Neoadjuvant Chemotherapy Versus Standard Treatment in Patients With Locally Advanced Colon Cancer

NCT ID: NCT01918527

Last Updated: 2025-03-25

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2025-12-31

Brief Summary

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The purpose of this study is to compare 3 cycles of neoadjuvant (preoperative) chemotherapy + operation with the standard treatment of locally advanced colon cancer, which is operation + 8 cycles of (adjuvant) chemotherapy.

Patients receiving neoadjuvant chemotherapy may not need adjuvant chemotherapy after the operation and, if this is the case, they will be spared of 5 cycles of chemotherapy.

Detailed Description

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Conditions

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Colon Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A, Conventional treatment

Operation + 4 or 8 cycles of adjuvant chemotherapy, if indicated.

Group Type OTHER

Capecitabine

Intervention Type DRUG

Orally on days 1-14: 2000 mg/m2/day q3w

Oxaliplatin

Intervention Type DRUG

Intravenously on day 1: 130 mg/m2 q3w

B, Neoadjuvant chemotherapy

3 cycles of neoadjuvant chemotherapy + operation. Adjuvant chemotherapy only if indicated.

Group Type OTHER

Capecitabine

Intervention Type DRUG

Orally on days 1-14: 2000 mg/m2/day q3w

Oxaliplatin

Intervention Type DRUG

Intravenously on day 1: 130 mg/m2 q3w

Interventions

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Capecitabine

Orally on days 1-14: 2000 mg/m2/day q3w

Intervention Type DRUG

Oxaliplatin

Intravenously on day 1: 130 mg/m2 q3w

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically verified locally advanced T3 (ETI \> 5 mm) or T4 colon cancer assessed by CT scan.
* Age ≥ 18 years
* PS 0-2.
* Hematology ANC ≥1.5x10\^9/l. Thrombocytes ≥ 100x10\^9/l.
* Biochemistry Bilirubinemia ≤ 3 x upper normal level. ALAT ≤ 5 x upper normal value
* Consent to translational research
* Fertile women must present a negative pregnancy test and use secure contraceptives during and 3 months after treatment.
* Written and orally informed consent.

Exclusion Criteria

* Patients with distant metastases.
* Acute operation
* Clinically significant cardiovascular disease (incl. myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) ≤ 1 year before inclusion.
* Active, serious infection or other serious disease.
* Peripheral neuropathy NCI grade \> 1
* Other malignant disease within 5 years prior to study enrollment, except basocellular or squamous skin cancer and carcinoma in situ cervicis uteri.
* Other investigational treatment within 30 days prior to treatment start.
* Hypersensitivity to one or more of the active or auxiliary substances.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vejle Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anders Jakobsen, DMSc

Role: STUDY_CHAIR

Vejle Hospital, Vejle, Denmark

Henrik Jensen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Vejle Hospital, Vejle, Denmark

Olav Dahl, MD

Role: PRINCIPAL_INVESTIGATOR

Haukeland University Hospital, Bergen, Norway

Göran Carlsson, MD

Role: PRINCIPAL_INVESTIGATOR

Sahlgrenska University Hospital

Locations

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Aalborg University Hospital

Aalborg, , Denmark

Site Status

Rigshospitalet

Copenhagen, , Denmark

Site Status

Herlev Hospital

Herlev, , Denmark

Site Status

Hilleroed Hospital

Hillerød, , Denmark

Site Status

Roskilde Hospital

Roskilde, , Denmark

Site Status

Sygehus Sønderjylland

Sønderborg, , Denmark

Site Status

Vejle Hospital

Vejle, , Denmark

Site Status

Haukeland University Hospital

Bergen, , Norway

Site Status

Sahlgrenska University Hospital

Gothenburg, , Sweden

Site Status

Countries

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Denmark Norway Sweden

Other Identifiers

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NeoCol

Identifier Type: -

Identifier Source: org_study_id

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