locally advanced rectal cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histologically confirmed rectal cancer (Ra, Rb, P) 2) Histologically confirmed adenocarcinoma 3) Within 28 days before registration, Clinical stage T3-4, N0-2(UICC 7th edition) 4) Age of 20 to 80 years old 5) PS(ECOG) 0-1 6) Previously untreated rectal cancer (including chemotherapy, radiotherapy, hormonal therapy, or surgery) 7) be able to take oral drugs 8) Required baseline laboratory parameters (within 14 days before registration): WBC >= 3000 ,< 12000/mm3 Neu >= 1,500/mm3 Plt >= 100,000/mm3 Hb >= 9.0g/dl T-Bil <= 2.0mg/dl AST,ALT <= 100U/L Cre <1.5mg/dl Ccr >= 60mL/min 9) Appropriate for the study at the physician's assessment 10) Written informed consent
Exclusion criteria
Exclusion criteria: 1) History of serious drug hypersensitivity or a history of drug allergy 2) Active double cancer (synchronous double cancer or asynchronous double cancer with disease-free duration of 5 years or less) 3) Patients with contraindication to S-1 4) Serious complication ( ex. intestinal paralysis, ileus, interstitial pneumonitis, pulmonary fibrosis, serious diabetes, serious hypertension cardiac failure, renal failure, or liver failure) 5) Previous history of serious lung disorder ( ex. interstitial lung disease or fibrosis, serious emphysema ) 6) Pleural effusion, peritoneal fluid that needs treatment 7) Positive for HBs antigen 8) Patients who have bleeding from GI tract, intestinal paralysis, intestinal obstruction, peptic ulcer 9) Patients who need flucytosine, phenytoin or warfarin potassium. 10) Requiring consecutive systemic administration of steroid drug 11) Pregnant or lactating woman 12) Man who hope for Partner's pregnant 13) High-grade stricture 14) Not appropriate for the study at the physician's assessment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| predictive value of pathological response | — |
Secondary
| Measure | Time frame |
|---|---|
| DFS, OS, Response rate, pathological response, Safety | — |
Countries
Japan
Contacts
Oita University faculty of medicine Department of Gastroenterological and Pediatric Surgery