About this trial
In this study, the Quintuple method was applied for early intervention of prehepatic CTC-positive bowel cancer patients without dominant liver metastasis, aiming to explore the blocking effect of the Quintuple method on the metachronous liver metastases of colorectal cancer. A one-arm randomized clinical trial was conducted, and the patients were grouped according to their treatment methods. The patients with metachronous liver metastases were used as the end point of the experiment to evaluate the blocking effect of quintuple therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Ages 18-80 at the time of signing the informed consent;
Histologically or cytologically confirmed adenocarcinoma of the colon or rectum;
Radical surgery has been performed;
Imaging examination showed no liver metastasis;
Disqualifiers
Patients with non-primary colorectal cancer;
Patients with liver metastasis or other organ metastasis;
Patients without prehepatic CTC or whose prehepatic CTC were negative;
People who are severely allergic to one or more of the drugs required in the test;
Trial design
Single group
Treatments tested in this trial
Oxaliplatin
DrugOxaliplatin via intravenous drip on d1 at a dose of 130mg/m2 × patient 's body surface area
S1
DrugOrally on d2-d15 at 20 mg three times daily
Cetuximab
DrugCetuximab combined with chemotherapy was administered simultaneously, once every three weeks,and intravenous drip was performed before oxaliplatin at a dose of 250 mg/m2 × body surface area.
Metronidazole
DrugMetronidazole 0.4g/time, qd
Vitamin A
DrugVitamin A 25,000 units/time, qd
Folic acid
DrugFolic acid 0.4 mg/time, qd
Capecitabine
DrugCapecitabine via orally on d2-d15 two times daily at a dose of 1000mg/m2 × patient 's body surface area.
Treatment groups
Trial outcomes
Primary outcomes
Metachronous liver metastasis rate
The Metachronous liver metastasis rate is the proportion of CTC-positive patients with metachronous liver metastases after conventional therapy or quintuple method intervention.
Overall Survival (OS)
OS is the time interval from the start of treatment to death due to any reason or lost of follow-up. For subjects who survived or were lost to follow-up by the data analysis cutoff date, survival was truncated by the subject's last known survival time.
Locations
Sponsors and contacts
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