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Brief Title: First Line Treatment by FOLFIRINOX for Patients With a Rectum Cancer With Synchronous Non Resectable Metastasis
Official Title: Phase II: First Line Treatment by FOLFIRINOX for Patients With a Rectum Cancer With Synchronous Non Resectable Metastasis
Study ID: NCT01674309
Brief Summary: The FOLFIRINOX protocol seems a promising protocol as attack treatment of a rectum cancer, with an objective response rate of about 70 %. This phase II is to investigate if this systematic attack chemotherapy could control at the same time the rectal tumor and the synchronous metastasis without compromising secondarily the tumor or the metastasis resection or a radiochemotherapy administration. 1. The main objective of the trial is to investigate the tumoral control rate at 4 months, according to the RECIST criteria (version 1.1). 2. The secondary objectives are: * safety of the treament, * rate of local failure and local complication (occlusion, important bleedings, resistant pains with morphinic treatment, perforation), * survival without local failure (radiological or clinical progression of the rectal cancer or local complication), * rectal tumor response rate (CT scan, MRI and endocopy), * metastasis response rate, * disease free survival after complete resection (of primitive tumor and metastases), * progression free survival (local or distal), * overall survival, quality of life (QLQ-C30 + CR 29).
Detailed Description: The FOLFIRINOX protocol seems a promising protocol as attack treatment of a rectum cancer, with an objective response rate of about 70 %. This phase II is to investigate if this systematic attack chemotherapy could control at the same time the rectal tumor and the synchronous metastasis without compromising secondarily the tumor or the metastasis resection or a radiochemotherapy administration. 1. The main objective of the trial is to investigate the tumoral control rate at 4 months, according to the RECIST criteria (version 1.1). 2. The secondary objectives are: * safety of the treament, * rate of local failure and local complication (occlusion, important bleedings, resistant pains with morphinic treatment, perforation), * survival without local failure (radiological or clinical progression of the rectal cancer or local complication), * rectal tumor response rate (CT scan, MRI and endocopy), * metastasis response rate, * disease free survival after complete resection (of primitive tumor and metastases), * progression free survival (local or distal), * overall survival, quality of life (QLQ-C30 + CR 29). 3. Inclusion and non inclusion criteria 4. Treatment 5. Follow up
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
CHU, Amiens, , France
CHU, Angers, , France
CH, Avignon, , France
CH, Beauvais, , France
CHU, Besançon, , France
Avicennes, Bobigny, , France
CHU - Ht Lévêque, Bordeaux, , France
Institut Bergonie, Bordeaux, , France
CH, Béziers, , France
CHU d'Estaing, Clermont Ferrand, , France
Colmar Ch, Colmar, , France
Centre G.F. Leclerc, Dijon, , France
CHU, Dijon, , France
Polyclinique, Francheville, , France
CHD Vendée, La Roche Sur Yon, , France
Clinique Victor Hugo, Le Mans, , France
CHRU - Hôpital Huriez, Lille, , France
CHU La Timone, Marseille, , France
Ipc - Cac, Marseille, , France
CH Layne, Mont de Marsan, , France
Centre Cahterine de Sienne, Nantes, , France
Polyclinique le Languedoc, Narbonne, , France
CH Georges Menon, Niort, , France
CHR - Gasto, Orléans, , France
AP - HP - Pitié Salpêtrière, Paris, , France
CH, Pau, , France
CH, Perpignan, , France
CHU, Rouen, , France
CH Le Foll, Saint Brieuc, , France
Clinique Armoricaine, Saint Brieuc, , France
Polyclinique Côte Basque Sud, Saint Jean De Luz, , France
CH Robert Morlevat, Semur en Auxois, , France
CAC, Strasbourg, , France
Polyclinique de l'Ormeau, Tarbes, , France
Hôpitaux du Leman, Thonon Les Bains, , France
Clinique Saint Jean du Languedoc, Toulouse, , France
CHRU Trousseau, Tours, , France
Name: Jean-Baptiste BACHET, Dr
Affiliation: CHU de La Pitié Salpetrière - APHP
Role: PRINCIPAL_INVESTIGATOR