colorectal cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histopathological confirmation of Adenocarcinoma located in colon and rectosigmoid. 2) KRAS wild type (in codon 12, 13) confirmed, either in the primary tumor or in metastatic tumor lesion 3) Patient with unresectable synchronous or metachronous liver metastasis 4) Age of 20~80 5) ECOG performance status of 0 to 1 6) Presence of at least one measurable lesion according to RECIST 7) Patient without prior chemotherapy or radiation therapy 8) Sufficient function of important organs 1. WBC:>= 3,000 /mm3 2. Neu : >= 1,500 /mm3 3. Platelet : >= 100,000 /mm3 4. Hemoglobin : >= 9.0 g/dL 5. Sr.bil : <= 2.0 mg/dL 6. AST, ALT : <= 100IU/L 7. Serum creatinine : <= 1.2mg/dL 8. Ccr : >= 50 ml/min 9) Sufficient oral intake 10) Expected more than 3 months survival 11) With written informed consent
Exclusion criteria
Exclusion criteria: 1) History of severe allergy 2) Administration contraindication of oxaliplatin, panitumumab, TS-1, or 5FU 3) Severe infectious disease 4) Severe complications (interstitial lung disease or pulmonary fibrosis, , kidney failure, hepatic failure, uncontrolable diabetes, uncontrolable hypertension) 5) History of interstitial lung disease or pulmonary fibrosis 6) Severe heart failure or history of severe heart failure 7) Peripheral sensory 8) Wattery diarrhea 9) Massive pleural effusion or ascites 10) Gastrointestinal perforation or bleeding 11) Patient medicated with anticoagulant drugs (except for low-dose aspirin [less than 325mg/day]) 12) Synchronous or metachronous (within 5 years) malignancy other than carcinoma in situ 13) Pregnant or lactating women or women of childbearing potential, and no birth-control 14) Mechanical bowel obstruction 15) Active hepatitis type B 16) Any other cases who are regarded as inadequate for study enrollment by the investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| RR: response rate | — |
Secondary
| Measure | Time frame |
|---|---|
| OS: overall survival PFS: progression free survival treatment completion rate safety | — |
Countries
Japan
Contacts
Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Department of Gastroenterological Surgery