Preoperative Radiotherapy With Capecitabine and Bevacizumab in Locally Advanced Rectal Cancer: CRAB Phase II Study
- radiotherapy: 45 Gy to the pelvis (25x 1.8 Gy on days 1-33, excluding weekends) plus
5.4 Gy on days 36-38 as a boost to the primary tumour (3 fractions of 1.8 Gy).Three-
dimensional CT planing and a four field box technique with high energy photons (15 MV)
will be used. All fields will be treated daily. Multileaf collimators will be used to
shape individual radiation fields. Patients will be irradiated in a prone position with
a full bladder and by using belly board to minimize exposure of the small bowel.
- capecitabine 825 mg/m² p.o. twice daily on days 1-38 (including weekends),
- bevacizumab: at dose 5 mg/kg on days -14, 2, 16,30.
- Radical surgery (TME): to be undertaken ideally 6-8 weeks following completion of
chemoradiation.
Postoperative treatment (in patients achieving histopathological R0 or R1
resection):capecitabine 1250 mg/m² p.o. twice daily for 14 consecutive days every three
weeks; 4 cycles (R0)or 6 cycles (R1) beginning 6-8 weeks after surgery
Interventional
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Pathological complete remission rate (pCR)
after pathological examination of surgical speciments
No
Vaneja Velenik, MD, PhD
Principal Investigator
Institute of Oncology, Ljubljana, Slovenia
Slovenia: Agency for Medicinal Products - Ministry of Health
ML21901
NCT00842686
January 2009
August 2014
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