Metastatic Colorectal Cancer Clinical Trial
Official title:
Phase III Trial of Infusional Fluorouracil, Leucovorin, Oxaliplatin and Irinotecan (FOLFOXIRI) Compared With Infusional Fluorouracil, Leucovorin and Irinotecan (FOLFIRI) as First-line Treatment for Metastatic Colorectal Cancer
The purpose of the study is to evaluate if the exposure to all the three active cytotoxic agents (FOLFOXIRI regimen) is superior in terms of response rate to conventional chemotherapy with the FOLFIRI regimen as first-line treatment of metastatic colorectal cancer patients.
Survival of patients with metastatic colorectal cancer is correlated with the proportion of
patients who receive all the three active drugs in the course of the disease, but not with
the proportion of patients who receive any second-line therapy. In a sequential strategy,
not all patients who progress after first-line chemotherapy are able to receive second-line
treatment. Moreover, there is a correlation between the response rate to chemotherapy and
the postchemotherapy radical resection rate of metastases.
Therefore, a way to improve the outcome of metastatic colorectal cancer patients could be to
administer a first-line regimen containing the three active agents.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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