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A Phase I/II trial of chemoradiotherapy concurrent with S-1 plus mitomycin C in patients with clinical Stage II/III squamous cell carcinoma of anal canal (JCOG0903: SMART-AC).

Abstract
A Phase I/II trial of chemoradiotherapy concurrent with S-1 plus mitomycin C in patients with clinical Stage II/III squamous cell carcinoma of the anal canal was started in Japan. The aim of this trial is to determine the recommended dose of S-1 combined with a fixed dose of mitomycin C plus radiotherapy in Phase I and to evaluate the efficacy and safety in Phase II. The primary endpoint for the Phase II part of this study is the proportion of 3-year event-free survival, in which the following are defined as events: disease progression, residual tumor at the end of chemoradiotherapy, colostomy or death, whichever comes first. Secondary endpoints are progression-free survival, proportion of complete response and adverse events. In the Phase II part of this study, a total of 65 patients will be enrolled from 42 institutions over 6 years.
AuthorsAtsuo Takashima, Yasuhiro Shimada, Tetsuya Hamaguchi, Yoshinori Ito, Ayaka Nakano, Kenichi Nakamura, Taro Shibata, Haruhiko Fukuda, Yoshihiro Moriya, Colorectal Cancer Study Group of the Japan Clinical Oncology Group
JournalJapanese journal of clinical oncology (Jpn J Clin Oncol) Vol. 41 Issue 5 Pg. 713-7 (May 2011) ISSN: 1465-3621 [Electronic] England
PMID21467080 (Publication Type: Clinical Trial, Phase I, Clinical Trial, Phase II, Journal Article, Multicenter Study)
Chemical References
  • Antibiotics, Antineoplastic
  • Antimetabolites, Antineoplastic
  • Drug Combinations
  • S 1 (combination)
  • Tegafur
  • Mitomycin
  • Oxonic Acid
Topics
  • Adult
  • Aged
  • Antibiotics, Antineoplastic (administration & dosage, adverse effects)
  • Antimetabolites, Antineoplastic (administration & dosage, adverse effects)
  • Antineoplastic Combined Chemotherapy Protocols (adverse effects, therapeutic use)
  • Anus Neoplasms (drug therapy, pathology, radiotherapy)
  • Carcinoma, Squamous Cell (drug therapy, pathology, radiotherapy)
  • Chemotherapy, Adjuvant
  • Disease-Free Survival
  • Drug Combinations
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mitomycin (administration & dosage, adverse effects)
  • Neoplasm Staging
  • Oxonic Acid (administration & dosage, adverse effects)
  • Patient Selection
  • Radiotherapy, Adjuvant
  • Tegafur (administration & dosage, adverse effects)
  • Treatment Outcome

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