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The aim of this study is to compare weekly-XELIRI(wXELIRI) regimen versus FOLFIRI regimen in the treatment of advanced colorectal cancer patients. The hypothesis is the efficacy of wXELIRI is not less than FOLFIRI with tolerable toxicity.
The combination of irinotecan and fluorouracil drugs regimen is frequently used in patients with advanced colorectal cancer. According to the previous data, higher rate of diarrhea was observed in the combination of irinotecan and capecitabine (XELIRI) regimen, compared to the combination of irinotecan and 5-fluorouracil (FOLFIRI) regimen. However, the modified weekly XELIRI regimen, which was investigated in our previous single armed study, show tolerate toxicities compared with FOLFIRI, without compromising efficacy. It is supposed that wXELIRI regimen is no less less than FOLFIRI regimen in efficacy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FOLFIRI | Active Comparator | FOLFIRI regimen |
|
| wXELIRI regimen | Experimental | wXELIRI |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| wXELIRI regimen | Drug | irinotecan 90mg/m2 D1, capecitabine 1000mg/m2 bid po, D1-5,repeated every 7 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Progression free survival which is calculated from the start of treatment to disease progression or death | eight weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate which includes complete response(CR) and partial response(PR) participants | Objective response rate (ORR)= CR(complete response)+PR(partial response) | eight weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival which is calculated from the start to treatment to the death | eight months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jin Li, PhD,MD | Contact | 64175590-5109 | fudanlijin@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Jin Lin, PhD, MD | Fudan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Cancer Hospital | Recruiting | Shanghai | Shanghai Municipality | 200032 | China |
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| C480833 | IFL protocol |
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| FOLFIRI regimen | Drug | irinotecan 180mg/m2 d1,leucovorin 400mg/m2 d1, 5-fluorouracil 400mg/m2 iv, 2.4g/m2 civ 46h, repeated every 2 weeks |
|
|
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |