ClinicalTrials.Veeva

Menu

Laparoscopic Surgery VS Laparoscopic Surgery + Neoadjuvant Chemotherapy for T4 Tumor of the Colon Cancer

Fudan University logo

Fudan University

Status and phase

Unknown
Phase 3
Phase 2

Conditions

Colonic Neoplasms

Treatments

Drug: XELOX or FOLFOX chemotherapy

Study type

Interventional

Funder types

Other

Identifiers

NCT02777437
FuDanLapT4

Details and patient eligibility

About

Primary Outcome Measures: Disease free survival

Secondary Outcome Measures:

Overall survival

Adverse events (Mortality, morbidity)

The proportion of completion of Laparoscopic Surgery

Estimated Enrollment: Oct, 2016

Study Start Date: Oct, 2016

Estimated Study Completion Date: Oct, 2019

Estimated Primary Completion Date: Oct, 2021

Groups/Cohorts

  1. Laparoscopic surgery for T4 colon cancers
  2. Neoadjuvantive chemotherapy + Laparoscopic surgery for T4 colon cancers

Full description

Investigators' previous studies indicated that laparoscopic surgery is feasible in T4 colon cancers with comparable clinical and oncologic outcomes. Laparoscopy may be considered as an alternative approach for T4 colon cancers with the advantage of faster recovery. The survival outcome of T4 colon cancers still dismays clinicians and patients. Preoperative chemotherapy is an attractive concept for locally advanced colon cancer. Optimal systemic therapy at the earliest possible opportunity may be more effective at eradicating distant metastases than the same treatment given after the delay and immunological stress of surgery. Besides, the shrinkage of primary tumor before surgery may reduce the risk of incomplete surgical excision and the risk of shedding of tumor cells during surgery. The aim of the present study is to compare the short-and long-term survival outcomes between laparoscopic surgery alone and laparoscopic surgery with 4 cycles of neoadjuvant chemotherapy for T4 colon cancer as well as the mortality and the morbidity.

The number of patients, which needs to get power of 80%, is 1960. The average numbers of patients needs to reach approximately 200, and that of surgical centers needs to reach 10.

Arrangements in the preoperative, intraoperative and postoperative period will be in complete accordance with the usual care of the center.

The baseline demographics and conditions as well as the perioperative items and the postoperative occurrences will be recorded through a prior designed e-questionnaire.

Globally,the disease free survival rate (chemotherapy and surgery), mortality (chemotherapy and surgery), the morbidity (chemotherapy and surgery) and the proportion of completion of laparoscopic surgery of the two surgical strategies will be analized and compared.

Enrollment

1,960 estimated patients

Sex

All

Ages

18 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Able to provide written informed consent
  • Histologically confirmed diagnosis of colon carcinoma
  • CT or MRI verified as T4 colon cancer without involvement of other organs.
  • Without multiple lesions other than carcinoma in situ
  • Tumor size < 8 cm
  • No bowel obstruction
  • Sufficient organ function
  • No history of gastrointestinal surgery
  • 18 years of age or older
  • Performance Status (ECOG) 0, 1 or 2, life expectancy > 12 weeks
  • Operable patients
  • Completion of neoadjuvant systemic chemotherapy

Exclusion criteria

  • Women who are pregnant (confirmed by serum b-HCG in women of reproductive age) or breast feeding
  • No intention to finish neoadjuvantive systemic therapy
  • Unstable or uncompensated respiratory or cardiac disease
  • Serious active infections
  • Hypersensitivity to capecitabine/fluorouracil or oxaliplatin
  • Stomatitis or ulceration in the mouth or gastrointestinal tract
  • Severe diarrhea
  • Peripheral sensory neuropathy with functional impairment

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

1,960 participants in 2 patient groups

Laparoscopic surgery
No Intervention group
Description:
Patients with T4 colon cancer receive laparoscopic surgery only.
Neoadjuvantive chemotherapy + Laparoscopic surgery
Experimental group
Description:
Patients with T4 colon cancer receive neoadjuvantive chemotherapy and laparoscopic surgery.
Treatment:
Drug: XELOX or FOLFOX chemotherapy

Trial contacts and locations

0

Loading...

Central trial contact

Jiong Wu, MD,PhD; Wei Jin, MD,PhD

Data sourced from clinicaltrials.gov

Clinical trials

Find clinical trialsTrials by location
© Copyright 2024 Veeva Systems