Status:

UNKNOWN

Phase II Study of Oral S-1 Plus Irinotecan (IRIS) in Patients With Advanced Colorectal Cancer

Lead Sponsor:

Hokkaido Gastrointestinal Cancer Study Group

Collaborating Sponsors:

Hokkaido University Hospital

Conditions:

Colorectal Cancer

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

To assess the usefulness of irinotecan plus S-1 therapy based on the antitumor effect and survival period. by performing a phase II study of this combination in patients with inoperable or with postop...

Detailed Description

A multicenter Open-label, single-arm, phase II clinical trial is conducted on patients with histological stage IV colorectal cancer given irinotecan plus S-1. The usefulness of this regimens as 1st li...

Eligibility Criteria

Inclusion

  • Histological diagnosis of colorectal adenocarcinoma.
  • Measurable or assessable lesions.
  • Age: 18 \~ 75 years.
  • Performance Status (ECOG): 0 \~ 2.
  • No prior chemotherapy or only one regimen of previous chemotherapy (with a washout period \>4 weeks after the final day of the previous therapy). Adjuvant chemotherapy is not defined as previous therapy.
  • No history of treatment with CPT-11 or S-1.
  • No history of radiotherapy to the abdomen.
  • Oral intake of S-1 is possible.
  • Adequate function of major organs (bone marrow, heart, lungs, liver etc.). WBC 3,500/mm3 and 12,000/mm3. Hb 10.0 g/dl. Platelet count 100,000/mm3. GOT and GPT 2.5times the upper limit of normal (excluding liver metastasis). T-Bil 2.0mg/dl. Creatinine \<1.5 mg/dl (but if it is 1.0 \~ 1.5 mg/dl, the dose of S-1 can be decreased according to the dose reduction criteria to allow registration in the trial). Normal ECG (not considering clinically unimportant arrhythmias and ischemic changes).
  • Predicted survival for \>3 months.
  • Able to give written informed consent

Exclusion

  • Severe pleural effusion or ascites.
  • Metastasis to the central nervous system (CNS).
  • Active gastrointestinal bleeding.
  • Active infection.
  • Diarrhea (watery stools).
  • Uncontrolled ischemic heart disease.
  • Serious complications (such as intestinal paralysis, intestinal obstruction, interstitial pneumonia or pulmonary fibrosis, uncontrolled diabetes mellitus, heart failure, renal failure, or hepatic failure).
  • Active multiple cancer.
  • Severe mental disorder.
  • Pregnancy, possible pregnancy, or breast-feeding.
  • Flucytosine treatment
  • Gilbert's syndrome (4).
  • Judged to be ineligible for this protocol by the attending physician.

Key Trial Info

Start Date :

January 1 2004

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2007

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT00209651

Start Date

January 1 2004

End Date

December 1 2007

Last Update

November 1 2007

Active Locations (1)

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1

Hokkaido University Hospital

Sapporo, Hokkaido, Japan, 060-8638