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Sponsored by: |
Federation Francophone de Cancerologie Digestive |
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Information provided by: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT00091312 |
RATIONALE: Drugs used in chemotherapy, such as irinotecan, leucovorin, and fluorouracil, work in different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug and giving them after surgery may kill any remaining tumor cells. It is not yet known whether combination chemotherapy is more effective than observation alone in treating patients who have undergone surgery for colon cancer.
PURPOSE: This randomized phase III trial is studying irinotecan and fluorouracil with or without leucovorin to see how well they work compared to observation alone in treating patients who have undergone surgery for stage II colon cancer.
Condition | Intervention | Phase |
---|---|---|
Colorectal Cancer |
Drug: FOLFIRI regimen Drug: fluorouracil Drug: irinotecan hydrochloride Drug: leucovorin calcium Procedure: adjuvant therapy |
Phase III |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Active Control |
Official Title: | Randomized Phase III Intergroup Trial in Resected Stage 2 (Dukes B) Colon Cancer: 6-Month Infusional 5FU-CPT11 (+/- Folinic Acid) Versus Observation - Determination of Biologic Predictive and Response Factors |
Estimated Enrollment: | 1976 |
Study Start Date: | June 2004 |
OBJECTIVES:
Primary
Secondary
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center, disease stage (pT3 vs pT4), pathological differentiation (poorly or undifferentiated vs well or moderately differentiated), and microsatellite instability (positive vs negative vs unknown).
Patients are randomized to 1 of 2 treatment arms.
Arm I: Patients are further randomized to receive 1 of 3 adjuvant chemotherapy regimens.
PROJECTED ACCRUAL: A total of 1,976 patients (988 per treatment arm [247 each in regimens A and B of arm I and 494 in regimen C of arm I]) will be accrued for this study within 4.5 years.
Ages Eligible for Study: | 18 Years to 75 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically confirmed adenocarcinoma of the colon
Stage II disease (pT3, N0 or pT4, N0)
No lymph node metastases
More than 1 synchronous primary colon tumor allowed
Curative radical resection within the past 2-8 weeks required
No rectal tumors
PATIENT CHARACTERISTICS:
Age
Performance status
Life expectancy
Hematopoietic
Hepatic
Renal
Cardiovascular
Gastrointestinal
Other
PRIOR CONCURRENT THERAPY:
Biologic therapy
Chemotherapy
Endocrine therapy
Radiotherapy
Surgery
Other
Egypt | |
National Cancer Institute - Cairo | |
Cairo, Egypt | |
France | |
Centre Hospitalier Universitaire Ambroise Pare - Boulogne | |
Boulogne Billancourt, France, F-92104 | |
Hopital Du Bocage | |
Dijon, France, 21034 | |
Germany | |
Medizinische Klinik I | |
Dresden, Germany, D-01307 | |
Italy | |
Azienda Ospedaliero Careggi | |
Florence, Italy, 50139 | |
Ospedali Riuniti di Bergamo | |
Bergamo, Italy, 24100 | |
Universita Degli Studi di Florence - Policlinico di Careggi | |
Florence, Italy, 50139 | |
Portugal | |
Instituto Portugues de Oncologia Centro do Porto, S. A. | |
Porto, Portugal, 4200-072 | |
Spain | |
Hospital Universitario de Elche | |
Elche Alicante, Spain, E-03203 |
Study Chair: | Laurent Bedenne, MD | Hopital Du Bocage |
Study ID Numbers: | CDR0000387797, FFCD-EORTC-40012, EORTC-40012, PETACC-4 |
Study First Received: | September 7, 2004 |
Last Updated: | February 6, 2009 |
ClinicalTrials.gov Identifier: | NCT00091312 History of Changes |
Health Authority: | United States: Federal Government |
stage II colon cancer adenocarcinoma of the colon |
Antimetabolites Immunologic Factors Gastrointestinal Diseases Colonic Diseases Irinotecan Leucovorin Rectal Diseases Vitamins Micronutrients Digestive System Neoplasms Vitamin B Complex Adjuvants, Immunologic Trace Elements |
Intestinal Diseases Immunosuppressive Agents Intestinal Neoplasms Camptothecin Folic Acid Calcium, Dietary Digestive System Diseases Fluorouracil Gastrointestinal Neoplasms Adenocarcinoma Antineoplastic Agents, Phytogenic Colonic Neoplasms Colorectal Neoplasms |
Antimetabolites Antimetabolites, Antineoplastic Molecular Mechanisms of Pharmacological Action Immunologic Factors Gastrointestinal Diseases Antineoplastic Agents Colonic Diseases Irinotecan Physiological Effects of Drugs Leucovorin Rectal Diseases Neoplasms by Site Vitamins Therapeutic Uses Micronutrients |
Vitamin B Complex Digestive System Neoplasms Growth Substances Enzyme Inhibitors Intestinal Diseases Immunosuppressive Agents Intestinal Neoplasms Camptothecin Pharmacologic Actions Neoplasms Digestive System Diseases Fluorouracil Gastrointestinal Neoplasms Antineoplastic Agents, Phytogenic Colonic Neoplasms |