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Status unknownNCT01818973Updated Jun 8, 2015

Preoporative Bevacizumab, Radiation Therapy, and XELOX Chemotherapy for Locally Advanced Nonmetastatic Rectal Cancer

A Phase 2 interventional study of Xeloda and Oxaliplatin in Rectal Cancer, sponsored by Sun Yat-sen University. Status unknown at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2015-06-08.

Sponsored by Sun Yat-sen University · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jun 2015), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
45
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
All
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Study summary

We presumed that the addition of a monoclonal antibody Bevacizumab into radiation therapy and combination chemotherapy could results in improved pathologic tumor regression grade (TRG) in locally advanced nonmetastatic rectal cancer.

Read the detailed description

Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Giving bevacizumab together with radiation therapy and combination chemotherapy before surgery may achieve promising improvements in pCR rates, we designed this Phase II study in patients with T3/4 or N1/2 loco-regionally advanced rectum cancer, to examine the efficacy and safety of the addition of bevacizumab to a regimen of capecitabine and oxaliplatin in combination with pre-operative radiation.

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Conditions studied

  • Rectal Cancer

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Keywords

  • Rectal Cancer
  • Bevacizumab
  • capecitabine
  • oxaliplatin
  • preoporative IMRT
03

In context

Rectal Neoplasms

1,762 studies on the registry are indexed under Rectal Neoplasms; 518 are open to participants now.

This study's planned enrollment of 45 is below the median of 65 across 1,298 interventional studies indexed under Rectal Neoplasms.

Browse Rectal Neoplasms studies →

Lead sponsor

Sun Yat-sen University is the lead sponsor of 1,644 studies on the registry; 602 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histologically confirmed adenocarcinoma of the colon or rectum.
  • T3 or T4 adenocarcinoma or node positive colorectal tumours.
  • Appropriate staging investigations of the primary tumour, either endorectal ultrasound or pelvic MRI.
  • Male or female aged 18 to 70.
  • Have a performance status ECOG of 0 or 1.
  • Have a life expectancy greater than 6 months.
  • Adequate organ function and coagulation parameters as measured by: WBC > 4000/mm3, PLT > 100000/mm3, Hb > 10g/dL, ALT \< 1.5X ULN, AST \< 1.5X ULN, bilirubin \< 1.5mg/dL Serum creatinine \< 1.8mg/dL.
  • Patient consent.

Exclusion criteria

Exclusion Criteria:

  • Known to have clinical or radiological evidence of distant metastases.
  • Evidence of intestinal obstruction (except for those after enterostomy).
  • Patients with a past history of colorectal surgery (except for enterostomy), chemtherapy, radiation, biotherapy or targeted therapy.
  • Pregnant woman OR women of childbearing potential with a positive pregnancy test at baseline or lactating.
  • Sexually active males and females (of childbearing potential) unwilling to practice contraception during the study.
  • Patients with a past or current history (within last 5 years) of other malignancies, except for the indication under this study and curatively treated basal and squamous skin cancer or in-situ cancer of the cervix.
  • Patients with mental disorder unable to complete the informed consent.
  • Uncontrolled hypertension.
  • Clinically significant (i.e. active) cardiovascular disease for example:

cerebrovascular accidents (\<=6 months), myocardial infarction (\<= 6 months), unstable angina, New York Heart Association (NYHA) grade II or greater congestive heart failure, serious cardiac arrhythmia requiring medication.

  • Moderate or serious proteinuria.
  • Known hypersensitivity against experimental drugs.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
45 participants (estimated)

Study arms

  • Experimental
    Single Arm

    Neoadjuvant chemotherapy with XELOX: Xeloda, po, 1000mg/m2/12h daily, day 1 in the afternoon until day 15 in the morning; Oxaliplatin, iv, 130mg/m2, day 1; and Bevacizumab, iv, 7.5 mg/kg, day 1, during the first cycle (each cycle has 3 weeks). Followed by chemoradiotherapy, 50 Gy/25 fractions during 5 weeks plus 2 cycles XELOX and Bevacizumab: Xeloda, po, 1000mg/m2/12h daily, day 1 in the afternoon until day 15 in the morning; Oxaliplatin, iv, 100mg/m2, day 1; and Bevacizumab, iv, 7.5 mg/kg, day 1. 6-7 weeks from the last radiation therapy, Total Mesorectal Excision (TME) surgery will be performed. 3-4 weeks after operation, 3 cycles XELOX (the same as the neoadjuvant chemotherapy) and 2 cycles Xeloda (po, 1000mg/m2/12h daily, day 1 in the afternoon until day 15 in the morning) will be administered.

    Drug: Xeloda · Drug: Oxaliplatin · Drug: Bevacizumab · Radiation: Radiation · Procedure: surgery

Interventions

  • DrugXeloda

    po, 1000mg/m2/12h daily, day 1 in the afternoon until day 15 in the morning, 8 cycles

    Also known as: Capecitabine

  • DrugOxaliplatin

    iv, 130mg/m2, day 1, 1 cycle during neoadjuvant chemotherapy and 3 cycles in adjuvant chemotherapy 100mg/m2, day 1, 2 cycles during concurrent chemoradiotherapy

  • DrugBevacizumab

    iv, 7.5 mg/kg, day 1, 3 cycles during neoadjuvant chemotherapy and concurrent chemoradiotherapy

    Also known as: Avastin

  • RadiationRadiation

    Intensity-modulated radiation therapy, 50 Gy/25 fractions during 5 weeks

  • Proceduresurgery

    Total Mesorectal Excision (TME)

06

What researchers measure

Primary outcomes

  1. The pathologic tumor regression grade (TRG)

    Time frame: March 30, 2015

Secondary outcomes

  1. 5-y overall survival

    Time frame: March 30, 2020

  2. Occurence of toxicity

    Time frame: March 30, 2015

  3. 5-y local relapse free survival

    Time frame: March 30, 2020

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Study locations

1 of 1 sites recruiting
  • Sun Yat-sen University Cancer Center (SYSUCC)
    Guangzhou, Guangdong 510060, China
    • Yuan-hong Gao · Contact · +86-20-87343385
    • Yuan-hong Gao · Principal investigator
    Recruiting
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References and documents

Publications

  • Yu X, Wang QX, Xiao WW, Chang H, Zeng ZF, Lu ZH, Wu XJ, Chen G, Pan ZZ, Wan DS, Ding PR, Gao YH. Neoadjuvant oxaliplatin and capecitabine combined with bevacizumab plus radiotherapy for locally advanced rectal cancer: results of a single-institute phase II study. Cancer Commun (Lond). 2018 May 21;38(1):24. doi: 10.1186/s40880-018-0294-z. PubMed 29784042 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01818973
Lead sponsor
Sun Yat-sen University
Responsible party
Yuan-hong Gao (Associate Professo, Sun Yat-sen University) — Principal investigator
First posted
Mar 27, 2013
Start date
Mar 2013
Primary completion
Jun 2015 (estimated)
Completion
Mar 2020 (estimated)
Last update
Jun 8, 2015

Study contacts

Yuanhong Gao
Contact
gaoyh@sysucc.org.cn
+86-20-87343385

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jun 2015. You cannot join it, but the record below documents what was studied.

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