Locally-advanced lower rectal cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Histopathological confirmation of lower rectal cancer(Adenocarcinoma) (2) locally-advanced and recurrent lower rectal cancer. (3) Distant metastasis (4) No prior chemotherapy (5) Over age 20 (6) ECOG performance status of 0,1 (7) Life expectancy more than 3 months (8) A good condition of important organs (9) Sufficient organ functions (10) Oral administration is possible (11) Written informed consent
Exclusion criteria
Exclusion criteria: (1) History of other malignancy,except for curatively treated carcinoma in situ or intramucosal carcinoma (Subjects with other malignancies who have been disease-free for at least 5 years are eligible.) (2) Patients who have undergone radiotherapy (3) Patients with diarrhea (4) Patient with regular use of furucytocin (5) Patients with severe complications,(severe cardiovascular disease,severe heart disease,heart failure,liver failure,renal failure or uncontrollable diabetes mellitus) (6) Patients with uncontrollable ascites and pleural effusion (7) The case suspected of infection with feaver (over 38 centigrade). (8) Serious drug hypersensitivity (9) Patients with paralytic ileus, bowel obstruction (10) Women who are unwilling to avoid pregnancy. Women who are pregnant or breastfeeding. (11) Any other cases who are regarded as inadequate for study enrollmet by investigators
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Histological response evaluation | — |
Secondary
| Measure | Time frame |
|---|---|
| Tumor regression grading Accomplishment rate Response rate Progression free survival Overall survival Incidence and degree of adverse events R0-resection rate Sphincter preservation Down Staging rate | — |
Countries
Japan
Contacts
Nara Hospital Kinki University Faculty of Medicine Surgery