8

Merate, , Italy

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Instituto Di Oncologia

Messina, , Italy

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Ospedale Civile Umberto I

Mestre, , Italy

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Ospedale San Giuseppe

Milan, , Italy

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Consorzio Provinciale Antitubercolare

Milan, , Italy

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Istituto Scientifico H.S. Raffaele

Milan, , Italy

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Istituto Di Science Biomediche San Paolo

Milan, , Italy

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Casa Di Cura San Ambrogio

Milan, , Italy

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Ospedale San Carlo Borromeo

Milano (Milan), , Italy

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Ospedale Luigi Sacco

Milano (Milan), , Italy

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Ospedale Maggiore Ca Granda

Milano (Milan), , Italy

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Ospedale Santa Croce

Moncalieri, , Italy

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Nuovo Ospedale San Gerardo

Monza, , Italy

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Ospedale Civile Asilo Vittoria

Mortara, , Italy

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Istituto Nazionale per lo Studio e la Cura dei Tumori

Naples, , Italy

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Federico II University Medical School

Naples (Napoli), , Italy

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Istituto Tumori/Fondazione Pascale

Naples (Napoli), , Italy

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Ospedale Vincenzo Monaldi

Napoli, , Italy

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Ospedale C. Ascalesi

Napoli, , Italy

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Ospedale Civile Negrar

Negrar, , Italy

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Azienda Ospedaliera di Padova

Padova (Padua), , Italy

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University of Padua

Padua, , Italy

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Ospedale Civico E Benefratelli

Palermo, , Italy

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Ospedale Maggiore Parma

Parma, , Italy

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Ospedale Torrette University Ancona

Parma, , Italy

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Ospedale Silvestrini

Perugia, , Italy

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Ospedale Agnelli

Pinerolo, , Italy

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Ospedale Sta. Maria Delle Croci

Ravenna, , Italy

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Azienda Ospedaliera

Reggio Emilia, , Italy

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Ospedale Civile Rho

Rho, , Italy

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Istituti Fisioterapici Ospitalieri - Roma

Rome, , Italy

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Ospedale San Filippo Neri

Rome, , Italy

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Ospedale Carlo Forlanini

Rome, , Italy

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Ospedale S. Camillo-Forlanini

Rome, , Italy

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Azienda Policlinico Umberto Primo

Rome, , Italy

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Policlinico A. Gemelli - Universita Cattolica del Sacro Cuore

Rome, , Italy

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Policlinico Militare Celio

Rome, , Italy

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ASL NO. 1 Imperiese

Sanremo, , Italy

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Azienda USSL No 4

Saronno, , Italy

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Istituto Clinica Medica

Sassari, , Italy

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Ospedale S.S. Annunziata

Savigliano, , Italy

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Ospedale Sesto San Giovanni

Sesto San Giovanni, , Italy

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Azienda Ospedaliera S. Maria

Terni, , Italy

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Ospedale Generale Prov. Boldrini

Thiene, , Italy

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Dispensario Igiene Sociale

Toino, , Italy

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Clinica Universita

Torino, , Italy

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Universita Torino

Torino, , Italy

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Ospedale S. Chiara

Trento, , Italy

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Ospedale San Isidoro

Trescore Balneario, , Italy

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Ospedale General Regional Ca Foncello

Treviso, , Italy

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Ospedale Maggiore dell' Universita

Trieste, , Italy

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Ospedale Cattinara

Trieste, , Italy

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Cattedra di Immunologia Clinica

Turin (TO), , Italy

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Universita Degli Studi di Udine

Udine, , Italy

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Ospedale di Circolo e Fondazione Macchi

Varese, , Italy

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Ospedale San Bortolo

Vicenza, , Italy

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Inha University Hospital

Incheon, , South Korea

Site Status

Countries

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Greece Italy South Korea

Other Identifiers

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CNR-TONE-01

Identifier Type: -

Identifier Source: secondary_id

EU-97011

Identifier Type: -

Identifier Source: secondary_id

CDR0000065728

Identifier Type: -

Identifier Source: org_study_id