Metastatic colorectal cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Patients with histologically proven colorectal cancer (2) Metastatic colorectal cancer (3) Age over 20 (4) ECOG Performance Status (PS) 0-1 (5) A measurable or evaluable lesion is confirmed with objective documents such as CT, MRI and the X-ray check within 30th before registration (a measurable lesions in RECIST criteria is unnecessary) (6) Metastatic colorectal cancer which has prior therapy of S-1 and CPT-11 (7) Ability of oral intake (8) Adequate function of vital organs, including normal hematopoietic function, normal liver function and normal renal function as evidenced by the following data within two weeks before registration (9) Life expectancy of more than 3 months (10) Written informed consent
Exclusion criteria
Exclusion criteria: (1) History of severe allergy (2) Pregnant or lactating women or women of childbearing potential (3) Severe infectious disease (4) Serious complication (e.g. interstitial pneumonia or pulmonary fibrosis, kidney injury, hepatic failure, uncontrolled diabetes mellitus, uncontrolled hypertension) (5) Comorbidity or history of heart failure (6) Peptic ulcers (7) Peripheral neuropathy (8) Severe diarrhea (9) Massive ascites or pleural effusion requiring treatment (10) Metastasis to the CNS (11) Current or previous (within the last 6 months) history of GI perforation (12) Previous history of thromboembolism, cerebral infarction, pulmonary infarction, interstitial pneumonia or hemoptysis (=> 2.5ml) (13) Any surgical treatments within 28 days (14) Evidence of bleeding diathesis or coagulopathy (15) Ongoing treatment with anticoagulant or aspirin (> 325mg/day) (16) Synchronous or metachronous (within 5 years) malignancy other than carcinoma in situ (17) Under coutinuous steroid administration (18) Administration contraindication of L-OHP, Bevacizumab, S-1 or Capecitabine (19) Presence of severe colorectal stricture (20) Any other cases who are regarded as inadequate for study enrollment by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression-free survival (PFS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Response rate (RR) Time to treatment failure (TTF) Overall Survival (OS) Safety profile | — |
Countries
Japan
Contacts
Tsuchiura kyodo general hospital Department of Gastroenterology