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An Observational Study of Xeloda (Capecitabine) and Oxaliplatin Prior and Concurrent To Preoperative Pelvic Radiotherapy in Patients With Locally Advanced Rectal Cancer

Capecitabine and Oxaliplatin Prior and Concurrent to Preoperative Pelvic Radiotherapy in Patients With Locally Advanced Rectal Cancer: A Survival Analysis.

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01339832
Enrollment
51
Registered
2011-04-21
Start date
2010-08-31
Completion date
2011-12-31
Last updated
2017-05-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Colorectal Cancer

Brief summary

This observational study is a follow-up study of protocol ML18280. Survival data of patients who took part in and concluded study ML18280 will be collected for up to 5 years after LPLV of ML18270.

Interventions

None listed

Sponsors

Sanofi
CollaboratorINDUSTRY
Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Patients who took part in and concluded study ML18280 according to protocol

Exclusion criteria

* N/A

Design outcomes

Primary

MeasureTime frameDescription
Progression-free SurvivalUp to 5 yearsProgression free survival (PFS) was measured from the date of first administration of study medication in ML18280 study to the date of progression or death, whatever the cause. In participants with measurable disease, progression was defined according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.0. Participants with neither tumor recurrence nor death were censored at the last tumor assessment date they were known to have not progressed (last date of diagnostic procedure or diagnostic marker reported in the surveillance). PFS time in days was calculated as PFS \[days\]= date of tumor recurrence/death date of first intake + 1, if participant had tumor recurrence confirmed by diagnostic imaging or participant died, then PFS \[days\] =last diagnostic procedure/marker date- date of first intake+ 1, and if participant survived without tumor recurrence PFS time in months was calculated as PFS \[months\]= 12 \* PFS \[days\] /365.25

Secondary

MeasureTime frameDescription
Tumor Recurrence Rate (Local and Distant)Up to 5 yearsParticipant with tumor recurrence were determined by the presence or absence of date of tumor recurrence detection. In case of absence of empty tumor recurrence date it was considered that the participant had not experienced tumor recurrence. Participants with local tumor recurrence ('Was it local to the primary tumor?' answered 'yes'.) compared to participants with distant tumor recurrence (specification for other tumor location given).
Type of Adjuvant ChemotherapyUp to 5 yearsThe type of therapies administered after primary treatments (chemotherapy, surgery or radiation) was reported
Length of Adjuvant ChemotherapyUp to 5 yearsThe length of adjuvant chemotherapy was defined as time between first start date to last stop date of adjuvant chemotherapy regimen. Length of adjuvant chemotherapy was calculated as length \[days\] = last stop date - first start date + 1, missing day of start and stop date was replaced by 1.
Overall SurvivalUp to 5 yearsOverall survival (OS) was defined as time from date of first administration of the study medication in ML18280 study to date of death from any cause. Participants without documented date of death were assumed to be alive and were censored at the latest of the following dates: last date alive on survival status pages, last date known to be alive on survival status pages, and last date of tumor assessment (diagnostic procedures or markers) on surveillance pages. OS time in days was calculated as OS \[days\] =date of death date of first intake+ 1, for participants who died, OS \[days\]= censoring date date of first intake+ 1, for participants alive, and OS time in months was calculated as OS \[months\]= 12 \*OS \[days\] /365.25
Long Term Side EffectsUp to 5 yearsLong term side effects for bowel and urinary function was assessed. Bowel function was assessed in terms of mean bowel frequency, regular use of constipating agents as well as fecal incontinence. Urinary function was evaluated according to the presence (YES or NO) of incontinence. Overall participant satisfaction was assessed in terms of satisfaction with bowel, stoma and urinary function on a 4-stage scale (very good, good, poor, and very poor). In case of different assessment(s) of bowel or urinary function within the same surveillance period, the assessment with worst grade was documented and reported.
Incidence of Adverse Event (AE) and Serious Adverse Event (SAE)Up to 5 yearsAn AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is a significant medical event in the investigator's judgment or requires intervention to prevent one or other of these outcomes
Compliance to Diagnostic Procedures in SurveillanceUp to 5 yearsThe surveillance compliance was calculated per participant in percent and frequencies for methods of diagnostic procedure adhered to, taking into account all expected procedures in the time span the participant participated and was based on the Swiss Society of Gastroenterology (SGG) follow-up care recommendations

Countries

Switzerland

Participant flow

Recruitment details

All participants who were treated in ML18280 base study were followed-up two, three, four years and if necessary five years after the last surgery in Switzerland (5 centers) and data concerning to the adjuvant therapy, surveillance visit, tumor recurrence or second carcinoma and survival status were collected.

Pre-assignment details

Of the 56 participants in the ML18280 base study, 51 were included in ML21875 study. Retrospective data was documented for 14 participants and prospective data was obtained for 37 participants.

