Pre-surgical Locally advanced rectal cancer treatment.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histologically confirmed rectal adenocarcinoma (/ 4 x 109/l, Neutrophils >/ 1.5 x 109/l, Platelets >/ 100 x 109/l, Haemoglobin >/ 10 g/dl 12. Adequate liver function, determined by the following:Bilirubine 35 g/L 15.- Written informed consent according to ICH-GCP Are the trial subjects under 18? Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Non-resectable rectal cancer: Sacral bone involvement. Bilateral ureteral involvement 2. Second neoplasy with the exception of adequately treated basal cell and spinocelular skin cancer, as well as cervical cancer. 3. Pregnancy or breast feeding 4. Absence of contraception 5. Medical history of miocardial infraction in the previous 6 months 6. Congestive heart disease or non-stable arrithmias despite of specific treatment. 7. Contraindication to surgery 8. Contraindication to oxaliplatin or capecitabine 9. Psicological, familiar or geographical problems that can interfere with the optimal follow-up and/or adherence to treatment scheme. 10. Syncronic colon neoplasia 11. Peripherial previous neuropathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess efficacy, as of pathological response rate, of the combination of pre-surgical weekly oxaliplatin plus capecitabine and external radiotherapy in patients with advanced rectal cancer.;Secondary Objective: -R0 resection rate -Surgical Complications rate- To determine local and distant relapse rate -Overall and disease-free survival;Primary end point(s): Pathological response rate | — |
Countries
Spain