Uracil and Tegafur/Leucovorin (UFT/LV) Versus UFT/LV+ Polysaccharide-K (PSK) for Stage IIIa/IIIb Colorectal Cancer

NCT ID: NCT00497107

Last Updated: 2008-07-31

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Study Completion Date

2013-05-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to conduct a randomised controlled trial (RCT) comparing UFT/LV and UFT/LV + PSK in patients with histological stage IIIa/IIIb colorectal cancer who have undergone curative surgery without residual cancer using 3-year disease free survival (DFS) as the primary endpoint, and also to analyze the 3-year overall survival (OS), compliance, adverse events, quality of life (QOL) and relationship with tumor factors.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

To conduct a randomized controlled trial comparing chemotherapy using UFT/LV and immunochemotherapy using UFT/LV combined with PSK in patients with histological stage IIIa and IIIb colorectal cancer (adenocarcinoma) who have undergone curative surgery without residual cancer (R0) using 3-year disease-free survival rate as primary endpoint, and also to analyze the 3-year overall survival, compliance, adverse events, QOL and relationship with tumor factors.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Colorectal Cancer

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

UFT/LV PSK Colorectal cancer Adjuvant therapy

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

2

The PSK Group (UFT + Calcium Folinate + PSK)

Group Type EXPERIMENTAL

UFT, Calcium Folinate, PSK

Intervention Type DRUG

1

The Control Group (UFT + Calcium Folinate)

Group Type ACTIVE_COMPARATOR

UFT, Calcium Folinate

Intervention Type DRUG

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

UFT, Calcium Folinate, PSK

Intervention Type DRUG

UFT, Calcium Folinate

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Patient with a histological diagnosis of primary colon or rectal cancer (adenocarcinoma)
* Patient with histological stage IIIa or IIIb cancer (according to the Japanese Classification of Colorectal Cancer, 7th edition)
* Patient who has undergone curative surgery with no residual cancer
* Pretreatment criterion: patient who has not undergone preoperative cancer treatment (radiotherapy, chemotherapy or immunotherapy)
* Patient who is at least 20 years and below 80 years of age
* Patient with performance status (PS) of 0-1 (according to Eastern Cooperative Oncology Group, ECOG)
* Restrictions of concomitant medications and therapies: except in the case of metastasis or recurrence, concomitant use of other chemotherapeutic and immunotherapeutic agents that may affect the results of this trial, and concomitant use of radiotherapy are prohibited in principle.
* Organ function (laboratory data): patient who satisfies the following conditions or data of laboratory tests conducted within 2 weeks prior to start of trial

* Gastrointestinal function: no diarrhea (watery stool)
* White blood cell count: \> 4,000/mm3
* Platelet count: \> 100,000/mm3
* Serum GOT and GPT: \< 100 IU/L
* Serum total bilirubin: \< 2.0 mg/dL
* Serum creatinine: below the upper limit of facility normal range

Exclusion Criteria

* Patient with residual cancer (R1 or R2)
* Patient with anal canal lesion (P) or perianal skin lesion (E)
* Patient with stricture and not capable of oral intake
* Patient passing fresh blood from the gastrointestinal tract
* Patient with retention of body cavity fluid necessitating treatment
* Patient with infection, intestinal palsy or intestinal occlusion
* Patient with active multiple cancers or patient who has less than 5 years of remission from a metachronous cancer (except carcinoma in situ and skin cancer)
* Patient who is pregnant or wishes to become pregnant during this trial
* Patient on continuous insulin treatment for diabetes or has poorly controlled diabetes
* Patient with a history of ischemic heart disease and judged to have difficulties to participate in this trial
* Patient with concurrent psychiatric disease or neurological symptoms and judged to have difficulties to participate in this trial
* Patient on continuous steroid therapy
* Patient with a history of serious drug allergy
* Patient who is judged for other reasons by the investigator or doctor in charge to be inappropriate as a subject
Minimum Eligible Age

20 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Iwate Medical University

OTHER

Sponsor Role lead

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Go Wakabayashi, MD, PhD

Role: STUDY_DIRECTOR

Iwate Clinical Oncology Group

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Iwate Medical University Hospital

Morioka, Iwate, Japan

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Japan

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Go Wakabayashi, MD, PhD

Role: CONTACT

Phone: +81-19-651-5111

Email: [email protected]

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Koki Otsuka, MD

Role: primary

References

Explore related publications, articles, or registry entries linked to this study.

Ohwada S, Ikeya T, Yokomori T, Kusaba T, Roppongi T, Takahashi T, Nakamura S, Kakinuma S, Iwazaki S, Ishikawa H, Kawate S, Nakajima T, Morishita Y. Adjuvant immunochemotherapy with oral Tegafur/Uracil plus PSK in patients with stage II or III colorectal cancer: a randomised controlled study. Br J Cancer. 2004 Mar 8;90(5):1003-10. doi: 10.1038/sj.bjc.6601619.

Reference Type BACKGROUND
PMID: 14997197 (View on PubMed)

Lembersky BC, Wieand HS, Petrelli NJ, O'Connell MJ, Colangelo LH, Smith RE, Seay TE, Giguere JK, Marshall ME, Jacobs AD, Colman LK, Soran A, Yothers G, Wolmark N. Oral uracil and tegafur plus leucovorin compared with intravenous fluorouracil and leucovorin in stage II and III carcinoma of the colon: results from National Surgical Adjuvant Breast and Bowel Project Protocol C-06. J Clin Oncol. 2006 May 1;24(13):2059-64. doi: 10.1200/JCO.2005.04.7498.

Reference Type BACKGROUND
PMID: 16648506 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

ICOG-CC01

Identifier Type: -

Identifier Source: org_study_id