Participants by arm

ArmCount
Overall
Participants with histologically proven local advanced T3/T4 rectal carcinoma with or without nodal involvement who had participated in study ML18280 were enrolled and no active treatment was given during this study
51
Total51

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath11
Overall StudyLost to Follow-up3

Baseline characteristics

CharacteristicOverall
Age, Continuous59.8 years
STANDARD_DEVIATION 8.8
Sex: Female, Male
Female
11 Participants
Sex: Female, Male
Male
40 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
3 / 51
serious
Total, serious adverse events
1 / 51

Outcome results

Primary

Progression-free Survival

Progression free survival (PFS) was measured from the date of first administration of study medication in ML18280 study to the date of progression or death, whatever the cause. In participants with measurable disease, progression was defined according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.0. Participants with neither tumor recurrence nor death were censored at the last tumor assessment date they were known to have not progressed (last date of diagnostic procedure or diagnostic marker reported in the surveillance). PFS time in days was calculated as PFS \[days\]= date of tumor recurrence/death date of first intake + 1, if participant had tumor recurrence confirmed by diagnostic imaging or participant died, then PFS \[days\] =last diagnostic procedure/marker date- date of first intake+ 1, and if participant survived without tumor recurrence PFS time in months was calculated as PFS \[months\]= 12 \* PFS \[days\] /365.25

Time frame: Up to 5 years

Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.

ArmMeasureValue (MEDIAN)
OverallProgression-free Survival15.4 months
Secondary

Compliance to Diagnostic Procedures in Surveillance

The surveillance compliance was calculated per participant in percent and frequencies for methods of diagnostic procedure adhered to, taking into account all expected procedures in the time span the participant participated and was based on the Swiss Society of Gastroenterology (SGG) follow-up care recommendations

Time frame: Up to 5 years

Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.

ArmMeasureGroupValue (NUMBER)
OverallCompliance to Diagnostic Procedures in SurveillanceVideo Bronchoscopy1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceUnknown1 participants
OverallCompliance to Diagnostic Procedures in SurveillancePET-CT11 participants
OverallCompliance to Diagnostic Procedures in SurveillanceX-ray Chest32 participants
OverallCompliance to Diagnostic Procedures in SurveillanceColonoscopy40 participants
OverallCompliance to Diagnostic Procedures in SurveillanceComputed Tomography (CT)61 participants
OverallCompliance to Diagnostic Procedures in SurveillanceEndosonography30 participants
OverallCompliance to Diagnostic Procedures in SurveillanceMagnetic resonance imaging14 participants
OverallCompliance to Diagnostic Procedures in SurveillanceBalloon Dilatation (BD) Ileostoma1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceBD Ileostoma+ Oesophagus-Gastroduodenum1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceColon monocontrast1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceColonoscopy Polypectomy1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceCT Abdomen1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceCT Thorax + Abdomen1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceDensitometry1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceDuplex Sonography1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceEnteroscopy1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceErgometry1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceOesophagus-gastroduodenoscopy4 participants
OverallCompliance to Diagnostic Procedures in SurveillanceFine Needle Puncture Lung1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceGastroduodenoscopy3 participants
OverallCompliance to Diagnostic Procedures in SurveillanceGastrophinpassage1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceGastroscopy1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceIleocoloscopy2 participants
OverallCompliance to Diagnostic Procedures in SurveillanceIleoscopy1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceX-ray Lumbar Spine1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceManometry2 participants
OverallCompliance to Diagnostic Procedures in SurveillanceX-ray Pelvis1 participants
OverallCompliance to Diagnostic Procedures in SurveillancePositron emission tomography (PET)1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceProctoscopy2 participants
OverallCompliance to Diagnostic Procedures in SurveillanceRectoproctoscopy3 participants
OverallCompliance to Diagnostic Procedures in SurveillanceRectoscopy7 participants
OverallCompliance to Diagnostic Procedures in SurveillanceRectosigmoidoscopy4 participants
OverallCompliance to Diagnostic Procedures in SurveillanceScintigraphy1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceScintigraphy Lung1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceSigmoidoscopy2 participants
OverallCompliance to Diagnostic Procedures in SurveillanceSonography6 participants
OverallCompliance to Diagnostic Procedures in SurveillanceStarre Rectoscopy1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceScintigraphy Bone Scan1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceUltrasound6 participants
OverallCompliance to Diagnostic Procedures in SurveillanceUltrasound Abdomen5 participants
OverallCompliance to Diagnostic Procedures in SurveillanceX-ray Abdomen3 participants
OverallCompliance to Diagnostic Procedures in SurveillanceX-ray Barium Swallow1 participants
OverallCompliance to Diagnostic Procedures in SurveillanceX-ray Spine1 participants
Secondary

Incidence of Adverse Event (AE) and Serious Adverse Event (SAE)

An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is a significant medical event in the investigator's judgment or requires intervention to prevent one or other of these outcomes

Time frame: Up to 5 years

Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.

