colorectal cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with histopathologically confirmed adenocarcinoma. 2. Patients with unresectable recurrent or advanced colorectal cancer. 3. Patients 20 years or older. 4. Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1. 5. unresectable primary tumor or with one or more unresectable metastatic tumor Measurable or evaluable disease. (RECIST 1.1) 6. No prior chemotherapy except adjuvant chemotherapy if completed more than 6months prior to enrollment. 7. Patients with sufficient oral intake. 8. Vital organ functions (listed below) are preserved within 2 weeks prior to entry. i. Leukocyte >=3,000/mm3 Neutrophil >=1,500/mm3 ii. Platelets >=100,000/mm3 iii. Hemoglobin >=9.0g/dl iv. Total bilirubin <= 1.5ml/dl v. AST and ALT <= 100IU/l (150IU/l in case of liver metastasis) vi. Serum creatinine <= 1.3mg/dl vii. INR < 1.5 viii. urinary protein <= 1+ 7. survival more than 3 months. 8. Patients with written informed consent.
Exclusion criteria
Exclusion criteria: 1. With a history of severe drug allergic response 2. Pregnant or lactating women or women of childbearing potential. 3. Uncontrolled infection. 4. With a history of severe systemic diseases. 5. Evidence of cardiovascular abnormalities. 6. Evidence of gastrointestinal bleeding 7. Evidence of sensory disturbance 8. Evidence of severe diarrhea 9. Evidence of ascites or pleural effusion needed to treat. 10. Evidence of gstrointestinal obstraction. 11. Evidence of peritoneal dissemination 12. Evidence of brain metastasis 13. History of hematemesis 14. History of cardiovascular events including unstable angina, cardiac infarction, cerebral infarction and pulmonary embolism 15. Any surgical treatments including skin-open biopsy, trauma surgery and other more intensive surgery within 4 weeks. 16. Evidence of bleeding diathesis or coagulopathy. 17. Administering antithrombotic drugs 18. blood transfusion within 2 weeks. 19. Multiple primary cancers within 5 years. 20. patients with administration of steroids. 21. Patients who have active hepatitis type B. 22. contraindication of S-1, L-OHP, BV administration 23. Other conditions not suitable for this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adverse events | — |
Secondary
| Measure | Time frame |
|---|---|
| OS PFS RR TTF RDI R0 resectability ETS | — |
Countries
Japan
Contacts
Kyoto-Katsura Hospital Department of Surgery