The CAIRO4 study: The role of surgery of the primary tumour with few or absent symptoms in patients with synchronous unresectable metastases of colorectal cancer-a randomized phase III study of the Dutch Colorectal Cancer Group (DCCG)

Jorine 't Lam-Boer, Linda Mol, Cornelis Verhoef, Anton F J de Haan, Mette Yilmaz, Cornelis J A Punt, Johannes H W de Wilt, Miriam Koopman

Publikation: Bidrag til tidsskriftKonferenceabstrakt i tidsskriftForskningpeer review

Abstract

BACKGROUND: There is no consensus regarding resection of the primary tumour with few or absent symptoms in patients with synchronous unresectable metastatic colorectal cancer (CRC). A potential benefit of resection of the primary tumour is to prevent complications of the primary tumour in later stages of the disease. We here propose a randomized trial in order to demonstrate that resection of the primary tumour improves overall survival.

METHODS/DESIGN: The CAIRO4 study is a multicentre, randomized, phase III study of the Dutch Colorectal Cancer Group (DCCG). Patients with synchronous unresectable metastases of CRC and few or absent symptoms of the primary tumour are randomized 1:1 between systemic therapy only, and resection of the primary tumour followed by systemic therapy. Systemic therapy will consist of fluoropyrimidine-based chemotherapy in combination with bevacizumab. The primary objective of this study is to determine the clinical benefit in terms of overall survival of initial resection of the primary tumour. Secondary endpoints include progression free survival, surgical morbidity, quality of life and the number of patients requiring resection of the primary tumour in the control arm.

DISCUSSION: The CAIRO4 study is a multicentre, randomized, phase III study that will assess the benefit of resection of the primary tumour in patients with synchronous metastatic CRC.

TRIAL REGISTRATION: The CAIRO4 study is registered at clinicaltrials.gov (NCT01606098).

OriginalsprogEngelsk
ArtikelnummerTPS3630
TidsskriftJournal of Clinical Oncology
Vol/bind33
Udgave nummer15 Suppl.
ISSN0732-183X
StatusUdgivet - 2015
BegivenhedASCO Annual Meeting 2015 - Chicago, USA
Varighed: 29 maj 20152 jun. 2015

Konference

KonferenceASCO Annual Meeting 2015
Land/OmrådeUSA
ByChicago
Periode29/05/201502/06/2015

Fingeraftryk

Dyk ned i forskningsemnerne om 'The CAIRO4 study: The role of surgery of the primary tumour with few or absent symptoms in patients with synchronous unresectable metastases of colorectal cancer-a randomized phase III study of the Dutch Colorectal Cancer Group (DCCG)'. Sammen danner de et unikt fingeraftryk.

Citationsformater