Colorectal Cancer Clinical Trial
Official title:
A Phase II Study of Patients With Unresectable Metastatic Adenocarcinoma of the Colon or Rectum (Per 04/99 Amendment) Old Title: A Phase II Study of Patients With Unresectable Metastatic Adenocarcinoma of the Colon or Rectum Confined to the Liver
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing
so they stop growing or die. Combining more than one drug may kill more tumor cells.
PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy in treating
patients with liver metastases from colorectal cancer.
OBJECTIVES: I. Evaluate the efficacy of treatment with oxaliplatin, fluorouracil, and
leucovorin calcium in terms of the resectability rate in patients with unresectable advanced
colorectal carcinoma confined to the liver. II. Assess this regimen in terms of response
rate, toxicity, and overall survival in these patients.
OUTLINE: Patients receive oxaliplatin IV over 2 hours on day 1, then leucovorin calcium IV
over 2 hours with fluorouracil IV bolus, followed by fluorouracil IV over 22 hours on days 1
and 2. Courses repeat every 2 weeks. Patients with stable disease continue treatment in the
absence of disease progression or unacceptable toxicity or until disease is resectable.
Patients who achieve complete response (CR), partial response (PR) with unresectable
disease, or PR but are not surgical candidates continue treatment in the absence of disease
progression or unacceptable toxicity. Patients who demonstrate a response are treated until
best response or until disease is deemed resectable. Patients who achieve a CR or PR and are
resected may receive 2 to 4 additional courses of therapy at the discretion of the
investigator. Patients are followed every 3 months for 1 year and then every 6 months for 2
years.
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Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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