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Last Modified: 1/24/2008     First Published: 11/1/1997  
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Phase III Adjuvant Study of Levamisole vs Alfa Interferon 2a Plus Fluorouracil and Leucovorin Calcium for Intraperitoneal Colorectal Cancer

Alternate Title
Basic Trial Information
Objectives
Entry Criteria
Expected Enrollment
Outline
Trial Contact Information
Registry Information

Alternate Title

Biological Therapy With Combination Chemotherapy in Patients With Colorectal Cancer

Basic Trial Information

Phase
Type
Status
Age
Sponsor
Protocol IDs

Phase III


Treatment


Closed


75 and under


Other


CNR-TONE-01
EU-97011, NCT00003063

Objectives

  1. Assess the efficacy of the addition of levamisole or alfa interferon to fluorouracil and leucovorin calcium (folinic acid) as an adjuvant treatment of intraperitoneal colorectal cancer.

Entry Criteria

Disease Characteristics:

  • Histologically confirmed stage T3-T4 N0 or T1-T4 N1-3 colorectal cancer


  • No evidence of residual disease after surgery


  • Tumor located above peritoneal reflection


  • No distant metastases


Prior/Concurrent Therapy:

Biologic therapy

  • No prior immunotherapy for the current cancer

Chemotherapy

  • No prior chemotherapy for the current cancer

Endocrine therapy

  • Not specified

Radiotherapy

  • No prior radiotherapy for the current cancer

Surgery

  • Not specified

Patient Characteristics:

Age:

  • 75 and under

Performance status:

  • WHO 0-1

Life expectancy:

  • Not specified

Hematopoietic:

  • WBC at least 3500/mm3
  • Platelet count at least 100,000/mm3

Hepatic:

  • Bilirubin no greater than 2.0 mg/dL
  • SGPT less than 2 times upper limit of normal

Renal:

  • Creatinine no greater than 2.0 mg/dL

Cardiovascular:

  • No serious cardiac ischemia

Other:

  • Adequate metabolic functions
  • No prior neoplasm
  • No prior/concurrent illness
  • No insulin-dependent diabetes

Expected Enrollment

1050

350 patients per arm will be accrued for a total of 1,050 patients.

Outline

This is a three arm study. Patients are randomized to receive either levamisole, alfa interferon, or no treatment.

  • Arm I: Patients receive levamisole PO for 3 days every 2 weeks for 6 months before and after surgery. Fluorouracil IV bolus and leucovorin calcium (folinic acid) IV over 1 hour are administered on days 1-5 every 4 weeks for 6 cycles after surgery.


  • Arm II: Patients receive alfa interferon-2a SC on 3 alternate days for a week before surgery and for 6 months after surgery. Fluorouracil IV bolus and folinic acid IV over 1 hour are administered on days 1-5 every 4 weeks for 6 cycles after surgery.


  • Arm III: Patients undergo surgery followed by fluorouracil IV bolus and folinic acid IV over 1 hour on days 1-5 every 4 weeks for 6 cycles.


Patients are followed every 3 months for 2 years, then every 6 months.

Trial Contact Information

Trial Lead Organizations

European Institute of Oncology

Francesco Tonelli, MD, Protocol chair
Ph: 39-55-4277449
Email: f.tonelli@dfc.unifi.it

Registry Information
Official Title Adjuvant Chemoimmunotherapy for Colorectal Cancer
Trial Start Date 1991-11-15
Registered in ClinicalTrials.gov NCT00003063
Date Submitted to PDQ 1997-08-18
Information Last Verified 2005-11-22

Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol.

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