Title
Trial Testing Ftorafur (UFT) Associated With Neoadjuvant Radiotherapy Versus Radiotherapy Alone in Rectal Adenocarcinoma
Trial UFT/RT Randomized Multicenter Phase III Randomized Trial Testing Ftorafur (UFT) Associated With Neoadjuvant Radiotherapy Versus Radiotherapy Alone in Rectal Adenocarcinoma
Phase
Phase 3Lead Sponsor
Institut de Cancerologie de l'Ouest Paul PapinStudy Type
InterventionalStatus
TerminatedIndication/Condition
T3 or T4 (Only Anal Extension) Rectal Cancer ...Study Participants
219RATIONALE: Drugs used in chemotherapy, such as 5-fluorouracil, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing and also as a radiosensibilisant. Radiation therapy uses high-energy x-rays to kill tumor cells. 5-fluorouracil may make tumor cells more sensitive to radiation therapy. Oral 5-fluorouracil is more convenient for ambulatory patients. Giving UFT (Tegafur and Uracil) with radiation therapy before surgery may shrink the tumor so it can be removed.
PURPOSE: This phase III trial is studying how well giving UFT with radiation therapy works in treating patients who are undergoing surgery for operable rectal cancer.
Adenocarcinoma of the rectum
Stage II/stage III rectal cancer (if T4 only anal extension eligible)
Drug: UFT
Procedure: chemotherapy
Procedure: conventional surgery
Procedure: neoadjuvant therapy
Procedure: radiation therapy
Procedure: radiosensitization
Procedure: surgery
DISEASE CHARACTERISTICS: Histologically confirmed invasive adenocarcinoma of the rectum , M0, lower side < 10 cm from anal verge T3 or T4 disease (T4 exclusive anal extension ) PATIENT CHARACTERISTICS: Performance status ECOG 0-2 OR Zubrod 0-2 Life expectancy Not specified Hematopoietic Absolute neutrophil count > 1,500/mm^3 Platelet count ≥ 100,000/mm^3 Hepatic Bilirubin < x2 UNL Renal Creatinine < 150 µMol/L Gastrointestinal No history of inflammatory bowel disease No history of difficulty or inability to take or absorb oral medications Neurologic Not specified Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No other malignancy within the past 5 years except curatively treated basal cell skin cancer or carcinoma in situ of the cervix No history of psychiatric conditions or diminished mental capacity that would preclude study compliance or giving informed consent PRIOR CONCURRENT THERAPY: Chemotherapy No prior chemotherapy Radiotherapy No prior radiotherapy to the pelvis Other No other concurrent investigational drugs No other concurrent anticancer treatment