Modified Capecitabine and Oxaliplatin (mCAPOX) for Patients with GI Malignancies

NCT ID: NCT06648785

Last Updated: 2024-11-21

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

ENROLLING_BY_INVITATION

Clinical Phase

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-21

Study Completion Date

2026-11-30

Brief Summary

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This study is a single arm, non-randomized feasibility study with tolerability and toxicity evaluation as primary endpoints which seeks to determine if a modified administration schedule of capecitabine with oxaliplatin will result in less toxicity than standard FOLFOX or CAPOX regimens.

Detailed Description

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Conditions

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GI Cancers

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Single arm pilot/feasibility design with tolerability and toxicity as primary endpoints and response as exploratory endpoint. Standard drug dosages utilized with no dose finding component to this study.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Modified administration schedule of capecitabine with oxaliplatin

* Oxaliplatin (85mg/m2), will be administered IV every 2 weeks
* Capecitabine (1000mg/m2) will be given twice daily, administered orally (PO) for 7 days, followed by 7 days with no capecitabine Cycles will repeat every 14 days.

Group Type EXPERIMENTAL

oxaliplatin

Intervention Type DRUG

85 mg/m2 oxaliplatin

Fluoropyrimidine

Intervention Type DRUG

oral fluoropyrimidine 1000mg/m2

Interventions

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oxaliplatin

85 mg/m2 oxaliplatin

Intervention Type DRUG

Fluoropyrimidine

oral fluoropyrimidine 1000mg/m2

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patient with GI malignancy
* Provider plans non-curative intent treatment with either CAPOX or FOLFOX (mFOLFOX6) at standard dosages for \>3 months NOTE: Patient is not required to have radiologically measurable disease. NOTE: Planned administration of other anti-cancer medications (eg bevacizumab, epidermal growth factor receptor antibodies, immunotherapy, tyrosine kinase inhibitors) is allowed.

Exclusion Criteria

* Patients not meeting standard hematologic parameters for chemotherapy administration as follows:

* Absolute neutrophil count (ANC) ≥ 1500
* Platelet count ≥ 100,000 Patients not meeting standard liver function parameters for chemotherapy administration as follows:
* AST ≤ 5x ULN
* ALT ≤ 5X ULN
* Total Bilirubin ≤ 1.5X ULN Patients not meeting standard renal function parameters for chemotherapy administration as follows:
* Serum Creatinine ≤ 1.2 or creatinine clearance ≥ 30 ml/min NOTE: Planned administration of another cytotoxic chemotherapy (eg irinotecan) is an exclusion.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Vermont Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Randall F Holcombe

Director-Faculty

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Vermont Medical Center

Burlington, Vermont, United States

Site Status

University of Vermont

Burlington, Vermont, United States

Site Status

Countries

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United States

Other Identifiers

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STUDY00003100/UVMCC2404

Identifier Type: -

Identifier Source: org_study_id

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