Locally Advanced Malignant Neoplasm Clinical Trial
— GRECCAR4Official title:
A Randomized Multicenter Phase 2 Study: a Tailored Strategy for Locally Advanced Rectal Carcinoma
Verified date | August 2017 |
Source | Institut du Cancer de Montpellier - Val d'Aurelle |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to determine whether the tailored management of locally advanced rectal carcinoma can improve the oncologic and functional outcome.
Status | Completed |
Enrollment | 150 |
Est. completion date | September 2014 |
Est. primary completion date | September 2014 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Histologically confirmed rectal carcinoma - Primary tumor evaluated by pelvic MR Imaging: i) iT3 =c tumors, with MRI showing a predictive CRM = 2 mm or a EMS (Extra Mural Spread) = 5 mm ii) Resectable iT4 tumors (only randomized within the "poor responders" group) iii) Any T tumors with MRI showing a predictive CRM = 1 mm - No detectable metastases: Thorax-abdomen-pelvic CT-scan - Patient = 18 years - ECOG Performance Status 0-1-2 - Patient information and written informed consent form signed - Patient who can receive radiotherapy and chemotherapy - Negative pregnancy test in women of childbearing potential - Patient covered by a Social Security system - Hematology : Haemoglobin = 9 g/dL, WBC = 4000/mm3, neutrophils = 1.5 x 109/L, platelets = 100 x 109/L - Hepatic function : total bilirubin = 1.5 x ULN, AST and ALT = 3 x ULN, Alkaline phosphatases = 3 x ULN - Renal function : creatinine = 1.25 x ULN or creatinine clearance = 60 ml/min Exclusion Criteria: - Indication for immediate surgery - Primary tumor not measured at the MRI before inclusion - Previous pelvic radiotherapy - Contraindication to radiotherapy and/or chemotherapy - Severe renal or liver impairment - Cardiac and/or coronary disease which could contraindicate 5-Fu administration - Active infectious disease - Peripheral sensitive neuropathy - History of prior cancer (except if it was cured more than 5 years ago, and if complete remission) - Patient (male or female) of reproductive potential not using an effective contraceptive method during the whole treatment and up to 6 months after the completion of treatment - Concurrent participation in any other clinical trial likely to interfere with the therapeutic schedule - Fertile female patient not using adequate contraception, or breast-feeding woman |
Country | Name | City | State |
---|---|---|---|
France | CRLC Val d'Aurelle-Paul Lamarque | Montpellier |
Lead Sponsor | Collaborator |
---|---|
Institut du Cancer de Montpellier - Val d'Aurelle |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Ro resection rate | To confirm the feasibility of a tailored management with a 90% R0 resection rate achieved for all arms. | Within 15 days after surgery | |
Secondary | Efficiency of MRI for prognosis | To specify the efficiency of MRI for prognosis in terms of volumetry, downstaging, downsizing and CRM measurement after completion of the induction trichemotherapy. | Within 15 days after the surgery | |
Secondary | Compliance rate with neoadjuvant treatment schedule | To measure the compliance rate to the whole neoadjuvant schedule (induction CT + radiochemotherapy) | Within 4 months after the start of treatment | |
Secondary | Acute and late toxicity of neoadjuvant treatments | To evaluate overall toxicity of neoadjuvant treatments (induction trichemotherapy + radiochemotherapy) according to the Common Terminology Criteria for Adverse Events v4.0 (NCI CTC v4.0). | For the duration of treatment, as expexcted to be up to 4 months and within the 5-year follow-up | |
Secondary | Pathological complete response rate | To assess the pathological complete response rate (ypT0N0) | Within 15 days after surgery | |
Secondary | Tumor regression grade (TRG) | To assess at pathologic examination the tumor regression grade (TRG) according to the Dworak classification. | Within 15 days after surgery | |
