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