Advanced or recurrent rectal cancer
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histopathological confirmation of rectal cancer. 2)Locally advanced or recurrent cancer. 3) KRAS mutation type (codon12,13). 4) Previous chemotherapy completed at least 4 weeks before inclusion. 5) >=Age 20 6) ECOG performance status of 0 to 1. 7) Expected more than 3 months survival. 8) Sufficient function of important organs 1.Leu:4,000/mm3 to 12,000/mm3 2.Neu : >= 2,000 /mm3 3.Platelet : >= 100,000 /mm3 4.hemoglobin : >= 9.0 g/dL 5.AST, ALT : < 100 IU/L (<150 IU/L in case of liver metastasis) 6.St.bil : < 2.0 mg/dL 7.Ccr : >= 60 ml/min 9) Ability to ingestion intake and drug administration orally. 10) Informed consent is obtained.
Exclusion criteria
Exclusion criteria: 1) Synchronous or metachronous (within 5 years) malignancy other than carcinoma in situ. 2) No radiation therapy 3) Allergic to a drug 4) Patients under treatment with flucytosine. 5) Sensory neuropathy 6) Metastasis to CNS. 7) Intestinal paralysis or ileus 8) Massive pleural or abdominal effusion. 9) Active infection and inflammation. 10) Watery stools or diarrhea. 11) Severe complications 12) Pregnant or lactating 13) Other patients who are unfit for the study as determined by the attending physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Phase I : To determine maximum tolerated dose and recommended dose. Phese II : pCR rate. | — |
Countries
Japan
Contacts
Graduate School of Medicine, Osaka Univesity Department of Surgery, Gastroenterolgical Surgery