Patients With Colorectal Cancer With Unresectable Synchronous Metastasis in Whom Resection of the Primitive Tumour is Indicated
Conditions
Brief summary
The purpose of this study is to analyze the clinical tolerance of immediate preoperative chemotherapy in terms of toxicity and perioperative morbidity and mortality
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* colorectal metastatic adenocarcinoma (stage IV) with unresectables, measurables and visibles secondary lesions * primitive tumor must be operate * patient age between 18 and 70 * OMS status performance \< 2 * life expectancy \> 12 weeks * hematologic function : PNN \>/= 1.5x10\^9/L, platelets \>/= 100x10\^9/L * hepatic function : bilirubin \</= 1.5xLSN, AST and ALT \</= 3xLSN, alcalin phosphatasis \</= 3xLSN * plasmatimic creatin \</= 1.25xLSN * No previous chemotherapy or pelvic radiotherapy * men and women in age of procreate agreeing to use a contraception until 4 months after the end of treatment for women and until 6 months for men
Exclusion criteria
* nonmetastatic forms * Colorectal tumor which requires preoperative radiotherapy * nonmeasurable metastasis based on RECIST criteria * previous chemotherapy for colorectal cancer * previous irradiation of the primitive tumour * specific indication against the treatment studied * Patient considered as inoperable for physiological or carcinologic reasons * Pregnant or breast feeding women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical tolerance of immediate preoperative chemotherapy | Assess up to 30 days after surgery | Clinical tolerance of immediate preoperative chemotherapy assessment is based on the post-operative complication rate in terms of morbidity and mortality. All the post-operative complications arising within 30 days after surgery will be registered and classified using the Clavien Dindo classification |
Countries
France