Radiation therapy plus capecitabine and oxaliplatin chemotherapy and bevacizumab anti-angiogenetic therapy in locally advanced rectal cancer
ISRCTN | ISRCTN50181543 |
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DOI | https://doi.org/10.1186/ISRCTN50181543 |
Secondary identifying numbers | Final 01/12.11.07 |
- Submission date
- 14/04/2008
- Registration date
- 09/05/2008
- Last edited
- 09/05/2008
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year
Plain English summary of protocol
Not provided at time of registration
Contact information
Prof Jürgen Dunst
Scientific
Scientific
Universitätsklinikum Schleswig-Holstein
Campus Lübeck
Ratzeburger Allee 160
Lübeck
23538
Germany
Study information
Study design | Open-label, single-arm, non-randomised, phase II study. |
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Primary study design | Interventional |
Secondary study design | Non randomised controlled trial |
Study setting(s) | Not specified |
Study type | Not Specified |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet. |
Scientific title | Phase II trial: Pre-operative, long-term chemoradiation with capecitabine, oxaliplatin and bevacizumab in locally advanced rectal cancer |
Study acronym | BevXelOx-RT |
Study objectives | Efficacy of neoadjuvant radio-chemotherapy will be improved by an additional angiogenesis-inhibiting therapy using the vascular endothelial growth factor (VEGF) antibody bevacizumab. |
Ethics approval(s) | Ethics Committee of the Medical Faculty, University of Lübeck. Date of approval: 26/02/2008 |
Health condition(s) or problem(s) studied | Locally advanced rectal cancer |
Intervention | All participants will receive the following (single-arm study): 1. Radiotherapy: 5 × weekly 1.8 Gy to a total dose of 50.4 Gy 2. Chemotherapy: Capecitabine 1,650 mg/sqm orally (p.o.), (divided in 2 single doses) daily on days 1-14 and 22-35; oxaliplatin 50 mg/sqm intravenously (i.v.) on days 1, 8, 22, 29 over a 120-min infusion with 500 ml 5% glucose; bevacizumab 5 mg/kg i.v. as short time infusion (30-90 min) prior to oxaliplatin administration on days 1, 15, 29. |
Intervention type | Drug |
Pharmaceutical study type(s) | |
Phase | Phase II |
Drug / device / biological / vaccine name(s) | Capecitabine, oxaliplatin, bevacizumab. |
Primary outcome measure | Histopathological complete remission rate at time of surgery (approximately 4 weeks following study treatment) |
Secondary outcome measures | 1. Pathological downstaging at time of surgery (approximately 4 weeks following study treatment) 2. Regression grading (according to Dvorak) at time of surgery (approximately 4 weeks following study treatment) 3. Sphincter preservation at time of surgery (approximately 4 weeks following study treatment) 4. Acute and subacute toxicity during study treatment, especially: 4.1. (Post)operative complications 4.2. Gastrointestinal perforation 4.3. Wound healing complications 4.4. Bleeding complications |
Overall study start date | 01/05/2008 |
Completion date | 31/12/2009 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Lower age limit | 18 Years |
Sex | Both |
Target number of participants | 68 |
Key inclusion criteria | 1. Age >18 years, both males and females 2. Patients with histologically proven adenocarcinoma of the rectum, tumour = 16 cm from the anal verge, u T3-4 or uN+ or Mason III/IV, staging will must be done by endorectal ultrasound and magnetic resonance imaging (MRI) or by endorectal unltrasound and high resolution computed tomography, no evidence of metastatic disease 3. No prior treatment, except for ileostomy (if necessary due to ileus) 4. No fistulas near the tumour 5. Eastern Cooperative Oncology Group (ECOG) Performance Status <= 1 6. Adequate bone marrow, hepatic and renal function: 6.1. Haemoglobin >10.0 g/dL, leucocyte count > 3.5 x 109/L, absolute neutrophil count >1.5 x 109/L, platelet count >100 x 109/L 6.2. Alkaline phosphatase, alanine aminotransferase (ALAT), aspartate aminotransferase (ASAT) <3 x upper limit of normal (ULN) 6.3. Total bilirubin <= 2 mg/dL 6.4. Creatinine clearance >50 mL/min 6.5. Creatinine <= 1.5 x ULN 7. Patients must have understood the contents of the protocol and signed written informed consent |
Key exclusion criteria | 1. No presence of adequate contraception in fertile patients 2. Pregnant or breastfeeding women 3. Previous or persistent alcohol or drug abuses 4. Prior radiotherapy or chemotherapy to the pelvis, for any reason 5. Treatment with any investigational drug, agent nor procedure, (i.e. did not participate in another trial) within 4 weeks before entry in this trial 6. Treatment with other anti-cancer agents 7. Patients not able or willing to comply with the protocol treatment and investigations 8. Patients with uncontrolled severe somatic or psychological diseases, e.g.: 8.1. Despite medication uncontrolled cardiac diseases, myocardial infarction within the last 6 months prior to enrolment 8.2. Neurological or psychiatric disorders including seizures and dementia 8.3. Active, uncontrolled infection and sepsis 9. Symptomatic peripheral neuropathy >= grade 2 (National Cancer Institute - Common Terminology Criteria for Adverse Events [NCI CTCAE]) 10. Concurrent malignancies, with the exception of successfully treated cone-biopsied in situ carcinoma of the cervix or basal cell carcinoma of the skin 11. Chronic diarrhoea > grade 1 (NCI CTCAE) 12. Chronic inflammatory bowel disease or other pre-existing condition which would deter resorption of drugs (e.g. dumping syndrome, evidence of accelerated small bowel passage, evidence of deterred resorption due to gastric or bowel surgery) 13. Known hypersensitivity to platinum-containing drugs 14. Concurrent use of the antiviral agent sorivudine or chemically related analogues 15. Known dihydropyrimidine dehydrogenase deficiency 16. Known allergy to any of the study drugs or its ingredients 17. Interstitial pneumonia or extensive, symptomatic lung fibrosis 18. Organ allograft requiring immunosuppressive therapy 19. Severe, non-healing wounds, ulcers or fractures 20. Thrombosis or severe bleeding (except for bleeding of the tumour) within 6 months prior to enrolment 21. Bleeding diathesis or thrombophilia 22. Therapeutic anticoagulation (with marcumar or heparin) 23. Acetylsalicylic acid >325 mg per day or routine use of non-steroidal anti-inflammatory drugs which inhibit the function of platelets 24. Ascites nescessitating puncture 25. Patients with proteinuria >= 1+ at baseline, as long as a 24hour urine collection demonstrates >500 mg of protein/ 24 hr 26. Concurrent treatment with St. John's wort 27. Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to study treatment start, or anticipation of the need for major surgical procedure during the preoperative chemoradiation (exceptions: protective ileostomy and the planned resection of the rectal cancer) |
Date of first enrolment | 01/05/2008 |
Date of final enrolment | 31/12/2009 |
Locations
Countries of recruitment
- Germany
Study participating centre
Universitätsklinikum Schleswig-Holstein
Lübeck
23538
Germany
23538
Germany
Sponsor information
University Medical Centre Schleswig-Holstein (Universitätsklinikum Schleswig-Holstein) (Germany)
Hospital/treatment centre
Hospital/treatment centre
Campus Lübeck
Ratzeburger Allee 160
Lübeck
23538
Germany
Website | http://www.uk-sh.de |
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https://ror.org/01tvm6f46 |
Funders
Funder type
Hospital/treatment centre
University Medical Centre Schleswig-Holstein (Universitätsklinikum Schleswig-Holstein) (Germany)
No information available
Roche Pharma AG (Germany)
No information available
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |