Genotype-driven Phase I Study of Irinotecan Administered in Neoadjuvant Chemoradiotherapy in Patients With Stage II/III Rectal Cancer

NCT ID: NCT01474187

Last Updated: 2011-11-18

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

PHASE1

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-30

Study Completion Date

2012-12-31

Brief Summary

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Irinotecan is one of effective drugs for colorectal cancer. In neoadjuvant chemoradiotherapy (CRT), Irinotecan is prescribed in a low dose of 50mg/m2/week because of toxicity. Some current studies showed that irinotecan's dose can be increased significantly for those patients with 6/6 or 6/7 genotype of UGT1A1. therefore, the investigators designed this trial to explore the maximal tolerable dose (MTD) of Irinotecan in combined neoadjuvant CRT.

Detailed Description

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Conditions

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Rectal Cancer

Keywords

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Neoadjuvant chemotherapy rectal cancer phase I study irinotecan

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Irinotecan

irinotecan dose initial from 50mg/m2/week, increased by 15mg/mg/week

Group Type EXPERIMENTAL

Irinotecan

Intervention Type DRUG

initial from 50mg/m2/week and increased by 15mg/m2/week

Capecitabine

Intervention Type DRUG

625mg/m2,bid,d1-5,qw

Radiotherapy

Intervention Type RADIATION

50Gy for whole pelvis

Interventions

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Irinotecan

initial from 50mg/m2/week and increased by 15mg/m2/week

Intervention Type DRUG

Capecitabine

625mg/m2,bid,d1-5,qw

Intervention Type DRUG

Radiotherapy

50Gy for whole pelvis

Intervention Type RADIATION

Other Intervention Names

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Xeloda

Eligibility Criteria

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Inclusion Criteria

* Patients with rectal adenocarcinoma
* Clinical staged T3/4 or any node-positive disease
* Age of 18-75 years
* Karnofsky Performance Status \> 80
* Adequate bone marrow reserve, renal and hepatic functions
* Without previous antitumoural chemotherapy
* No evidence of metastatic disease
* Written informed consent before randomization
* UGT1A1's genotype of 6/6 or 6/7

Exclusion Criteria

* Clinical staged I or IV
* Age of \<18 or \>75 years
* Karnofsky Performance Status \< 80
* Previous pelvis radiotherapy
* Previous antitumoural chemotherapy
* Clinically significant internal disease
* Refuse to write informed consent before randomization
* UGT1A1's genotype of 7/7
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Zhu Ji

Chief of Department of Radiation Oncology, Cancer Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cancer Hospital, Fudan University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Ji Zhu, MD

Role: CONTACT

Email: [email protected]

Facility Contacts

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Ji Zhu, MD

Role: primary

Other Identifiers

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FDRT-003

Identifier Type: -

Identifier Source: org_study_id