Colorectal Neoplasms, Drug Therapy, Combination, Secondary
Conditions
Keywords
Colorectal neoplasms, Secondary, Drug therapy, combination, Irinotecan, Capecitabine
Brief summary
This study is to evaluate the efficacy and safety of combination chemotherapy with irinotecan and capecitabine in previously untreated metastatic colorectal cancer.
Detailed description
This is a single center, single arm, open-label, phase II study to evaluate the efficacy and safety of combination chemotherapy with irinotecan and capecitabine in previously untreated metastatic colorectal cancer. Patients younger then 65 will be treated with irinotecan 100 mg/m2 on day 1 and 8 and capecitabine 1,000mg/m2 twice daily from day 1 to 14 every 3 weeks.For patiens equal to or older then 65, doses of irinotecan and capecitabine will be reduced to 60 mg/m2 and 750 mg/2, respectively. Response assessment will be performed every 3 cycles of chemotherapy.
Interventions
Sponsors
National Cancer Center, Korea
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Histologically confirmed metastatic colorectal cancer * ECOG performance status 0-2 * Mesurable lesions * No prior chemotherapyk or radiotherapy for metastatic disease. Prior radiotherapy is permitted if it was not administered to target lesions selected for this study and provided it has been completed at least 4 weeks before registration * Adjuvnat chemo or radiotherapy was completed at least 6 months prior to start study treatment * Adequate organ functions * Expected survival is longer then 6 months * Informed consent
Exclusion criteria
* Prior systemic chemotherapy for metastatic disease * Prior treatment with oxaliplatin or irinotecan * CNS metastases * Uncontrolled or severe cardiovascular disease * Serious concurrent infection or nonmalignant illness that is uncontrolled or whose control may be jeopardized by complications of study therapy * Other malignancy within the past 3 years except cured non-melanomatous skin cancer or carcinoma in situ of the cervix * Psychiatric disorder or uncontrolled seizure that would preclude compliance * Pregnant, nursing women or patients with reproductive potential without contraception * Patients receiving a concomitant treatment with drugs interacting with capecitabine such as flucytosine, phenytoin, or warfarin et al. * Prior unanticipated severe reaction to fluoropyrimidine therapy, or known dihydropyrimidine dehydrogenase (DPD) deficiency * Major surgery within 3 weeks prior to study treatment starts, or lack of complete recovery from the effects of major surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximal response rate and toxicities | During treatment |
Secondary
| Measure | Time frame |
|---|---|
| Progression-free survival and overall survival | — |
Countries
South Korea
Outcome results
None listed