{
"info": {
"nct_id": "NCT06107920",
"official_title": "Neoadjuvant Chemotherapy for Obstructive Colon cancER First Treated by cOlostomy : A Randomized Phase III Trial - COnCERTO (French 01-18)",
"inclusion_criteria": "* Age ≥ 18 years\n* ECOG performance status 0 or 1\n* Patients with obstructive colon cancer treated by defunctioning stoma\n* Pathologically confirmed adenocarcinoma (≥10 cm from the anal verge- left transverse colon) - MSS/pMMR (microsatellites stable primary tumor) status\n* Patient requiring colectomy\n* Laboratory data including : White blood cell count ≥ 3.109 /L with Neutrophils ≥ 1,5.109 / L, Platelet count ≥ 100.109 / L, Hemoglobin ≥ 9 g/dL (5,6 mmol/L), Total bilirubin ≤ 1,5 x ULN (upper limit of normal), ASAT and ALAT ≤ 2,5 x ULN, Alkaline phosphatase ≤ 1,5 x ULN, Serum creatinine ≤ 1,5 x ULN (performed 10-15 days prior to randomization).\n* Non metastatic colon cancer (lung, liver, peritoneal) on thoracic-abdomino-pelvis CT scan\n* Absence of synchronous colorectal cancer\n* No prior chemotherapy or abdominal or pelvic irradiation\n* No history of colorectal cancer\n* No serious medical co-morbidity : uncontrolled inflammatory bowel disease, uncontrolled angina, recent [within the past 6 months] myocardial infarction, or another serious medical condition, judged to compromise ability to tolerate chemotherapy and/or surgery\n* Women of childbearing potential with effective contraception will be required during chemotherapy treatment and for 6 months after cessation of chemotherapy treatment and a negative blood pregnancy test by beta-HCG at inclusion.\n* Women surgically sterile (absence of ovaries and/or uterus)\n* Postmenopausal women: confirmation diagnostic (non-medically induced amenorrhea for at least 12 months prior to the inclusion visit)\n* For men participating in the study, contraception is required during the trial and for 6 months after stopping chemotherapy treatment.\n* Patient able to comply with the study protocol, in the investigator's judgment\n* Patient affiliated with, or beneficiary of a social security (national health insurance) category\n* Person informed and having signed his consent\nHealthy volunteers allowed\nMust have minimum age of 18 Years",
"exclusion_criteria": "* Contraindication to colectomy and/or anesthesia\n* Rectal cancer located within 10 cm of the anal verge by endoscopy or under the peritoneal reflection at surgery\n* Patient having received radiation therapy prior to surgery\n* Metastatic spread at baseline assessment (lung, liver, peritoneal)\n* History or current evidence on physical examination of central nervous system disease or; Peripheral neuropathy ≥ grade 1\n* Contraindication to study neoadjuvant chemotherapy treatments\n* Presence of inflammatory bowel disease, HNPCC syndrome or polyposis Clinically relevant coronary artery disease or history of myocardial infarction in the last 6 months, or high risk of uncontrolled arrhythmia\n* Uracilemia ≥ 150 ng/ml (suggestive of complete DPD deficiency)\n* Medical, geographical, sociological, psychological or legal conditions that would not permit the patient to complete the study or sign informed consent\n* Any significant disease, which, in the investigator's opinion, would exclude the patient from the study.\n* Patient is a pregnant (positive blood pregnancy test) or breastfeeding (lactating) woman or intending to become pregnant during the study and for at least 6 months after the treatment termination\n* Person deprived of liberty by administrative or judicial decision or placed under judicial protection (guardianship or supervision)\n* Simultaneous participation in another interventional research",
"miscellaneous_criteria": ""
},