Secondary | Perioperative and postoperative morbidity | To assess the impact of the therapeutic strategy on perioperative and postoperative morbidity. | Within 6 weeks after surgery and during the 5-year follow-up | |
Secondary | Sphincter-saving surgery rate | To assess the impact of the therapeutic strategy on the rate of sphincter-saving surgery. | Up to 2 months after the end of the neoadjuvant treatment | |
Secondary | Functional outcome | To assess the long-term digestive,urinary and sexual functional results of tailored strategy | For a 5-year follow-up | |
Secondary | Quality of life | To assess the impact of treatments on quality of life according to the EORTC QLQ-C30. | For a 5-year follow-up | |
Secondary | Local recurrence rate | To measure the local recurrence rate in each treatment arm. | For a 5-year follow-up | |
Secondary | Incidence of metastases | To measure the incidence of distant metastases (liver, pulmonary, peritoneal, ganglionnary or any others) in each treatment arm. | For a 5-year follow-up |
Status | Clinical Trial | Phase | |
---|---|---|---|
Active, not recruiting |
NCT03671226 -
Preference of Room Setting and Waiting Time in Patients With Advanced, Locally Advanced, or Metastatic Cancer and Their Caregivers Who Are Seen in the Outpatient Supportive/Palliative Care Center
|
N/A | |
Completed |
NCT01973673 -
Healthy Bones Study
|
N/A | |
Completed |
NCT01876927 -
Pre-Operative Or Peri-Operative Dox Regimen In Patients With Locally Advanced Resectable Gastric Cancer
|
Phase 2 | |
Terminated |
NCT03295942 -
A Study of OMP-336B11 in Subjects With Locally Advanced or Metastatic Tumors
|
Phase 1 | |
Completed |
NCT03238027 -
A Phase 1 Study to Investigate Axatilimab Alone or in Combination With Durvalumab in Patients With Solid Tumors
|
Phase 1 | |
Recruiting |
NCT04260802 -
A Study to Evaluate the Safety and Pharmacokinetics of OC-001 in Patients With Locally Advanced or Metastatic Cancers
|
Phase 1/Phase 2 | |
Completed |
NCT02823652 -
Pre-Test Genetic Education and Remote Genetic Counseling in Communicating Tumor Profiling Results to Patients With Advanced Cancer
|
N/A | |
Completed |
NCT02227082 -
Olaparib and Radiotherapy in Inoperable Breast Cancer
|
Phase 1 | |
Recruiting |
NCT01871363 -
Phase II Study of Preoperative IMRT Combined With Capecitabine and Bevacizumab in Locally Advanced Rectal Cancer
|
Phase 2 | |
Completed |
NCT01847001 -
Study of Propranolol in Newly Diagnosed Breast Cancer Patients Undergoing Neoadjuvant Chemotherapy
|
Phase 2 | |
Terminated |
NCT03170115 -
Induction Chemotherapy Plus Chemoradiotherapy With or Without Aspirin in High Risk Rectal Cancer
|
Phase 2 | |
Recruiting |
NCT04749108 -
Study Evaluating the Tailored Management of Locally-advanced Rectal Carcinoma
|
Phase 2/Phase 3 | |
Terminated |
NCT01836432 -
Immunotherapy Study in Borderline Resectable or Locally Advanced Unresectable Pancreatic Cancer
|
Phase 3 | |
Recruiting |
NCT01675999 -
Trial of Neoadjuvant Chemotherapy in Locally Advanced Colon Cancer
|
Phase 2 | |
Completed |
NCT01325558 -
A Study of ALT-836 in Combination With Gemcitabine for Locally Advanced or Metastatic Solid Tumors
|
Phase 1 | |
Withdrawn |
NCT03849742 -
Ride to Care - Quality of Life With Transportation for RT
|
N/A | |
Active, not recruiting |
NCT03856060 -
Videos and Questionnaires in Assessing Patient Perception of Physician's Compassion, Communication Skills, and Professionalism During Clinic Visits
|
N/A | |
Completed |
NCT04186884 -
Caregiver Burden, Quality of Life, and Symptom Distress at Different Palliative Cancer Care Settings
|
||
Recruiting |
NCT04112836 -
Pancreatic Cancer Malnutrition and Pancreatic Exocrine Insufficiency in the Course of Chemotherapy in Unresectable Pancreatic Cancer
|
||
Not yet recruiting |
NCT03051152 -
D1 Versus D2 Lymphadenectomy in High Risk Elderly With Gastric Adenocarcinoma
|
N/A |