PRIMM: Feasibility of an Immediate Preoperative Chemotherapy Before Resection fo Colorectal Cancer
Study Details
Study Description
Brief Summary
The purpose of this study is to analyze the clinical tolerance of immediate preoperative chemotherapy in terms of toxicity and perioperative morbidity and mortality
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: FOLFOX + surgery + FOLFOX Systemic chemotherapy (modified FOLFOX 4) 48 hours before surgery resection of the colorectal tumor during surgery Resumption of FOLFOX within the month after surgery (post operative administration of 4 course of treatment and assessment of the response) |
Drug: Oxaliplatin
Drug: Folinic Acid
Drug: Fluorouracile
|
Outcome Measures
Primary Outcome Measures
- Clinical tolerance of immediate preoperative chemotherapy [Assess up to 30 days after surgery]
Clinical tolerance of immediate preoperative chemotherapy assessment is based on the post-operative complication rate in terms of morbidity and mortality. All the post-operative complications arising within 30 days after surgery will be registered and classified using the Clavien Dindo classification
Eligibility Criteria
Criteria
Inclusion Criteria:
-
colorectal metastatic adenocarcinoma (stage IV) with unresectables, measurables and visibles secondary lesions
-
primitive tumor must be operate
-
patient age between 18 and 70
-
OMS status performance < 2
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life expectancy > 12 weeks
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hematologic function : PNN >/= 1.5x109/L, platelets >/= 100x109/L
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hepatic function : bilirubin </= 1.5xLSN, AST and ALT </= 3xLSN, alcalin phosphatasis </= 3xLSN
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plasmatimic creatin </= 1.25xLSN
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No previous chemotherapy or pelvic radiotherapy
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men and women in age of procreate agreeing to use a contraception until 4 months after the end of treatment for women and until 6 months for men
Exclusion Criteria:
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nonmetastatic forms
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Colorectal tumor which requires preoperative radiotherapy
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nonmeasurable metastasis based on RECIST criteria
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previous chemotherapy for colorectal cancer
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previous irradiation of the primitive tumour
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specific indication against the treatment studied
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Patient considered as inoperable for physiological or carcinologic reasons
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Pregnant or breast feeding women
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Institut Gustave Roussy | Villejuif | Val de Marne | France | 94805 |
Sponsors and Collaborators
- Gustave Roussy, Cancer Campus, Grand Paris
Investigators
- Principal Investigator: Diane GOERE, MD, Gustave Roussy, Cancer Campus, Grand Paris
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2011-003446-41
- 2010/1676