First Line Treatment by FOLFIRINOX for Patients With a Rectum Cancer With Synchronous Non Resectable Metastasis

NCT ID: NCT01674309

Last Updated: 2020-03-30

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

65 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2016-10-31

Brief Summary

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The FOLFIRINOX protocol seems a promising protocol as attack treatment of a rectum cancer, with an objective response rate of about 70 %. This phase II is to investigate if this systematic attack chemotherapy could control at the same time the rectal tumor and the synchronous metastasis without compromising secondarily the tumor or the metastasis resection or a radiochemotherapy administration.

1. The main objective of the trial is to investigate the tumoral control rate at 4 months, according to the RECIST criteria (version 1.1).
2. The secondary objectives are:

* safety of the treament,
* rate of local failure and local complication (occlusion, important bleedings, resistant pains with morphinic treatment, perforation),
* survival without local failure (radiological or clinical progression of the rectal cancer or local complication),
* rectal tumor response rate (CT scan, MRI and endocopy),
* metastasis response rate,
* disease free survival after complete resection (of primitive tumor and metastases),
* progression free survival (local or distal),
* overall survival, quality of life (QLQ-C30 + CR 29).

Detailed Description

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The FOLFIRINOX protocol seems a promising protocol as attack treatment of a rectum cancer, with an objective response rate of about 70 %. This phase II is to investigate if this systematic attack chemotherapy could control at the same time the rectal tumor and the synchronous metastasis without compromising secondarily the tumor or the metastasis resection or a radiochemotherapy administration.

1. The main objective of the trial is to investigate the tumoral control rate at 4 months, according to the RECIST criteria (version 1.1).
2. The secondary objectives are:

* safety of the treament,
* rate of local failure and local complication (occlusion, important bleedings, resistant pains with morphinic treatment, perforation),
* survival without local failure (radiological or clinical progression of the rectal cancer or local complication),
* rectal tumor response rate (CT scan, MRI and endocopy),
* metastasis response rate,
* disease free survival after complete resection (of primitive tumor and metastases),
* progression free survival (local or distal),
* overall survival, quality of life (QLQ-C30 + CR 29).
3. Inclusion and non inclusion criteria
4. Treatment
5. Follow up

Conditions

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Adenocarcinoma of Rectum

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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single arm study/ non randomized trial

FOLFORINOX

Group Type OTHER

FOLFORINOX

Intervention Type DRUG

INTRAVENOUS administration

Interventions

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FOLFORINOX

INTRAVENOUS administration

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically proven adenocarcinoma of the rectum, the lower pole less than 15 cm from the anal verge
* Patient should not have receive any treatment for cancer
* Synchronous metastases with unresectable hepatic and/or lung localization or uncertain resectability (potentially resectable)
* Measurable lesions by RECIST 1.1 (metastasis and primary cancer of the rectum)
* Age ≥ 18 years
* WHO ≤ 2
* ANC ≥ 1.5 x 10 9/L, platelets ≥ 100 x 10 9/L, creatinine clearance ≥ 60 mL/min
* Hemoglobin ≥ 10 g /dL
* Signed informed consent

Exclusion Criteria

* Rectal Cancer in occlusion requiring surgery or a prosthesis in emergency
* Rectal bleeding severe and active
* Prior pelvic irradiation
* History of cancer, except non-melanoma skin cancer, carcinoma in situ of the cervix treated curatively and other cancers treated curatively if they do not relapse over 3 years,
* Hepatic impairment (total bilirubin\> 1.5 x upper limit of normal (ULN) and serum albumin \<25g / L); known Gilbert's disease
* Uncontrolled severe infection,
* Severe pain (VAS\> 5/10) uncontrollable by opioid therapy
* Symptomatic sensorimotor peripheral neuropathy
* Pregnant or lactating patients or patient of both sexes with childbearing potential and not using adequate contraception method
* Patient receiving or having received an experimental therapy within 4 weeks prior to enter into the study or participating in another clinical study of other experimental drugs
* Known hypersensitivity to any component of the treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Federation Francophone de Cancerologie Digestive

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean-Baptiste BACHET, Dr

Role: PRINCIPAL_INVESTIGATOR

CHU de La Pitié Salpetrière - APHP

Locations

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CHU

Amiens, , France

Site Status

CHU

Angers, , France

Site Status

CH

Avignon, , France

Site Status

CH

Beauvais, , France

Site Status

CHU

Besançon, , France

Site Status

CH

Béziers, , France

Site Status

Avicennes

Bobigny, , France

Site Status

CHU - Ht Lévêque

Bordeaux, , France

Site Status

Institut Bergonie

Bordeaux, , France

Site Status

CHU d'Estaing

Clermont-Ferrand, , France

Site Status

Colmar Ch

Colmar, , France

Site Status

Centre G.F. Leclerc

Dijon, , France

Site Status

CHU

Dijon, , France

Site Status

Polyclinique

Francheville, , France

Site Status

CHD Vendée

La Roche-sur-Yon, , France

Site Status

Clinique Victor Hugo

Le Mans, , France

Site Status

CHRU - Hôpital Huriez

Lille, , France

Site Status

CHU La Timone

Marseille, , France

Site Status

Ipc - Cac

Marseille, , France

Site Status

CH Layne

Mont-de-Marsan, , France

Site Status

Centre Cahterine de Sienne

Nantes, , France

Site Status

Polyclinique le Languedoc

Narbonne, , France

Site Status

CH Georges Menon

Niort, , France

Site Status

CHR - Gasto

Orléans, , France

Site Status

AP - HP - Pitié Salpêtrière

Paris, , France

Site Status

CH

Pau, , France

Site Status

CH

Perpignan, , France

Site Status

CHU

Rouen, , France

Site Status

CH Le Foll

Saint-Brieuc, , France

Site Status

Clinique Armoricaine

Saint-Brieuc, , France

Site Status

Polyclinique Côte Basque Sud

Saint-Jean-de-Luz, , France

Site Status

CH Robert Morlevat

Semur-en-Auxois, , France

Site Status

CAC

Strasbourg, , France

Site Status

Polyclinique de l'Ormeau

Tarbes, , France

Site Status

Hôpitaux du Leman

Thonon-les-Bains, , France

Site Status

Clinique Saint Jean du Languedoc

Toulouse, , France

Site Status

CHRU Trousseau

Tours, , France

Site Status

Countries

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France

References

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Bachet JB, Lucidarme O, Levache CB, Barbier E, Raoul JL, Lecomte T, Desauw C, Brocard F, Pernot S, Breysacher G, Lagasse JP, Di Fiore F, Etienne PL, Dupuis OJM, Aleba A, Lepage C, Taieb J; for FFCD 1102 investigators. FOLFIRINOX as induction treatment in rectal cancer patients with synchronous metastases: Results of the FFCD 1102 phase II trial. Eur J Cancer. 2018 Nov;104:108-116. doi: 10.1016/j.ejca.2018.09.006. Epub 2018 Oct 18.

Reference Type RESULT
PMID: 30343254 (View on PubMed)

Other Identifiers

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FFCD 1102

Identifier Type: -

Identifier Source: org_study_id

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