Brief Title
Neoadjuvant mFOLFOXIRI for Potentially Resectable Cholangiocarcinoma
Official Title
Prospective Phase II Study of Neoadjuvant mFOLFOXIRI for Potentially Resectable Cholangiocarcinoma
Brief Summary
Previous reports suggest benefit of neoadjuvant chemotherapy/chemoradiation treatment for borderline resectable cholangiocarcinoma. This study is a single center prospective phase II study of neoadjuvant chemotherapy with mFOLFOXIRI in patients with borderline resectable cholangiocarcinoma.
Detailed Description
Previous reports suggest benefit of neoadjuvant chemotherapy/chemoradiation treatment for borderline resectable cholangiocarcinoma. This study is a single center prospective phase II study of neoadjuvant chemotherapy with mFOLFOXIRI in patients with borderline resectable cholangiocarcinoma. This phase 2 trial was designed to enroll 25 patients with BRCC who were assigned to mFOLFOXIRI neoadjuvant chemotherapy. The primary endpoint was the overall response rate.
Study Phase
Phase 2
Study Type
Interventional
Primary Outcome
The rate of overall response evaluated by MRI or CT
Secondary Outcome
Resectability rate
Condition
Cholangiocarcinoma
Intervention
mFOLFOXIRI
Study Arms / Comparison Groups
mFOLFOXIRI
Description: mFOLFOXIRI consists of the following combination of drugs: Oxaliplatin, 85 mg/m2, IV over 2 hours Leucovorin, 400 mg/m2, IV over 2 hours Irinotecan, 150 mg/m2, IV over 90 minutes 5 FU, 400 mg/m2, IV bolus 5FU, 2400 mg/m2, IV infusion over 46 hours after 5FU bolus injection each 14 day cycle, for 6 cycles
Publications
* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
Recruitment Information
Recruitment Status
Drug
Estimated Enrollment
25
Start Date
September 19, 2018
Completion Date
December 2023
Primary Completion Date
August 2023
Eligibility Criteria
Inclusion Criteria: 1. ≥ 18 years old at the time of informed consent 2. Diagnosed with cholangiocarcinoma and the disease is measurable by RECIST 1.1 criteria 3. ECOG performance status of 0 or 1 4. No distant metastasis 5. The disease is either resectable or potentially resectable 6. Patients must have adequate organ function as defined by the following laboratory values at study entry: Hemoglobin ≥ 8 g/dL (transfusions are acceptable) ANC ≥ 1.5 x 109/L Platelets ≥ 100 x 109/L AST/ALT ≤ 3 x ULN Total bilirubin ≤ 2.5 mg/dL Creatinine clearance ≥ 50 mL/min (estimated by Cockcroft-Gault or measured) 7. Women of childbearing potential definition (WOCBP) and men must agree to use adequate contraception prior, to study entry, for the duration of study participation, and 3 months after the end of treatment. 8. WOCBP must have a negative serum or urine pregnancy test prior to initiation of treatment. Exclusion Criteria: 1. > 75 years old 2. Prior therapy for cholangiocarcinoma with either surgery, radiation or chemotherapy 3. Other malignancies except for the following: adequately treated cervical carcinoma in situ and treated basal cell carcinoma. 4. Hypersensitivity to 5FU, oxaliplatin (or other platinum agents), irinotecan (or to their excipients). 5. Pregnant or lactating women. 6. Psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial. 7. Liver disease including but not limited to cirrhosis, primary sclerosing cholangitis, future liver remnant of less than 20-30% 8. Comorbidity including but not limited to active clinically serious infections, congestive heart failure, life-threatening arrhythmia 9. known HIV positive 10. Baseline peripheral neuropathy/paresthesia grade ≥ 2.
Gender
All
Ages
18 Years - 75 Years
Accepts Healthy Volunteers
No
Contacts
Jarin Chindaprasirt, MD, 6643366562, [email protected]
Location Countries
Thailand
Location Countries
Thailand
Administrative Informations
NCT ID
NCT03603834
Organization ID
HE611336
Responsible Party
Principal Investigator
Study Sponsor
Khon Kaen University
Study Sponsor
Jarin Chindaprasirt, MD, Principal Investigator, Khon Kaen University
Verification Date
August 2021