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Home > "B" Clinical Trials Conditions > Biological Therapy With Combination Chemotherapy in Patients With Colorectal Cancer

Biological Therapy With Combination Chemotherapy in Patients With Colorectal Cancer



Biological Therapy With Combination Chemotherapy in Patients With Colorectal Cancer

For Condition: stage 2 rectal cancer,stage 2 colon cancer,stage 3 rectal cancer,stage 3 colon cancer
Status: No longer recruiting
Sponsor(s): European Institute of Oncology ,
Synopsis: RATIONALE: Biological therapies use different ways to stimulate the immune system and stop cancer cells from growing. Combining chemotherapy with biological therapy may kill more tumor cells. PURPOSE: Randomized phase III trial to compare the effectiveness of treatment using levamisole with treatment using interferon alfa and combination chemotherapy consisting of fluorouracil and leucovorin in patients with stage II or stage III colorectal cancer.
Details: OBJECTIVES: - Assess the efficacy of the addition of levamisole or alfa interferon to fluorouracil and leucovorin calcium (folinic acid) as an adjuvant treatment of intraperitoneal colorectal cancer. OUTLINE: This is a three arm study. Patients are randomized to receive either levamisole, alfa interferon, or no treatment. - Arm I: Patients receive levamisole PO for 3 days every 2 weeks for 6 months before and after surgery. Fluorouracil IV bolus and leucovorin calcium (folinic acid) IV over 1 hour are administered on days 1-5 every 4 weeks for 6 cycles after surgery. - Arm II: Patients receive alfa interferon-2a SC on 3 alternate days for a week before surgery and for 6 months after surgery. Fluorouracil IV bolus and folinic acid IV over 1 hour are administered on days 1-5 every 4 weeks for 6 cycles after surgery. - Arm III: Patients undergo surgery followed by fluorouracil IV bolus and folinic acid IV over 1 hour on days 1-5 every 4 weeks for 6 cycles. Patients are followed every 3 months for 2 years, then every 6 months. PROJECTED ACCRUAL: 350 patients per arm will be accrued for a total of 1,050 patients.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: /75 Years
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed stage T3-T4 N0 or T1-T4 N1-3 colorectal cancer - No evidence of residual disease after surgery - Tumor located above peritoneal reflection - No distant metastases PATIENT CHARACTERISTICS: Age: - 75 and under Performance status: - WHO 0-1 Life expectancy: - Not specified Hematopoietic: - WBC at least 3500/mm3 - Platelet count at least 100,000/mm3 Hepatic: - Bilirubin no greater than 2.0 mg/dL - SGPT less than 2 times upper limit of normal Renal: - Creatinine no greater than 2.0 mg/dL Cardiovascular: - No serious cardiac ischemia Other: - Adequate metabolic functions - No prior neoplasm - No prior/concurrent illness - No insulin-dependent diabetes PRIOR CONCURRENT THERAPY: Biologic therapy - No prior immunotherapy for the current cancer Chemotherapy - No prior chemotherapy for the current cancer Endocrine therapy - Not specified Radiotherapy - No prior radiotherapy for the current cancer Surgery - Not specified
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
FrancescoTonelli,  Study Chair,  Universita Degli Studi di Firenze - Policlin. di Careggi

U.S.S.L. 72 Magenta
Magenta,  ,  20013
Italy
 

Istituto Nazionale per la Ricerca sul Cancro
Genoa (Genova),  ,  16132
Italy
 

Istituto Scientifico H.S. Raffaele
Milano,  ,  20132
Italy
 

Ospedale Civile Rho
Rho,  ,  20017
Italy
 

Ospedale San Filippo Neri
Rome,  ,  00135
Italy
 

Ospedale Luigi Sacco
Milano (Milan),  ,  20157
Italy
 

Spedali Civili
Brescia,  ,  25124
Italy
 

Ospedale Maggiore Ca Granda
Milano (Milan),  ,  20162
Italy
 

Azienda Ospedaliera S. Maria
Terni,  ,  05100
Italy
 

Ospedale Bassini
Balsamo Cinisello,  ,  20092
Italy
 

Ospedale Sesto San Giovanni
Sesto San Giovanni,  ,  20099
Italy
 

ASL NO. 1 Imperiese
San Remo,  ,  18038
Italy
 

Ospedale Umberto I
Lugo DI Romagna,  ,  48022
Italy
 

Ospedale S.S. Annunziata
Savigliano,  ,  12038
Italy
 

Ospedale Carlo Forlanini
Rome,  ,  00149
Italy
 

Ospedale Agnelli
Pinerolo,  ,  10064
Italy
 

Istituti Fisioterapici Ospitalieri - Roma
Rome,  ,  00128
Italy
 

Ospedale Santa Croce
Cuneo,  ,  12100
Italy
 

Ospedale Sant Anna
Como,  ,  22100
Italy
 

Ospedale Santa Croce
Moncalieri,  ,  10024
Italy
 

Ospedale Sta. Maria Delle Croci
Ravenna,  ,  48100
Italy
 

Ospedale San Carlo Borromeo
Milano (Milan),  ,  20153
Italy
 

Ospedale Maggiore Crema
Crema,  ,  26013
Italy
 

George Papanicolaou General Hospital
THESSALONIKI,  ,  57010
Greece
 

Universita Torino
Torino,  ,  10126
Italy
 

Ospedale Civile Cosenza
Cosenza,  ,  87100
Italy
 

Cattedra di Oncologia Medica - Universita
Cagliari,  ,  09124
Italy
 

Istituto Clinica Medica
Sassari,  ,  07100
Italy
 

U.S.L. 10 Villa Ognissanti
Firenze,  ,  50139
Italy
 

Ospedale San Martino/Cliniche Universitarie Convenzionate
Genoa (Genova),  ,  16132
Italy
 

