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Short Course Radiotherapy, Unresectable Rectal Cancer, Liver Metastasis

A Phase II Study of Neoadjuvant Systemic Chemotherapy With Short Course Radiotherapy in Patients With Unresectable Rectal Cancer and Liver Metastasis

Status
UNKNOWN
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03022734
Enrollment
40
Registered
2017-01-16
Start date
2016-09-30
Completion date
2021-06-30
Last updated
2020-01-13

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

Conditions

Rectal Cancer, Metastatic

Brief summary

The purpose of this study is the increase of resection rate of primary cancer in rectal after short course radiotherapy without interrupt chemotherapy schedule during the period of chemotherapy. Radiation therapy is followed by additional chemotherapy to prevent the progression of systemic metastasis, and to reduce the incidence of rectal carcinoma including metastasis.

Interventions

DRUGchemotherapy

cetuximab 250mg/m2 or bevacizumab 5mg/kg, FOLFOX (oxaliplatin 85mg/m2, leucovorin 200mg/m2, 5-FU 400mg/m2, 5-FU continuous 1200mg/m2) or FOLFIRI (irinotecan 180mg/m2, leucovorin 200mg/m2, 5-FU 400mg/m2, 5-FU continuous 1200mg/m2)

RADIATIONradiotherapy

After FOLFOX 4cycle, subject have short course radiotherapy 5Gy for 5 days.

Sponsors

Yonsei University
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* pathologically confirmed for unresectable (impossible to try Total mesorectal excision) rectal cancer with liver metastasis * over 19 years * Eastern Cooperative Oncology Group 0-1 * Proper organ function * more than one target lesion (standard by Response Evaluation Criteria in Solid Tumors 1.1) * Who should sign on the Informed consent form before participate the trial.

Exclusion criteria

* Metastasis in other organ except liver * Chronic active hepatitis or cirrhosis * History of treatment for metastatic colorectal cancer * Subject pregnant or breast feeding * Uncontrolled disease * Have had adjuvant therapy * Uncontrolled peripheral nerve infection * Alcoholic or drug addict * Subject currently is enrolled in or ≤30 days from ending other clinical trial. * History of other type of cancer except resolved from skin cancer and cervical cancer.

Design outcomes

Primary

MeasureTime frame
complete resection (R0) rate for rectal and liver lesionsafter surgical resection, an average of 24 weeks

Secondary

MeasureTime frame
Response rate (RECIST V1.1)8 weeks

Countries

South Korea

Contacts

Primary ContactSang Joon Shin
82-2-2228-8130

Outcome results

None listed

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