Titre A Phase III, Randomised, International Trial Comparing mFOLFIRINOX Triplet Chemotherapy to mFOLFOX for High-risk Stage III Colon Cancer in Adjuvant Setting
Protocole ID IROCAS / CO.27
ClinicalTrials.gov ID NCT02967289
Type(s) de cancer Côlon et rectum
Phase Phase III
Type étude Traitement
Médicament 5-fluorouracil, folinic acid, irinotecan and oxaliplatin
Institution CENTRE HOSPITALIER DE L'UNIVERSITE DE MONTREAL  
Ville Montréal
Investigateur(trice) principal(e) Dr Rasmy Loungnarath
Coordonnateur(trice) Chantal Lefebvre
514-890-8000 poste 24532
Statut Interruption temporaire
Date d'activation 18-09-2017
Critètes d'éligibilité
  • Patient ≥18 years and < 71years
  • Patient with ECOG ≤1
  • Pathologically confirmed high-risk stage III colon adenocarcinoma, restricted to pT4N1 or pT1-4N2 tumor.
  • Curative R0 surgical resection within 42 days before randomization.
  • Patients who have undergone surgery for colon cancer, defined as a tumor location >12 cm from the anal verge by endoscopy and/or above the peritoneal reflection at surgery (high rectum), without gross or microscopic evidence of residual disease after surgery with curative intent
  • Start of study drug treatment has to be performed less than 56 days after surgery.
  • No prior chemotherapy.
  • No prior abdominal or pelvic irradiation.
  • Patient with adequate organ function: Absolute neutrophil count (ANC) ≥ 2 x 109/L Haemoglobin ≥9 g/dL Platelets (PTL) ≥100 x 109/L AST/ALT ≤2.5 x ULN Alkaline phosphatase ≤2.5 x ULN Total Bilirubin ≤1.5 x ULN (Upper Limit of Normal) Creatinine clearance ≥50 mL/min (Cockcroft and Gault formula) Kalemia, magnesemia, calcemia ≥ 1 LLN (Lower Limit of Normal) Carcinoembryogenic antigen (CEA) ≤10ng/mL after surgery (during screening period)
  • Adequate contraception if applicable.
  • Patient able and willing to comply with study procedures as per protocol
  • Patient able to understand and willing to sign and date the written voluntary informed consent form at screening visit prior to any protocol-specific procedures
  • Public or private health insurance coverage
  • Life expectancy of > or = at 5 years
Critètes d'exclusion
  • Major surgical procedure, open biopsy or significant traumatic injury within 28 days prior to study treatment start. Incompletely healed wounds or anticipation of the need for major surgical procedure during the course of the study
  • Metastatic disease
  • Presence of inflammatory bowel disease and/or ileus
  • Known hypersensitivity reaction to any of the components of study treatments.
  • Pregnancy (absence to be confirmed by β-hCG test) or breast-feeding period
  • Clinically relevant coronary artery disease or history of myocardial infarction in the last 12 months, or high risk of uncontrolled arrhythmia (for men: QT/QTc ≥450 msec, for women: QT/QTc ≥470 msec)
  • Previous malignancy in the last 5 years except curative treated basal cell carcinoma of the skin and/or in situ carcinoma of the cervix
  • Medical, geographical, sociological, psychological or legal conditions that would not permit the patient to complete the study or sign informed consent
  • History or current evidence on physical examination of central nervous system disease or peripheral neuropathy ≥ grade 1 Common Toxicity Criteria for Adverse Events (CTCAE) v4.03.
  • Any significant disease which, in the investigator's opinion, would exclude the patient from the study.
  • Known DPD deficiency or UGT1A1 homozygous 7/7
  • Patients already included in another therapeutic trial involving an experimental drug