Oxaliplatin and Capecitabine Versus Follow-up After Resection of Colorectal Liver Metastases
Recruitment status was Active, not recruiting
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Purpose
Primary endpoint of the study is to prove the superiority of an adjuvant therapy with oxaliplatin/ capecitabine until the first occurrence of appearance of a tumour. Occurrences in the meaning of this study are the appearance of a relapse of the tumour, of metastases, of a second tumour or death of any reason.
| Condition | Intervention | Phase |
|---|---|---|
|
Colorectal Neoplasms Liver Metastases |
Drug: Capecitabine Drug: Oxaliplatin |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Adjuvant Chemotherapy With Oxaliplatin and Capecitabine Versus Follow-up After Resection of Colorectal Liver Metastases- Randomized Phase III Study |
- Primary outcomes:
- Disease free survival
- Secondary outcomes:overall survival,acute- and longtime toxicity of chemotherapy, molecular predictive markers for the risk of relapse and toxicity
| Estimated Enrollment: | 384 |
| Study Start Date: | November 2004 |
Prospective, randomized, multi-centre, open phase III study with two parallel groups of patients according to the eligibility criteria. The times in both hierarchical classified endpoints will be measured as times from randomization.
Patients with macroscopic complete resection of colorectal liver metastases will be randomized in:
Arm A: post-operative adjuvant therapy with Capecitabine/ Oxaliplatin over 6 months and follow-up
or
Arm B: follow-up
Randomization: stratification after Scores of Fong et al:
- number of metastases (1 vs. >=1)
- maximal diameter of the metastasis (<= 5cm vs. > 5cm)
- disease free interval (>= 12 months vs. > 12 months)
- CEA (<= 200ng/l vs. >200 ng/l) in the strata 0-1, 2 and >= 3,
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- patients after R0-resection of colorectal liver metastases
- age: >= 18 years
- Karnofsky-Index >= 70%
- neutrophiles >1,5 x10e9/l, thrombocytes 100 x10e9/l
- adequate contraception for male and female patients
- oral and written informed consent (GCP)
Exclusion Criteria:
- other prior malignancies, except treated in situ-carcinoma of cervix or tumours of skin without indication to a melanoma (or 10 years tumourfree)
- other participation in clinical trials within 30 days before randomization
- previous chemotherapy (except adjuvant chemotherapy with an interval of >= 6 months)
- creatinine clearance <50 ml/min
- hepatic insufficiency (ALAT, ASAT, Bilirubin, AP >5 x upper limit)
- peripheral neuropathy > CTC grade 1
- uncontrolled cardiac insufficiency or angina pectoris
- active infections
- severe neurological or psychiatric illness
- breast-feeding or pregnant women
- incapacity to take part in regular visits
Contacts and Locations| Germany | |
| Universitaetsklinikum Carl Gustav Carus, Medizinische Klinik | |
| Dresden, Sachsen, Germany, 011307 | |
| Universitaetsklinikum Essen, Klinik für Allgemein- und Transplantationschirurgie OPZ II | |
| Essen, Germany, 45122 | |
| Klinik für Allgemein- und Gefäßchirurgie , J. W. Goethe Universität | |
| Frankfurt Am Main, Germany, 60590 | |
| Principal Investigator: | Wolf O. Bechstein, Prof. Dr. | Arbeitsgruppe Lebermetastasen und Tumoren |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00156975 History of Changes |
| Other Study ID Numbers: | ADHOC |
| Study First Received: | September 9, 2005 |
| Last Updated: | December 24, 2009 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Arbeitsgruppe Lebermetastasen und Tumoren:
|
Oxaliplatin Capecitabine Chemotherapy Resection |
Liver metastases Liver resection Adjuvant |
Additional relevant MeSH terms:
|
Neoplasms Colorectal Neoplasms Neoplasm Metastasis Neoplasms, Second Primary Liver Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Rectal Diseases Neoplastic Processes |
Pathologic Processes Liver Diseases Oxaliplatin Capecitabine Fluorouracil Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Antimetabolites, Antineoplastic Antimetabolites Molecular Mechanisms of Pharmacological Action Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on June 17, 2013