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Brief Title: IRinotecan and Oxaliplatin for Colon Cancer in Adjuvant Setting
Official Title: A Phase III, Randomised, International Trial Comparing mFOLFIRINOX Triplet Chemotherapy to mFOLFOX for High-risk Stage III Colon Cancer in Adjuvant Setting
Study ID: NCT02967289
Brief Summary: The trial is a phase III, multicenter, open-labeled randomized trial comparing the association of 5-fluorouracil (5-FU), folinic acid, irinotecan, and oxaliplatin (mFOLFIRINOX) versus oxaliplatin, folinic acid, and 5-FU (mFOLFOX 6) chemotherapy protocols in patients with high-risk stage III colon cancer in the adjuvant setting.
Detailed Description: After inclusion and non-inclusion criteria have been fulfilled and the patient consent has been obtained, the patient will be included and randomized in the trial. The maximum delay allowed between the signature of the consent form by the patient and the randomization in the study is 28 days. The randomization procedure using minimization method will allocate the treatments mFOLFIRINOX or mFOLFOX 6 with a 1:1 ratio, and will be stratified by the following criteria: * Perforation or urgent surgery versus no perforation and no urgent surgery. * T1-T3N2 vs T4aN1 versus T4bN1 versus T4N2. * Right colon (right of splenic flexure) vs left colon. * Country (France vs Canada vs Italy). Patient eligible and who have signed the informed consent will be randomized in one of the two treatments arms and will receive every 14 days their treatment for a duration of 12 cycles. Arm A: mFOLFIRINOX Arm B: mFOLFOX 6
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
The PEI Cancer Treatment Centre Queen Elizabeth Hospital, Charlottetown, Prince Edward Island, Canada
Hopital Charles LeMoyne, Greenfield Park, Quebec, Canada
Centre hospitalier de l'Université de Montréal, Montréal, Quebec, Canada
Allan Blair Cancer Centre, Regina, Saskatchewan, Canada
Institut de Cancérologie de l'Ouest -site Paul Papin, Angers, , France
CHD de Vendée, La Roche-sur-Yon, , France
Ch Emile Roux, Le Puy-en-Velay, , France
Hospices civils de Lyon - Hôpital Edouard Herriot, Lyon, , France
Hôpital privé Jean Mermoz, Lyon, , France
Icm Val D'Aurelle, Montpellier, , France
Institut de Cancérologie de l'Ouest -site René Gauducheau, Nantes, , France
Hôpital Européen Georges Pompidou, Paris, , France
Hôpital Saint Antoine, Paris, , France
Centre Hospitalier Annecy Genevois, Pringy, , France
Institut Jean Godinot, Reims, , France
CHP Saint Grégoire, Saint Gregoire, , France
Clinique de la Côte d'Emeraude, Saint-Malo, , France
Name: Jaafar BENNOUNA, Professor
Affiliation: Hôpital FOCH, SURESNES
Role: STUDY_CHAIR
Name: Julien TAIEB, Professor
Affiliation: Hôpital Européen Georges-Pompidou, PARIS
Role: STUDY_CHAIR
Name: Thierry ANDRE, Professor
Affiliation: AP-HP Hôpital Saint-Antoine, PARIS
Role: STUDY_CHAIR