Modified FOLFOXIRI Plus Target Therapy as a First Line Treatment for Advanced Colorectal Cancer a Prospective Phase Two Study

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-65
SponsorAl-Azhar University

About this trial

This prospective Phase II study aims to evaluate the efficacy and safety of a modified FOLFOXIRI regimen in the treatment of metastatic colorectal cancer (MCRC). FOLFOXIRI, though effective, is known for its high toxicity, necessitating close monitoring and dose adjustments. .

The primary endpoint is to assess the impact on the objective response rate and evaluate both acute and delayed toxicity. The secondary endpoints include studying the treatment's effectiveness as conversion therapy, along with disease-free survival (DFS) and overall survival (OS). The tertiary endpoint focuses on evaluating predictive and prognostic factors of significance.

This study seeks to balance the efficacy of FOLFOXIRI with a modified dose to minimize toxicity while maintaining therapeutic benefits, providing a potentially safer and effective option for patients with MCRC.

Eligibility criteria

Qualifiers

Patients were required to have measurable disease according to RECIST v1.1 (Response Evaluation Criteria in Solid Tumors) (Eisenhauer EA,2009)

ECOG PS 0-1 better to exclude PS II as this protocol is known to be toxic

Adequate baseline hematology and clinical chemistry labs

Adequate cardiac function

Disqualifiers

Double Malignancy

DPYD mutant patients

Peripheral neuropathy grade 3 or higher patient due to other comorbidities

Inflammatory bowel syndrome or any other chronic GIT disease

Trial design

Treatments tested in this trial

  • FOLFOXIRI Protocol

Treatment groups

60 Participants
are divided into 1 treatment group

Sponsors and collaborators