XERT: Cetuximab (Erbitux®), Capecitabine and Radiotherapy in Neoadjuvant Treatment of Patients With Rectal Cancer
Study Details
Study Description
Brief Summary
This is a nonrandomised pilot trial to establish the role of intravenous cetuximab when added to a schedule of capecitabine plus pelvic radiation in patients who have locally advanced primary resectable rectal cancers.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Detailed Description
Preoperative radiotherapy and 5-FU based chemotherapy, along with the complete resection of the mesorectum is a standard treatment of locally advanced rectal cancer.Capecitabine has the potential to replace 5-FU as standard agent. Cetuximab is a monoclonal antibody directed against EGFR. Both agents are active in treatment of colorectal cancer and have demonstrated radiosensitising properties.The trial aims to assess the efficacy, safety and toxicity of the combination of cetuximab, capecitabine and radiation in patients with stage II and III rectal cancer.
Study Design
Outcome Measures
Primary Outcome Measures
- Complete pathological remission rate [at pathological examm of surgical speciment]
Secondary Outcome Measures
- Rate of sphincter sparing surgical procedure Toxicity/safety [Toxicity/safety:during preoperative treatment, early and late postoperative follow up]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age 18 to 80 if judged fit for surgery
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WHO performance status 0-1
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Histologically proven rectal adenocarcinoma located below the peritoneum
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T3-T4 or/and nodal involvement determined by rectal ultrasound or computed tomography (CT) or MRI
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No distant metastases
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Adequate haematological, cardiac, liver and renal function
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Signed informed consent
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Appropriate measures for contraception for men and women, if applicable
Exclusion Criteria:
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Prior radio- and/or chemotherapy
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Others synchronous cancers
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History of other malignant disease
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Significant heart disease
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Known hypersensitivity to biological drugs
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Pregnant or lactating patient
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Institute of Oncology | Ljubljana | Slovenia | 1000 |
Sponsors and Collaborators
- Institute of Oncology Ljubljana
Investigators
- Principal Investigator: Vaneja Velenik, PhD, MD, Institute of Oncology, Ljubljana, Slovenia
Study Documents (Full-Text)
None provided.More Information
Publications
- Grünwald V, Hidalgo M. Development of the epidermal growth factor receptor inhibitor Tarceva (OSI-774). Adv Exp Med Biol. 2003;532:235-46. Review.
- Kim JC, Kim TW, Kim JH, Yu CS, Kim HC, Chang HM, Ryu MH, Park JH, Ahn SD, Lee SW, Shin SS, Kim JS, Choi EK. Preoperative concurrent radiotherapy with capecitabine before total mesorectal excision in locally advanced rectal cancer. Int J Radiat Oncol Biol Phys. 2005 Oct 1;63(2):346-53.
- Robert F, Ezekiel MP, Spencer SA, Meredith RF, Bonner JA, Khazaeli MB, Saleh MN, Carey D, LoBuglio AF, Wheeler RH, Cooper MR, Waksal HW. Phase I study of anti--epidermal growth factor receptor antibody cetuximab in combination with radiation therapy in patients with advanced head and neck cancer. J Clin Oncol. 2001 Jul 1;19(13):3234-43.
- Velenik V, Anderluh F, Oblak I, Strojan P, Zakotnik B. Capecitabine as a radiosensitizing agent in neoadjuvant treatment of locally advanced resectable rectal cancer: prospective phase II trial. Croat Med J. 2006 Oct;47(5):693-700.
- EMR 62202-688