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Spots Global Cancer Trial Database for Induction FOLFOX With or Without Aflibercept Followed by Chemoradiation in High Risk Locally Advanced Rectal Cancer

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Trial Identification

Brief Title: Induction FOLFOX With or Without Aflibercept Followed by Chemoradiation in High Risk Locally Advanced Rectal Cancer

Official Title: Induction FOLFOX With or Without Aflibercept Followed by Chemoradiation in High Risk Locally Advanced Rectal Cancer. Phase II Randomized, Multicenter, Open Label Trial

Study ID: NCT02340949

Conditions

Rectal Cancer

Study Description

Brief Summary: This trial compares induction treatment with FOLFOX with or without aflibercept in a high risk population selected by MRI, prior to receiving standard chemoradiation (capecitabine combined with 50.4 Gy in 28 days) and surgery, in order to evaluate the efficacy in terms of pathologic complete response (pCR).

Detailed Description: This is a randomized trial comparing induction treatment with FOLFOX with or without aflibercept in a high risk population selected by MRI, prior to receiving standard chemoradiation (capecitabine combined with 50.4 Gy in 28 days) and surgery. Once it is confirmed that the subjects fulfill the eligibility criteria (MRI-defined high risk RC), and have signed the informed consent, a central review will be requested to confirm clinical stage, and then they will be randomized to receive mFOLFOX6 + Aflibercept or mFOLFOX6 (without Aflibercept). Random assignment of treatment will be stratified by T3 versus T4 stage. All the patients enrolled in the study will receive one cycle of study medication (mFOLFOX6 with or without aflibercept) every 14 days for six cycles, unless unacceptable toxicity or progression is detected. After this treatment, patients will receive standard chemo-radiotherapy (CT/RT) (capecitabine 825 mg/m2 twice daily combined with a total dose of 50.4 Gy in 28 days) followed by surgery, provided they have not progressed. Patients with progression disease during the treatment phase will be withdrawn from the study and will receive their treatment according to the investigator's judgment. If a patient withdraws consent and refuses to receive further treatment, the patient must be followed up for 3 years from randomization or until progression, to evaluate disease-free survival. If a patient withdraws consent and refuses to continue in the study, the follow-up evaluations must be discontinued.

Keywords

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

Contact Details

Name: Carlos Fernández-Martos, MD

Affiliation: Fundación Instituto Valenciano de Oncología

Role: STUDY_DIRECTOR

Name: Antonieta Salud Salvia, MD

Affiliation: Hospital Universitari Arnau de Vilanova de Lleida

Role: PRINCIPAL_INVESTIGATOR

Name: Carles Pericay Pijaume, MD

Affiliation: Hospital de Sabadell - Parc Taulí

Role: PRINCIPAL_INVESTIGATOR

Name: Clara Montagut, MD

Affiliation: Hospital del Mar

Role: PRINCIPAL_INVESTIGATOR

Name: Joan Maurel Santasusana, MD

Affiliation: Hospital Clinic i provincial de Barcelona

Role: PRINCIPAL_INVESTIGATOR

Name: Vicente Alonso Orduña, MD

Affiliation: Hospital Miguel Servet

Role: PRINCIPAL_INVESTIGATOR

Name: Ruth Vera García, MD

Affiliation: Complejo Hospitalario de Navarra

Role: PRINCIPAL_INVESTIGATOR

Name: Javier Gallego Plazas, MD

Affiliation: Hospital General Universitario de Elche

Role: PRINCIPAL_INVESTIGATOR

Name: Núria Rodríguez Salas, MD

Affiliation: Hospital Universitario La Paz

Role: PRINCIPAL_INVESTIGATOR

Name: Antonio Cubillo, MD

Affiliation: Hospital Universitario Madrid Sanchinarro (CIOCC)

Role: PRINCIPAL_INVESTIGATOR

Name: Bertomeu Massuti, MD

Affiliation: Hospital General Universitario de Alicante

Role: PRINCIPAL_INVESTIGATOR

Name: Ferrán Losa, MD

Affiliation: Hospital de Sant Joan Despí Moisés Broggi

Role: PRINCIPAL_INVESTIGATOR

Name: Miguel Nogué, MD

Affiliation: Hospital General de Granollers

Role: PRINCIPAL_INVESTIGATOR

Name: Jaume Capdevila, MD

Affiliation: Hospital Universitari Vall d'Hebrón

Role: PRINCIPAL_INVESTIGATOR

Name: Isabel Busquier, MD

Affiliation: Consorcio Hospitalario Provincial de Castellón

Role: PRINCIPAL_INVESTIGATOR

Name: Inma Guash Jordan, MD

Affiliation: Fundación Althaia Manresa

Role: PRINCIPAL_INVESTIGATOR

Name: Laura Layos Romero, MD

Affiliation: Hospital Universitari Germans Trias i Pujol de Badalona

Role: PRINCIPAL_INVESTIGATOR

Name: Marta Martín-Richard, MD

Affiliation: Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Role: PRINCIPAL_INVESTIGATOR

Name: Rocio García Carbonero, MD

Affiliation: Hospital Universitario 12 de Octubre

Role: PRINCIPAL_INVESTIGATOR

Name: Carlos López López, MD

Affiliation: Hospital Universitario Marqués de Valdecilla

Role: PRINCIPAL_INVESTIGATOR

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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