Adjuvant Chemoimmunotherapy for Colorectal Cancer
recombinant interferon alfa
+ fluorouracil
+ leucovorin calcium
Colonic Diseases+10
+ Digestive System Diseases
+ Digestive System Neoplasms
Treatment Study
Summary
Study start date: November 1, 1991
Actual date on which the first participant was enrolled.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.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.1050 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.Until 75 Years
Range of ages for which participants are eligible to join.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Conditions
Pathology
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
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 85 locations
George Papanicolaou General Hospital
Thessaloniki, GreeceOpen George Papanicolaou General Hospital in Google MapsOspedale Bassini
Balsamo Cinisello, ItalyUniversita Degli Studi di Bari Policlinico
Bari, ItalySpedali Civili
Brescia, Italy