Tegafur-Uracil and Leucovorin or S-1 in Treating Patients With Stage III Colon Cancer That Has Been Completely Removed by Surgery
Recruitment status was Active, not recruiting
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Purpose
RATIONALE: Drugs used in chemotherapy, such as tegafur-uracil, leucovorin, and S-1, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. It is not yet known whether giving tegafur-uracil together with leucovorin is more effective than giving S-1 in treating patients with stage III colon cancer.
PURPOSE: This randomized phase III trial is studying giving tegafur-uracil together with leucovorin to see how well it works compared with giving S-1 in treating patients with stage III colon cancer that has been completely removed by surgery.
| Condition | Intervention | Phase |
|---|---|---|
|
Colorectal Cancer |
Drug: leucovorin calcium Drug: tegafur-gimeracil-oteracil potassium Drug: tegafur-uracil Genetic: gene expression analysis Other: laboratory biomarker analysis Procedure: adjuvant therapy |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Primary Purpose: Treatment |
| Official Title: | Randomized Phase III Study of UFT+Leucovorin vs. TS-1 as Adjuvant Treatment for Stage III Colon Cancer , and Investigate Predictive Factors Based on Gene Expression |
- Disease-free survival [ Designated as safety issue: No ]
- Overall survival [ Designated as safety issue: No ]
- Adverse event [ Designated as safety issue: Yes ]
- Pharmaco-economics [ Designated as safety issue: No ]
- Identification of predictive markers [ Designated as safety issue: No ]
| Estimated Enrollment: | 1480 |
| Study Start Date: | April 2008 |
| Estimated Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
OBJECTIVES:
- Compare the disease-free survival of patients with stage III colon cancer treated with S-1 or tegafur-uracil and leucovorin calcium after curative surgery .
OUTLINE: Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive oral tegafur-uracil and oral leucovorin calcium 3 times daily on days 1-21. Treatment repeats every 5 weeks for up to 5 courses.
- Arm II: Patients receive oral S-1 twice daily on days 1-28. Treatment repeats every 6 weeks for up to 4 courses.
Biological samples are collected for gene expression analysis for identification of predictive markers.
Eligibility| Ages Eligible for Study: | 20 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically confirmed adenocarcinoma of colon
- Stage III (T1-4, N1-3, M0) disease
- Has undergone surgical resection of the tumor within the past 8 weeks
PATIENT CHARACTERISTICS:
- ECOG performance status 0-1
- Able to take medications orally
- WBC ≥ 3,500/mm³ and < 12,000/mm³
- ANC ≥ 1,500/mm³
- Platelet count ≥ 100,000/mm³
- Hemoglobin ≥ 9.0 g/dL
- Total bilirubin ≤ 2.0 mg/dL
- AST/ALT ≤ 100 IU/L
- Creatinine ≤ 1.2 mg/dL
- No other active malignancies
Must have none of the following comorbidities:
- Severe postoperative complications
- Uncontrollable diabetes mellitus
- Uncontrollable hypertension
- Myocardial infraction within 6 months
- Unstable angina pectoris
- Hepatocirrhosis
- Interstitial pneumonia, pulmonary fibrosis, or severe emphysema
PRIOR CONCURRENT THERAPY:
- No prior chemotherapy or radiotherapy for colon cancer
- No concurrent radiotherapy
- No concurrent biological response modifiers
Contacts and Locations| Japan | |
| Tokyo Medical and Dental University | |
| Tokyo, Japan, 113-8519 | |
| Principal Investigator: | Kenichi Sugihara, MD, PhD | Tokyo Medical and Dental University |
More Information
Additional Information:
No publications provided
| ClinicalTrials.gov Identifier: | NCT00660894 History of Changes |
| Other Study ID Numbers: | CDR0000593164, TMDU-TRICC0706 |
| Study First Received: | April 16, 2008 |
| Last Updated: | October 28, 2010 |
| Health Authority: | United States: Federal Government |
Keywords provided by National Cancer Institute (NCI):
|
adenocarcinoma of the colon stage III colon cancer |
Additional relevant MeSH terms:
|
Colonic Neoplasms Colorectal Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Neoplasms Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Rectal Diseases Adjuvants, Immunologic Tegafur S 1 (combination) |
Leucovorin Levoleucovorin Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions Antimetabolites, Antineoplastic Antimetabolites Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Therapeutic Uses Vitamin B Complex Vitamins Micronutrients Growth Substances Antidotes |
ClinicalTrials.gov processed this record on May 23, 2013