Colorectal Cancer
Conditions
Brief summary
Colorectal cancer incidence is increasing at an alarming rate in China. Recent reports concluded aberrant immunological function was associated with colorectal cancer outcome, however, the influence of immunocyte subgroup and immunologic factors on cancer outcome in colorectal cancer survivors is largely unknown.The investigators will explore the impact of immunocyte subgroup and immunologic factors on colorectal cancer disease-specific, disease-free and overall survival. The investigators will recruit approximately 5,000 patients as a prospective study cohort. During follow up, the investigators will explore the association of these factors with outcome of patients. The investigators believe that this project will improve the understanding of the impact of immunocyte subgroup and immunologic factors on colorectal cancer outcome.
Interventions
None listed
Sponsors
Shanghai Jiao Tong University School of Medicine
Air Force Military Medical University, China
Second Military Medical University
China-Japan Friendship Hospital
Chinese Academy of Medical Sciences
Peking University Cancer Hospital & Institute
Chinese PLA General Hospital
State Key Laboratory of Cancer Biology
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
Patient must have a histologically proven adenocarcinoma of colon or rectum cancer. * Patients must have a performance status of 0,1, or 2 by the Southwest Oncology Group criteria. * Patients must have recovered from any effects of surgery. * Evaluable disease must be present outside radiation field. At least 3 weeks must have elapsed after discontinuation of radiation therapy. * Patients must provide a signed consent to participate in the study. * Patients must complete all questionnaires.
Exclusion criteria
Patients with a proven history of peptic ulcer disease or gastroesophageal reflux. * History of other malignancy, except for cancers that have been treated with a curative intent and patient is without evidence of active disease. * Unresolved bacterial infection requiring treatment with antibiotics. * Pregnant or lactating women may not participate in the study. * Patients known to have HIV-1 virus infection because of the undetermined effect of this chemotherapy regimen in patients with HIV-1 and the potential for serious interaction with anti-HIV medications. * Gilbert's disease. * Other serious concurrent infection * Clinically significant cardiac disease not well controlled with medication (e.g. congestive heart failure, symptomatic coronary artery disease and cardiac arrhythmias) or myocardial infarction within the last 12 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disease-specific survival | 5 years | Disease-specific survival is defined as the time elapsed from surgery to death due to CRC. Concretely, the cause of death obtained in the follow up was classified according to ICD-10 conventions. Disease-specific deaths included those with an underlying cause attributed to ICD-10 codes C18.0-C20.0 or C26.0. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival | 5 years | Overall survival is defined as the time elapsed from surgery to the date of death from any cause. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Disease-free survival | 5 years | Disease-free survival is defined as the time elapsed from surgery to the first occurrence of any of the following events: recurrence of colorectal cancer; colorectal cancer distant metastasis; development of second non-colorectal malignancy excluding basal cell carcinomas of the skin and carcinoma in situ of the cervix; or death from any cause without documentation of a cancer-related event. |
Countries
China
Contacts
Primary ContactLong Cui, M.D.
Outcome results
None listed