Ospedale San Bortolo
Vicenza,  ,  36100
Italy
 

Azienda USSL No 4
Saronno,  ,  21047
Italy
 

Policlinico A. Gemelli - Universita Cattolica del Sacro Cuore
Rome,  ,  00168
Italy
 

Ospedale Maggiore Parma
Parma,  ,  43100
Italy
 

Ospedale Generale Prov. Boldrini
Thiene,  ,  36016
Italy
 

Ospedale Di Predabissi Melegnano
Melegnano,  ,  20077
Italy
 

Ospedale S. Chiara
Trento,  ,  38100
Italy
 

Universita Degli Studi di Bari Policlinico
Bari,  ,  70124
Italy
 

Inha University Hospital
Incheon,  , 
Korea, Republic of
 

Azienda Ospedaliera di Padova
Padova (Padua),  ,  35128
Italy
 

Clinica Universita
Torino,  ,  10126
Italy
 

Azienda USSL NO 8
Merate,  ,  22055
Italy
 

Ospedale Di Conselice
Conselice,  ,  48017
Italy
 

Ospedale Di Gorgonzola
Gorgonzola,  ,  20064
Italy
 

Ospedale Legnago USSL 21
Legnago,  ,  37045
Italy
 

Istituto Di Science Biomediche San Paolo
Milano,  ,  20142
Italy
 

Ospedale Civile Umberto I
Mestre,  ,  30174
Italy
 

Carlo Poma Hospital
Mantova,  ,  46100
Italy
 

Ospedale Civico E Benefratelli
Palermo,  ,  90127
Italy
 

Universita Degli Studi di Udine
Udine,  ,  33100
Italy
 

Ospedale S. Camillo-Forlanini
Rome,  ,  00151
Italy
 

Universita di Ferrara
Ferrara,  ,  44100
Italy
 

Istituto Nazionale per lo Studio e la Cura dei Tumori
Naples,  ,  80131
Italy
 

Cattedra di Immunologia Clinica
Turin (TO),  ,  10128
Italy
 

Instituto Di Oncologia
Messina,  ,  98122
Italy
 

Federico II University Medical School
Naples (Napoli),  ,  80131
Italy
 

Consorzio Provinciale Antitubercolare
Milano,  ,  20124
Italy
 

Ospedale Torrette University Ancona
Parma,  ,  43100
Italy
 

Ospedale Civile Negrar
Negrar,  ,  37024
Italy
 

Ospedale Oncologico A. Businco
Cagliari,  ,  09124
Italy
 

Ospedale San Isidoro
Trescore Balneario,  ,  24069
Italy
 

Istituto Tumori/Fondazione Pascale
Naples (Napoli),  ,  80131
Italy
 

Nuovo Ospedale San Gerardo
Monza,  ,  20052
Italy
 

Ospedale Maggiore dell' Universita
Trieste,  ,  34100
Italy
 

Ospedale Civile Feltre
Feltre,  ,  32100
Italy
 

Azienda Ospedaliera
Reggio Emilia,  ,  42100
Italy
 

Ospedale Silvestrini
Perugia,  ,  06132
Italy
 

Ospedale Maggiore Lodi
Lodi,  ,  I-20075
Italy
 

Azienda Policlinico Umberto Primo
Rome,  ,  00161
Italy
 

University of Padua
Padua,  ,  35128
Italy
 

Ospedale Galliera Oncologia
Genova (Genoa),  ,  16128
Italy
 

Policlinico di Careggi
Firenze (Florence),  ,  50134
Italy
 

Ospedale C. Ascalesi
Napoli,  ,  80139
Italy
 

Universita Degli Studi di Firenze - Policlin. di Careggi
Firenze (Florence),  ,  1 (50134)
Italy
 

Ospedale Civile Asilo Vittoria
Mortara,  ,  27036
Italy
 

Ospedale Cattinara
Trieste,  , 
Italy
 

Policlinico Militare Celio
Rome,  ,  00184
Italy
 

Ospedale Valduce
Como,  ,  22100
Italy
 

Casa Di Cura San Ambrogio
Milano,  ,  20149
Italy
 

Ospedale San Giuseppe
Milano,  ,  20100
Italy
 

Ospedale San Michele
Cagliari,  ,  9100
Italy
 

Ospedale General Regional Ca Foncello
Treviso,  ,  31100
Italy
 

Ospedale di Circolo e Fondazione Macchi
Varese,  ,  21100
Italy
 

Dispensario Igiene Sociale
Toino,  ,  10100
Italy
 

Ospedale Vincenzo Monaldi
Napoli,  ,  80131
Italy
 


Additional Information:
Study ID Numbers:
  CDR0000065728;  CNR-TONE-01,EU-97011
Study Start Date: 
Record last reviewed: February 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00003063

Other Stage 3 Colon Cancer Studies:
1. Gemcitabine in Treating Patients With Advanced Colorectal Cancer

2. High-Dose Fluorouracil With or Without Leucovorin Compared With Standard Fluorouracil Plus Leucovorin Following Surgery in Treating Patients With Stage III Colon Cancer

3. Combination Chemotherapy With or Without Irinotecan in Treating Patients With Stage III Colon Cancer

4. Chemotherapy With Raltitrexed and Fluorouracil in Treating Patients With Advanced Colorectal Cancer

5. ZD 1839 in Treating Patients With Locally Advanced or Metastatic Colorectal Cancer That Has Not Responded to Chemotherapy

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