Colorectal Cancer Clinical Trial
Official title:
Adjuvant Chemoimmunotherapy for Colorectal Cancer
RATIONALE: Biological therapies use different ways to stimulate the immune system and stop
cancer cells from growing. Combining chemotherapy with biological therapy may kill more
tumor cells.
PURPOSE: Randomized phase III trial to compare the effectiveness of treatment using
levamisole with treatment using interferon alfa and combination chemotherapy consisting of
fluorouracil and leucovorin in patients with stage II or stage III colorectal cancer.
OBJECTIVES:
- Assess the efficacy of the addition of levamisole or alfa interferon to fluorouracil
and leucovorin calcium (folinic acid) as an adjuvant treatment of intraperitoneal
colorectal cancer.
OUTLINE: This is a three arm study. Patients are randomized to receive either levamisole,
alfa interferon, or no treatment.
- Arm I: Patients receive levamisole PO for 3 days every 2 weeks for 6 months before and
after surgery. Fluorouracil IV bolus and leucovorin calcium (folinic acid) IV over 1
hour are administered on days 1-5 every 4 weeks for 6 cycles after surgery.
- Arm II: Patients receive alfa interferon-2a SC on 3 alternate days for a week before
surgery and for 6 months after surgery. Fluorouracil IV bolus and folinic acid IV over
1 hour are administered on days 1-5 every 4 weeks for 6 cycles after surgery.
- Arm III: Patients undergo surgery followed by fluorouracil IV bolus and folinic acid IV
over 1 hour on days 1-5 every 4 weeks for 6 cycles.
Patients are followed every 3 months for 2 years, then every 6 months.
PROJECTED ACCRUAL: 350 patients per arm will be accrued for a total of 1,050 patients.
;
Allocation: Randomized, Primary Purpose: Treatment
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