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RecruitingNCT06888843AHTCRR-1Updated Mar 27, 2025

Study to Evaluate the Use of Capecitabine in Monotherapy and in Combination With Oxaliplatin in Elderly Patients as Adjuvant Chemotherapy for Locally Advanced Colorectal Cancer.

A Phase 2 interventional study of Capecitabine and Oxaliplatin in Colorectal Cancer, sponsored by Nizhny Novgorod Regional Clinical Oncology Center. Recruiting at 1 site in Russian Federation. Open to participants aged 70 Years to 90 Years. Per ClinicalTrials.gov, last updated 2025-03-27.

Sponsored by Nizhny Novgorod Regional Clinical Oncology Center · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2025; still recruiting 1 year 9 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
160
Allocation
Randomized
Ages
70 Years to 90 Years
Sex
All
01

Study summary

All patients with locally advanced colorectal cancer after radical surgical intervention who have not previously received systemic antitumor treatment will be randomized into two groups receiving fluoropyrimidines in mono-regimen and in combination with oxaliplatin.

Main objectives:

  • to compare the 3-year disease-free survival and 5-year overall survival rates in the two groups.
  • to identify, through a comprehensive geriatric assessment among elderly patients, the groups that benefit most from adjuvant chemotherapy.

Patients will be treated until progression of the process is detected or the maximum effect of therapy is reached (the longest duration of treatment is 6 months).

Read the detailed description

The study is a single-center, open-label, randomized Phase II study. The study will be divided into a screening phase (4 weeks prior to inclusion in the study), a treatment phase (up to 6 months) and a long-term follow-up phase (up to 28 days from the end of treatment - follow-up to assess the safety of therapy, up to 3 years from the end of treatment to assess survival and follow-up).

During the screening phase, patients with MR CRC will undergo examinations to fulfill the inclusion and exclusion criteria for the study.

Next, elderly patients meeting these criteria-who have locally advanced colorectal cancer-will be randomized in a ratio of approximately 1:1 into 2 groups.

The study is planned to include 160 patients, 80 in each group, for a total of 160 patients.

Patient groups

  1. Capecitabine in mono-regimen
  2. PCT according to XELOX regimen Stratification factors - gender m/f, age \<75 />75, presence of postoperative complications yes/no.

The patients will be treated until the progression is detected or the maximum effect of therapy is achieved (the longest duration of treatment is 8 cycles). At the end of the treatment period, all patients will enter the observation phase.

02

Conditions studied

  • Colorectal Cancer

Keywords

  • XELOX
  • Capecitabine
  • Overall survival
  • Disease free survival
  • Toxicity profile
  • Comprehensive geriatric evaluation
03

In context

Colorectal Neoplasms

6,541 studies on the registry are indexed under Colorectal Neoplasms; 1,667 are open to participants now.

This study's planned enrollment of 160 is above the median of 76 across 4,800 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Nizhny Novgorod Regional Clinical Oncology Center is the lead sponsor of 3 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
70 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age 70 years and older;
  2. Obtaining to participate in the study;
  3. Morphologically confirmed diagnosis of colorectal cancer;
  4. Stage III colorectal cancer;
  5. Underwent radical surgical intervention for primary colorectal tumor;
  6. score of 0 - I;
  7. of more than 6 months;
  8. No history of systemic drug therapy for CRC;
  9. Adequate liver, kidney and bone marrow function;
  10. Absence of severe uncontrolled concomitant chronic diseases and acute illnesses.

Exclusion criteria

Exclusion Criteria:

  1. Having previously received any systemic therapy for CRC;
  2. Time after surgical treatment of more than 12 weeks;
  3. Stage I-II and IV disease;
  4. Confirmed dihydropyrimidine dehydrogenase deficiency in blood by PCR (alteration of alleles c.[190511G > A], c.[1679T >G],[2846A > T], [1129-5923C >G], [c.1236 G>A(HapB3)]);
  5. Severe uncontrolled comorbid chronic diseases or acute illnesses;
  6. Presence of a second (except for previously cured malignancies);
  7. Any condition that, in the opinion of the physician, would interfere with the study procedures.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
160 participants (estimated)

Study arms

  • Experimental
    Fluoropyrimidines in mono-regimen

    Capecitabine 2000mg/m2 per day, orally from day 1 to 14, 1 week break. Cycle of 21 days (start the next course on day 22).

    Drug: Capecitabine

  • Experimental
    Combination chemotherapy based on platinum preparations

    XELOX: Oxaliplatin 100-130mg/m2 w/v #1 on day 1 + Capecitabine 2000mg/m2 per day, orally from day 1 to 14, 1 week break. Cycle of 21 days (start of the next course on day 22).

    Drug: Capecitabine · Drug: Oxaliplatin

Interventions

  • Capecitabine 2000mg/m2 from day 1 to 14

  • Oxaliplatin 130mg/m2 on day 1, cycle of 21 days

06

What researchers measure

Primary outcomes

  1. The disease free survival

    Time from randomization to disease recurrence

    Time frame: 3 years

Secondary outcomes

  1. The overall survival

    Time from randomization to death from any cause or date of last observation in the absence of these events. In months with an accuracy of 0.1.

    Time frame: 5 years

  2. Аssessment of the quality of life

    Quality of life assessment by European Organisation for Research and Treatment of Cancer scale Quality of Life Questionnaire - Core 30 (QLQ-C30) by Scoring of the QLQ-C30 Summary Score using the descriptive analysis with the qlqc30 command (detailed description in manual ISBN 2-9300 64-22-6).

    Time frame: 5 years

  3. Toxicity assessment

    Treatment toxicity according to common terminology criteria for adverse events version 5.0

    Time frame: 6 months

07

Study locations

1 of 1 sites recruiting
  • Research Institute of Clinical Oncology "Nizhny Novgorod Regional Clinical Oncological Dispensary"
    Nizhny Novgorod, 603126, Russian Federation
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06888843
Lead sponsor
Nizhny Novgorod Regional Clinical Oncology Center
Responsible party
Sponsor
First posted
Mar 21, 2025
Start date
Feb 1, 2025
Primary completion
Feb 1, 2028 (estimated)
Completion
Feb 1, 2028 (estimated)
Last update
Mar 27, 2025

Study contacts

Arina Datsyuk
Contact
doc70doc@yandex.ru
+79049209496
MIKHAIL OSIPOV
Contact
ocipovmixail@mail.ru
+79052075653
Sergey Gamayunov, DMS
study director · Study Director

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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