Phase 3 Study of Surgery Combined With Neoadjuvant Chemotherapy(XELOX) in Colorectal Cancer With Resectable Liver Metastasis

NCT ID: NCT00630045

Last Updated: 2008-03-06

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

392 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2015-06-30

Brief Summary

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This study aims to discuss the efficacy and safety of neoadjuvant chemotherapy with XELOX regimen (oxaliplatin plus capecitabine) .

Detailed Description

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Liver metastasis is the most important prognostic factor of colorectal cancer. Reasonable multidisciplinary therapy might improve the prognosis of patients with liver metastasis. Surgery has been the first choice under such situation. Recently, neoadjuvant chemotherapy has also shown its value in unresectable liver metastasis, for it can increase the chance of R0 resection and give some clues to chemosensitivity of agents. However, for those resectable lesions, the role and safety of neoadjuvant chemotherapy has yet to be confirmed. so we design this study.

Conditions

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Colorectal Cancer Resectable Liver Metastasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

2\~3 cycles of neoadjuvant chemotherapy before resection of liver metastasis

Group Type EXPERIMENTAL

neoadjuvant chemotherapy with oxaliplatin and capecitabine

Intervention Type DRUG

oxaliplatin: 130mg/m2, d1(Q3w) capecitabine:1000mg/m2 bid, d1-14(Q3w)

resection of liver metastasis

Intervention Type PROCEDURE

surgery with the aim of R0 resection

2

no neoadjuvant chemotherapy, resect the liver metastasis directly

Group Type ACTIVE_COMPARATOR

resection of liver metastasis

Intervention Type PROCEDURE

surgery with the aim of R0 resection

Interventions

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neoadjuvant chemotherapy with oxaliplatin and capecitabine

oxaliplatin: 130mg/m2, d1(Q3w) capecitabine:1000mg/m2 bid, d1-14(Q3w)

Intervention Type DRUG

resection of liver metastasis

surgery with the aim of R0 resection

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed colorectal cancer with liver metastasis(all patients should have the pathological report of colorectal cancer. The chances of hepatocellular carcinoma or metastasis from other primary lesions should be excluded. )
2. Liver metastasis should be resected with R0 resection and to save enough normal liver tissue
3. Anticipated liver resection: for normal liver, ﹤70%; for liver with cirrhosis, ﹤50%
4. No metastasis of other organs or lymph nodes in abdominal cavity
5. No previous use of oxaliplatin and capecitabine, or previous adjuvant treatment ended more than 6 months
6. Age 18 to 75 years old
7. Karnofsky performance status ≥70
8. Life expectancy of ≥3 month
9. Bilirubin level \< 1.5mg/dL
10. Serum creatinine \<1.0 times ULN
11. Absolute neutrophil count ≥2000/mm3, platelet\>100,000/mm3, Hb\>9g/dl
12. Having signed informed consent

Exclusion Criteria

1. previous use of oxaliplatin or fluorouracil-based chemotherapy in 6 months.
2. No R0 resection or not enough normal liver tissue left
3. previous radiotherapy of target lesions
4. accompanied with unresectable other metastasis or malignant pleural fluids or ascites.
5. complete or uncompleted liver obstruction
6. peripheral neuropathy(NCI-CTC grade 1 or more)
7. mental disturbance neuropathy that influence the cognition, including brain metastasis
8. other serious disease such as uncontrollable active infection, heart infarction with 1 year, un controlled hypertension, arrhythmia with high risk, or unstable heart infarction,heart failure, coronary artery disease, myocardial infarction within the last 6 months
9. Other previous malignancy within 5 year, except non-melanoma skin cancer
10. accompany with other anti-tumor therapies,including immune therapy, intervention or injection with chemotherapeutical agents into serous cavity, or participating other clinical trials.
11. Pregnancy or lactation period
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University

OTHER

Sponsor Role collaborator

Sanofi

INDUSTRY

Sponsor Role collaborator

Peking University People's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Peking University People's Hospital,Department of General Surgery

Principal Investigators

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Shan Wang, MD

Role: PRINCIPAL_INVESTIGATOR

Peking University People's Hospital, Department of General Surgery

Lin Shen, MD

Role: PRINCIPAL_INVESTIGATOR

Peking University, School of Oncology, Department of GI Oncology

Locations

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Peking University, School of Oncology

Beijing, Beijing Municipality, China

Site Status RECRUITING

Peking University, People's Hospital

Beijing, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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zhou jing, MD

Role: CONTACT

86-10-66583821

Xiaotian Zhang, MD

Role: CONTACT

86-10-88196561

Facility Contacts

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Xiaotian Zhang, MD

Role: primary

86-10-88196561

jifang gong, MD

Role: backup

86-10-88196088

jing zhou, MD

Role: primary

86-10-66583821

Other Identifiers

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OXALIC

Identifier Type: -

Identifier Source: org_study_id

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