EMVI-positive Locally Advanced Rectal Cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Aged = 18 to 75 years at diagnosis; 2.ECOG status 0 or 1; 3.Signed informed consent; able to comply with study and/or follow- up procedures; 4.Diagnosis of rectal adenocarcinoma; 5.Distal border of the tumor must be located < 12 cm from the anal verge; 6.MRI examination diagnosed EMVI-positive; 7.Tumor amenable to curative resection; 8.Adequate bone marrow, hepatic and renal function as assessed by the following laboratory requirements conducted within 7 days of starting study treatment: (1) Neutrophilic granulocytes = 3.0 x10^9/L, Platelet count = 75 x 10^9/L, Hemoglobin (Hb) = 90g/L; (2) bilirubin =1.5 x the upper limit of normal (ULN),Alanine aminotransferase (ALT)/Aspartate aminotransferase (AST) = 2.5 x ULN; (3) Serum creatinine = 1.5 x ULN. 9.No renal disease that would preclude study treatment or follow-up
Exclusion criteria
Exclusion criteria: 1.Hypersensitivity to fluorouracil, oxaliplatin or irinotecan; 2.Patient had received pelvic radiotherapy; 3.Patient had received systemic chemotherapy; 4.History of invasive colon or rectal malignancy, regardless of disease-free interval; 5.Had metastatic disease; 6.Patient had second malignant disease within 5 years; 7.Uncontrolled co-morbid illnesses or other concurrent disease; 8.Patients refused to signed informed consent. 9.Pregnant and Nursing women;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| metastasis free survival [ Time Frame: Three years ]; | — |
Secondary
| Measure | Time frame |
|---|---|
| pathologic complete response rate;The rate of local recurrence [ Time Frame: 3 years ];disease-free survival [Time Frame: 3 years] ;Overall survival [ Time Frame: Three years ];The incidence of >=3 grade adverse events;Pelvic complete resection rate;Tumor downstaging rate[Time Frame: 2 years]; | — |
Countries
China
Contacts
The First Affiliated Hospital, Zhejiang University School of Medicine