About this trial
This phase II trial studies how well giving oxaliplatin over 6 hours works in treating nerve damage in patients with gastrointestinal cancers. Oxaliplatin can cause side effects such as nerve damage that may delay or reduce the dose of oxaliplatin. Giving oxaliplatin over a longer period of time (6 hours) may prevent or delay the development of nerve damage, which may keep patients on standard doses of chemotherapy longer, without having to delay treatment.
Eligibility criteria
Qualifiers
Eastern Cooperative Oncology Group (ECOG) performance status 0-2
Confirmed diagnosis of a gastrointestinal cancer
Plan for 4 or more cycles of FOLFOX6 (fluorouracil [with leucovorin] and oxaliplatin) containing chemotherapy
Histologically confirmed, measurable or evaluable disease. Patients with advanced or metastatic disease should have at least one measurable lesion by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. Patients in the adjuvant treatment setting planned to have > 4 cycles of FOLFOX-containing chemotherapy are eligible and will be followed per standard of care
Disqualifiers
Any preexisting grade 2 or higher peripheral neuropathy
Patients currently receiving anticancer therapies or who have received any focal or systemic anticancer therapy within 14days of the start of FOLFOX6
Known intolerance or hypersensitivity to any agent in FOLFOX6 or concurrent agents
Unstable angina pectoris, symptomatic heart failure; (New York Heart Association class III or IV), myocardial infarction ≤ 6 months prior, serious uncontrolled cardiac arrhythmia, or any other clinically significant cardiac disease
Trial design
Treatments tested in this trial
- Fluorouracil
- Leucovorin
- Oxaliplatin
Treatment groups
Sponsors and collaborators
Emory University
Lead sponsor
Hematology/Oncology Pharmacy Association
Collaborator
University of Pittsburgh
Collaborator