Title
Computed Tomography-guided Brachytherapy Plus Chemotherapy for Locally Recurrent Rectum Cancer
Phase II Study of Computed Tomography-guided Brachytherapy Plus Chemotherapy for Locally Recurrent Rectum Cancer
Phase
Phase 2Lead Sponsor
The First People's Hospital of ChangzhouStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Rectum CancerIntervention/Treatment
irinotecan fluorouracil leucovorin ...Study Participants
56The purpose of this study is to evaluate the safety and efficacy of CT guided 125I seeds implant plus systemic chemotherapy for locally recurrent rectum cancer.
The primary aim of this study is to determined the safety and efficacy of CT guided 125I seeds implant plus systemic chemotherapy for locally recurrent rectum cancer.The patients with recurrence in pelvic or on pelvic wall after rectal resection were treated with 125I seeds implant plus chemotherapy or chemotherapy alone. The side-effect, tumor response and survival data were recorded.
Computed tomography guided radioactive seeds implant were performed one week before chemotherapy.
irinotecan 180mg/m2 d1,leucovorin 400mg/m2 d1, 5-fluorouracil 400mg/m2 iv, 2.4g/m2 civ 46h, repeated every 2 weeks
Treated with systemic chemotherapy alone (FOLFIRI).
Treated with systemic chemotherapy (FOLFIRI) plus computed tomography guided radioactive seeds implant.
Inclusion Criteria: Limited locoregional recurrence including solitary recurrence at primary tumor bed, solitary intraabdominal peritoneal recurrence, and single regional lymph node recurrence (no more than 3 lymph nodes) based on diagnosis by CT, and confirmed by percutaneous puncture biopsy Second-line treatment for advanced colorectal cancer,irinotecan was not previously used. Age range 18-70 years old ECOG performance status 0-1 Life expectancy of more than 3 months Adequate organ function Exclusion Criteria: Previous serious cardiac disease History of other malignancies except cured basal cell carcinoma of skin and carcinoma in-situ of uterine cervix Pregnant or lactating women Chronic inflammatory bowel disease or intestinal obstruction Serious uncontrolled diseases and intercurrent infection