Colorectal Cancer
Conditions
Keywords
FOLFIRI, FOLFOX, adjuvant chemotherapy, advanced colorectal cancer
Brief summary
the aim of this study is to observe the effect of irinotecan-based regimen in patients with advanced colorectal cancer.
Interventions
In this arm, patients will receive the adjuvant chemotherapy with mFOLFOX6 regimen for 8 cycles. Oxaliplatin 85mg/m2, day1, every 2 weeks; Leucovorin 200mg/m2,day1,every 2 weeks;5-FU 400mg/m2,iv, day1, 5-FU 3.0g/m2, bolus for 46h,every 2 weeks
In this arm, patients will receive the adjuvant chemotherapy with FOLFIRI regimen for 8 cycles. Irinotecan 180mg/m2, day1, every 2 weeks; Leucovorin 200mg/m2,day1,every 2 weeks;5-FU 400mg/m2,iv, day1, 5-FU 3.0g/m2, bolus for 46h,every 2 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* histologically confirmed adenocarcinoma in colorectal cancer * clinical stage Ⅲ or Ⅳa(with potential radical resective metastatic lesions),≥ 12 lymph nodes examined * no cancer cells were found in ascites * Eastern Cooperative Oncology Group(ECOG) performance status of 0-2 * male or female, between 18 and 75 years old * adequate hematologic, hepatic and renal functions * without severe heart disease in the last 6 months before enrolled. If with hypertension or coronary artery disease, it can be controlled * not enrolled into others clinical trial during this study * all patients should sign the informed consent
Exclusion criteria
* can not be tolerated operation * receiving others therapy(including Traditional Chinese herbs)for this disease, can not obey the investigator during the study * can not be tolerated the adverse effect of drugs in these regimens * major surgery within 4 weeks prior to study treatment start, or lack of complete recovery from major surgery * metastatic disease more than one organ * pregnant or lactating women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| disease-free survival(DFS) | 3-year disease-free survival rate | The investigator will follow up all the enrolled patients. The difference of 3-year-DFS between two groups will be compared. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| overall survival(OS) | 5-year survival | The 5-year survival rate will be the secondary end point. The investigator will follow up the patients and campare the difference of 5-year-OS between the two groups. |
Countries
China