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Preoperative Radiotherapy/ Oxaliplatin/ Capecitabine Treatment For Unresectable Locally-advanced Rectal Cancer (PROCTFUL)

Primary Purpose

Rectal Neoplasms

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Oxaliplatin
Capecitabine
Radiotherapy
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rectal Neoplasms

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: ECOG performance status score 0-1. Chemo-naïve patients. Histologically/cytologically confirmed diagnosis of rectal adenocarcinoma (clinically stage mT3 or mT4), either considered (1)inoperable, or (2)locally advanced, where histologically confirmed curative resection is considered unlikely. Evaluable measurable disease on imaging with MRI/CT to allow for response assessment. Adequate haematological, renal and liver functions as follows: ANC > 3000ml Platelet count > 100,000 ml Urea & Serum Creatinine < 1.5 X upper limit of normal value Total serum bilirubin < 1.5 X upper limit of normal value ALT & AST < 3 X upper limit of normal value Exclusion Criteria: Prior chemotherapy. Documented allergy to oxaliplatin or capecitabine. Prior radiotherapy to pelvis. Previous or concurrent malignancies at other sites with the exception of basal or squamous cell carcinoma of the skin. Pregnant or lactating females (with negative pregnancy test documentation in pre-menopausal female patients). Currently participating into another clinical trial with any investigational drug in the previous 30 days. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    1

    Arm Description

    Outcomes

    Primary Outcome Measures

    Response rate (both clinical and pathological) of the primary rectal cancer observed after the chemoradiotherapy. Histologically confirmed complete resection rate (R0 rate).

    Secondary Outcome Measures

    Adverse events collection

    Full Information

    First Posted
    December 6, 2005
    Last Updated
    September 17, 2009
    Sponsor
    Sanofi
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00263029
    Brief Title
    Preoperative Radiotherapy/ Oxaliplatin/ Capecitabine Treatment For Unresectable Locally-advanced Rectal Cancer
    Acronym
    PROCTFUL
    Official Title
    Pre-operative Radiotherapy/ Oxaliplatin/ Capecitabine Treatment For Unresectable Locally-advanced Rectal Cancer (PROCTFUL)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2008
    Overall Recruitment Status
    Completed
    Study Start Date
    June 2002 (undefined)
    Primary Completion Date
    March 2007 (Actual)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Sanofi

    4. Oversight

    5. Study Description

    Brief Summary
    The purpose of this phase II trial is to determine the efficacy and safety of the combination of oxaliplatin, capecitabine and radiotherapy as preoperative therapy in locally advanced cancers of the rectum.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Rectal Neoplasms

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    18 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    Oxaliplatin
    Intervention Description
    60mg/m² as a 2-hour intravenous infusion every week for 5-6 week
    Intervention Type
    Drug
    Intervention Name(s)
    Capecitabine
    Intervention Description
    500mg tablets and 150mg tablets. 750mg/m² bd given approximately 12 hours apart
    Intervention Type
    Radiation
    Intervention Name(s)
    Radiotherapy
    Intervention Description
    Planned total dose of 45-50.4Gy (with cone down) in 25-28 fractions
    Primary Outcome Measure Information:
    Title
    Response rate (both clinical and pathological) of the primary rectal cancer observed after the chemoradiotherapy. Histologically confirmed complete resection rate (R0 rate).
    Time Frame
    3-years disease- free-survival or 3-years overall survival
    Secondary Outcome Measure Information:
    Title
    Adverse events collection
    Time Frame
    From the signature of the informed consent up to the end of the study

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: ECOG performance status score 0-1. Chemo-naïve patients. Histologically/cytologically confirmed diagnosis of rectal adenocarcinoma (clinically stage mT3 or mT4), either considered (1)inoperable, or (2)locally advanced, where histologically confirmed curative resection is considered unlikely. Evaluable measurable disease on imaging with MRI/CT to allow for response assessment. Adequate haematological, renal and liver functions as follows: ANC > 3000ml Platelet count > 100,000 ml Urea & Serum Creatinine < 1.5 X upper limit of normal value Total serum bilirubin < 1.5 X upper limit of normal value ALT & AST < 3 X upper limit of normal value Exclusion Criteria: Prior chemotherapy. Documented allergy to oxaliplatin or capecitabine. Prior radiotherapy to pelvis. Previous or concurrent malignancies at other sites with the exception of basal or squamous cell carcinoma of the skin. Pregnant or lactating females (with negative pregnancy test documentation in pre-menopausal female patients). Currently participating into another clinical trial with any investigational drug in the previous 30 days. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Iris CHAN, MD
    Organizational Affiliation
    Sanofi
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Preoperative Radiotherapy/ Oxaliplatin/ Capecitabine Treatment For Unresectable Locally-advanced Rectal Cancer

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