ArmMeasureGroupValue (NUMBER)
OverallIncidence of Adverse Event (AE) and Serious Adverse Event (SAE)Number of participants with AE4 participants
OverallIncidence of Adverse Event (AE) and Serious Adverse Event (SAE)Number of participants with SAE1 participants
Secondary

Length of Adjuvant Chemotherapy

The length of adjuvant chemotherapy was defined as time between first start date to last stop date of adjuvant chemotherapy regimen. Length of adjuvant chemotherapy was calculated as length \[days\] = last stop date - first start date + 1, missing day of start and stop date was replaced by 1.

Time frame: Up to 5 years

Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.

ArmMeasureValue (MEDIAN)
OverallLength of Adjuvant Chemotherapy49.0 days
Secondary

Long Term Side Effects

Long term side effects for bowel and urinary function was assessed. Bowel function was assessed in terms of mean bowel frequency, regular use of constipating agents as well as fecal incontinence. Urinary function was evaluated according to the presence (YES or NO) of incontinence. Overall participant satisfaction was assessed in terms of satisfaction with bowel, stoma and urinary function on a 4-stage scale (very good, good, poor, and very poor). In case of different assessment(s) of bowel or urinary function within the same surveillance period, the assessment with worst grade was documented and reported.

Time frame: Up to 5 years

Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.

ArmMeasureGroupValue (NUMBER)
OverallLong Term Side EffectsBowel frequency, <313 participants
OverallLong Term Side EffectsBowel frequency, 3-58 participants
OverallLong Term Side EffectsBowel frequency, 6-95 participants
OverallLong Term Side EffectsBowel frequency, >91 participants
OverallLong Term Side EffectsUse of constipating agents16 participants
OverallLong Term Side EffectsFecal incontinence17 participants
OverallLong Term Side EffectsUrinary incontinence2 participants
OverallLong Term Side EffectsOverall participant satisfaction, very good2 participants
OverallLong Term Side EffectsOverall participant satisfaction, good10 participants
OverallLong Term Side EffectsOverall participant satisfaction, poor8 participants
OverallLong Term Side EffectsOverall participant satisfaction, very poor6 participants
Secondary

Overall Survival

Overall survival (OS) was defined as time from date of first administration of the study medication in ML18280 study to date of death from any cause. Participants without documented date of death were assumed to be alive and were censored at the latest of the following dates: last date alive on survival status pages, last date known to be alive on survival status pages, and last date of tumor assessment (diagnostic procedures or markers) on surveillance pages. OS time in days was calculated as OS \[days\] =date of death date of first intake+ 1, for participants who died, OS \[days\]= censoring date date of first intake+ 1, for participants alive, and OS time in months was calculated as OS \[months\]= 12 \*OS \[days\] /365.25

Time frame: Up to 5 years

Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.

ArmMeasureValue (MEDIAN)
OverallOverall Survival22.51 months
Secondary

Tumor Recurrence Rate (Local and Distant)

Participant with tumor recurrence were determined by the presence or absence of date of tumor recurrence detection. In case of absence of empty tumor recurrence date it was considered that the participant had not experienced tumor recurrence. Participants with local tumor recurrence ('Was it local to the primary tumor?' answered 'yes'.) compared to participants with distant tumor recurrence (specification for other tumor location given).

Time frame: Up to 5 years

Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.

ArmMeasureGroupValue (NUMBER)
OverallTumor Recurrence Rate (Local and Distant)Participants with Tumor Recurrence16 participants
OverallTumor Recurrence Rate (Local and Distant)Participants with Tumor Recurrence- Local4 participants
OverallTumor Recurrence Rate (Local and Distant)Participants with Tumor Recurrence- Distant12 participants
Secondary

Type of Adjuvant Chemotherapy

The type of therapies administered after primary treatments (chemotherapy, surgery or radiation) was reported

Time frame: Up to 5 years

Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.

ArmMeasureGroupValue (NUMBER)
OverallType of Adjuvant ChemotherapyFolfox2 participants
OverallType of Adjuvant ChemotherapyXelox10 participants
OverallType of Adjuvant ChemotherapyXeloda mono or 5-FU mono14 participants
OverallType of Adjuvant ChemotherapyOther (Biologics)2 participants
OverallType of Adjuvant ChemotherapyXeloda + Irinotecan2 participants
OverallType of Adjuvant ChemotherapyNo adjuvant chemotherapy21 participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026