A Randomized Study Of Continuous FOLFOX4 vs. FOLFOX4 in a Stop-and-Go Fashion in 1st Line Advanced Colorectal Cancer
Inclusion Criteria:
- Patients with histologically confirmed adenocarcinoma of the colon or rectum
- Unresectable metastases
- At least one bidimensionally measurable lesion of ≥ 1 cm
- No previous chemotherapy for metastatic disease; Completed at least more than 1 year
oxaliplatin therapy for adjuvant treatment
- 18-75 years old
- ECOG 0-2
- Life expectancy greater than 3 months
- Hemogram: WBC≥4.0 X109/L, ANC ≥2 X109/L, PLT ≥100 X109/L, Hb ≥90g/L,
- Adequate Renal Function
- Adequate Liver Function
- Signed informed consent before the treatment
Exclusion Criteria:
- Patients with previous oxaliplatin based adjuvant chemotherapy within 1 Year
- Completely or partially bowel obstruction
- Presence of peripheral neuropathy (CTC>grade I)
- Severe mental disorder
- CNS metastasis
- With other severe disease: uncontrolled active infectious disease, uncontrolled
hypertension, heart infarction within 1 year, uncontrolled high-risk arrhythmia,
unstable angina
- With other malignant disease previously or concurrently
- Receive other anti-tumor treatment
- Pregnant or lactating women, or women of child bearing potential without
contraceptive method.