Unique ID issued by UMIN | UMIN000011115 |
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Receipt number | R000012597 |
Scientific Title | S-1 combined preoperative neoadjuvant Multimodality therapy with Radiation and Irinotecan for locally advanced rectal cancer |
Date of disclosure of the study information | 2013/07/13 |
Last modified on | 2019/01/07 17:00:40 |
S-1 combined preoperative neoadjuvant Multimodality therapy with Radiation and Irinotecan for locally advanced rectal cancer
S-1 combined preoperative neoadjuvant Multimodality therapy with Radiation and Irinotecan for locally advanced rectal cancer
(SAMRAI-2 TRIAL)
S-1 combined preoperative neoadjuvant Multimodality therapy with Radiation and Irinotecan for locally advanced rectal cancer
S-1 combined preoperative neoadjuvant Multimodality therapy with Radiation and Irinotecan for locally advanced rectal cancer
(SAMRAI-2 TRIAL)
Japan |
Locally advanced resectable rectal cancer
Gastroenterology | Gastrointestinal surgery | Radiology |
Malignancy
NO
To evaluate the safety and efficacy of neoadjuvant chemoradiation therapy with TS-1 and CPT-11 in patients with locally advanced resectable rectal cancer
Safety,Efficacy
pathological Complete Response rate
Relapse free survival (RFS)
Overall survival (OS)
Rate of local recurrence
Completion rate of neoadjuvant chemoradiation therapy
R0 resection rate
Down-staging rate
Safety
Relation between a nutrition index, and adverse event, perioperative complications and prognosis
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine | Maneuver |
S-1(80-120mg/body/day1-5,8-12,22-26,29-33)
CPT-11(60mg/m2/day1,8,22,29)
Radiotherapy(1.8Gy/ 5 times a week for 5 weeks,45Gy/total)
20 | years-old | <= |
80 | years-old | >= |
Male and Female
1.Histologically confirmed Rectum adenocarcinoma
2. Preoperative findings
(i) The clinical stage is T3-4 and N0-2
(ii) Main lesion of the tumor is located at the Ra or Rb
(iii) Lower tumor margin is below the peritoneal reflection
(iv) No extra mesorectal lymph node swelling (longest diameter is less than 10 mm)
(v) Not type 4(Diffuse Infiltrative Type)
3. No evidence of peritoneal metastasis, liver metastasis and distant metastasis
4. Age:20-80years old
5. Without prior anti-tumor therapy
6. Adequate organ function
7. Normal ECG
8. Performance status 0-1
9. Oral intake possible
10.Written IC
1.Previous history of severe drug-induced allergy
2.Multiple malignancies to be treated or synchronous colorectal cancer
3.Need to treatment with flucytosine or atazanavir sulfate
4. Patient with homozygous genotype of UGT1A1*28/*28 or UGT1A1*6/*6, with combined heterozygous genotypes of UGT1A1*28 and UGT1A1*6
5. Active infections
6. Serious complications
7.Previous history of Interstitial Pneumonitis
8.Pleural effusion or ascites requiring treatment.
9. Active digestive tract bleeding
10. Severe watery diarrhea
11. Pregnant or nursing
12.Systemic administration of corticosteroids
13. Patients of hepatitis B virus suface antigen positivity
14.Contraindication of S-1or CPT-11
15. Patients judged inappropriate for this study by the physicians
40
1st name | |
Middle name | |
Last name | Masahiko Watanabe |
Kitasato University School of Medicine
Department of Surgery
1-15-1 Kitasato Minami-ku Sagamihara-City Kanagawa
042-778-8111
samrai@tcog.jp
1st name | |
Middle name | |
Last name | SAMRAI affairs office |
The Tokyo Cooperative Oncology Group
Clinical Study Promotion Agency
Toa BLDG.4F,2-1-18 Hamamatsu-cho Minato-ku Tokyo
03-5401-5020
samrai@tcog.jp
The Tokyo Cooperative Oncology Group
TAIHO PHARMACEUTICAL CO., LTD
Profit organization
NO
2013 | Year | 07 | Month | 13 | Day |
Partially published
Completed
2013 | Year | 07 | Month | 02 | Day |
2013 | Year | 10 | Month | 01 | Day |
2018 | Year | 09 | Month | 30 | Day |
2018 | Year | 09 | Month | 30 | Day |
2019 | Year | 02 | Month | 28 | Day |
additional study
[A prediction of treatment effect Of preoperative Chemoradiotherapy for locally advanced rectal cancer with using DNA microarray]
Anticipated trial start date
2014/12/5
Suspension
2016/11/17
2013 | Year | 07 | Month | 04 | Day |
2019 | Year | 01 | Month | 07 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012597
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