Stage IV colorectal cancer after palliative operation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1)With pathologically proven colorectal cancer (2)With Stage IV colorectal cancer after palliative operation (3)With at least one measurable lesion (RECIST) (4)With adequate bone marrow, cardiac, respiratory, hepatic, and renal functions. Defined as: white blood cell count 4000-12,000 mm3, neutrophil count>=2000 mm3, hemoglobin>=9.0 g/dl, platelet>=100,000 mm3, AST and ALT within two times the upper limit of normal for the institution, serum bilirubin level=50 ml/min., C-reactive protein=21 days prior to entry (8)Life expectancy estimated>=12 weeks (9)Age 20-75 years (10)With collected tissue samples for pharmacogenomic analysis (11)With written informed consent
Exclusion criteria
Exclusion criteria: (1)Other serious accompanied diseases (2)Symptomatic infectious disease (3)Watery diarrhea (4)Ileus, Obstructive bowel disease (5)Interstitial pneumonia, pulmonary fibrosis (6)Symptomatic ascites or pleural effusion (7)Symptomatic jaundice (8)Ischemic heart disease or arrhythmia required medical care (9)Myocardiac infarction occurred within 6 month, (10)Liver cirrhosis (11)Hemorrhage/bleeding>=grade 3 (NCI-CTC) (12)Symptomatic psychological disease (13)Uncontrollable diabetes (14)Serious surgery-related complication (15)Active secondary cancer (16)A past history of drug allergy (17)Pregnancy or breast feeding (18)Active hepatitis or syphilis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1)Tumor response rate 2)Genotype-phenotype association (CYP3A4,CES1,2, UGT1A1, ABCG2, ABCB1, and ABCC1,2 vs toxicity), mutation -phenotype association (TOP1A, ABCG2 vs tumor response), and expression-phenotype association (TOP1A, ABCG2 vs tumor response) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)Adverse events, 2)Progression free-survival (PFS) 3)Overall survival (OS) 4)Genotype-phenotype association (CYP3A4,CES1,2, UGT1A1, ABCG2, ABCB1, and ABCC1,2 vs PK parameter) Gene expression-phenotype association (TOP1A, ABCG2 vs PK parameter) 5)Possible biomarkers other than the above 9 genes 6)Microsatellite instability (MSI)- phenotyppe association (BAT26, D2S136, D3S1067, TP53, and D18S51 vs tumor response) | — |
Countries
Japan
Contacts
Research Institute for Radiation Biology and Medicine, Hiroshima University Department of Translational Cancer Research