NCT00003254

SWOG-S9635 Fluorouracil Plus Ethynyluracil in Advanced Colorectal Cancer Not Responded to Fluorouracil

Official Title:

A Phase II Trial of 5-Fluorouracil Plus 776C85 in Patients With Advanced Resistant Colorectal Cancer

Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Ethynyluracil may help fluorouracil kill more cancer cells by making tumor cells more sensitive to the drug.

PURPOSE: Phase II trial to study the effectiveness of fluorouracil plus ethynyluracil in treating patients with advanced colorectal cancer that has not responded to fluorouracil.

Eligibility

* Histologically or cytologically proven metastatic colorectal cancer
* Prior surgery required
* No prior treatment for metastatic disease
* Disease progression while on fluorouracil adjuvant therapy
* Bidimensionally measurable disease
* Age: Over 18
* Performance status: SWOG 0-2
* Hematopoietic: Platelet count at least 100,000/mm3, Absolute granulocyte count at least 1,500/mm3
* Hepatic: Bilirubin no greater than 1.5 times upper limit of normal (ULN) SGOT or SGPT no greater than 3 times ULN (no greater than 5 times ULN if liver involvement)
* Renal: Creatinine clearance at least 50 mL/min
* Other: Must be able to swallow and retain oral medications No nutritional support by gastrostomy feeding tube or parenteral support No intractable vomiting or nausea
* Patients with history of prior malignancy must be currently disease free and off all therapy for that malignancy
* Not pregnant or nursing Fertile patients must use effective contraception
* Biologic therapy: No concurrent immunotherapy Chemotherapy; At least 3 weeks since prior chemotherapy and recovered; No concurrent flucytosine; No other concurrent chemotherapy
* Endocrine therapy: No concurrent hormonal therapy
* Radiotherapy: Prior adjuvant pelvic radiation or radiation to one area of recurrence allowed At least 4 weeks since prior radiotherapy and recovered Total area of bone marrow irradiation must not exceed 25% No concurrent radiotherapy
* Surgery: At least 2 weeks since prior surgery for colorectal cancer and recovered No prior resection of the stomach or small intestine
* Other: No other concurrent anticancer therapy

Disease(s) and\or Condition(s)

Colorectal Cancer

Primary Purpose
  • TREATMENT
Intervention/Treatment
    • Type: DRUG
    • Name: ethynyluracil
    • Description: 10mg/m2/dose, PO, Days 1-28, q 5wk
    • Arm Group Labels: 776C85 + 5-FU
    • Type: DRUG
    • Name: fluorouracil
    • Description: 1.0mg/m2/dose, PO, Days 1-28 BID, q 5wk
    • Arm Group Labels: 776C85 + 5-FU
Sponsor
  • SWOG Cancer Research Network