"inclusion_lines": [
{
"line": "* Age ≥ 18 years",
"criterions": [
{
"exact_snippets": "Age ≥ 18 years",
"criterion": "age",
"requirements": [
{
"requirement_type": "value",
"expected_value": {
"operator": ">=",
"value": 18,
"unit": "years"
}
}
]
}
]
},
{
"line": "* ECOG performance status 0 or 1",
"criterions": [
{
"exact_snippets": "ECOG performance status 0 or 1",
"criterion": "ECOG performance status",
"requirements": [
{
"requirement_type": "value",
"expected_value": [
"0",
"1"
]
}
]
}
]
},
{
"line": "* Patients with obstructive colon cancer treated by defunctioning stoma",
"criterions": [
{
"exact_snippets": "obstructive colon cancer",
"criterion": "obstructive colon cancer",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "treated by defunctioning stoma",
"criterion": "treatment by defunctioning stoma",
"requirements": [
{
"requirement_type": "treatment",
"expected_value": true
}
]
}
]
},
{
"line": "* Pathologically confirmed adenocarcinoma (≥10 cm from the anal verge- left transverse colon) - MSS/pMMR (microsatellites stable primary tumor) status",
"criterions": [
{
"exact_snippets": "Pathologically confirmed adenocarcinoma",
"criterion": "adenocarcinoma",
"requirements": [
{
"requirement_type": "confirmation",
"expected_value": "pathologically confirmed"
}
]
},
{
"exact_snippets": "adenocarcinoma (≥10 cm from the anal verge- left transverse colon)",
"criterion": "adenocarcinoma location",
"requirements": [
{
"requirement_type": "location",
"expected_value": "≥10 cm from the anal verge- left transverse colon"
}
]
},
{
"exact_snippets": "MSS/pMMR (microsatellites stable primary tumor) status",
"criterion": "microsatellite stability",
"requirements": [
{
"requirement_type": "status",
"expected_value": "MSS/pMMR"
}
]
}
]
},
{
"line": "* Patient requiring colectomy",
"criterions": [
{
"exact_snippets": "Patient requiring colectomy",
"criterion": "colectomy",
"requirements": [
{
"requirement_type": "necessity",
"expected_value": true
}
]
}
]
},
{
"line": "* Laboratory data including : White blood cell count ≥ 3.109 /L with Neutrophils ≥ 1,5.109 / L, Platelet count ≥ 100.109 / L, Hemoglobin ≥ 9 g/dL (5,6 mmol/L), Total bilirubin ≤ 1,5 x ULN (upper limit of normal), ASAT and ALAT ≤ 2,5 x ULN, Alkaline phosphatase ≤ 1,5 x ULN, Serum creatinine ≤ 1,5 x ULN (performed 10-15 days prior to randomization).",
"criterions": [
{
"exact_snippets": "White blood cell count ≥ 3.109 /L",
"criterion": "white blood cell count",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 3.109,
"unit": "/L"
}
}
]
},
{
"exact_snippets": "Neutrophils ≥ 1,5.109 / L",
"criterion": "neutrophils",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 1.5,
"unit": "109 / L"
}
}
]
},
{
"exact_snippets": "Platelet count ≥ 100.109 / L",
"criterion": "platelet count",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 100.109,
"unit": "/ L"
}
}
]
},
{
"exact_snippets": "Hemoglobin ≥ 9 g/dL (5,6 mmol/L)",
"criterion": "hemoglobin",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 9,
"unit": "g/dL"
}
}
]
},
{
"exact_snippets": "Total bilirubin ≤ 1,5 x ULN (upper limit of normal)",
"criterion": "total bilirubin",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "x ULN"
}
}
]
},
{
"exact_snippets": "ASAT and ALAT ≤ 2,5 x ULN",
"criterion": "ASAT and ALAT",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": "<=",
"value": 2.5,
"unit": "x ULN"
}
}
]
},
{
"exact_snippets": "Alkaline phosphatase ≤ 1,5 x ULN",
"criterion": "alkaline phosphatase",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "x ULN"
}
}
]
},
{
"exact_snippets": "Serum creatinine ≤ 1,5 x ULN",
"criterion": "serum creatinine",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "x ULN"
}
}
]
}
]
},
{
"line": "* Non metastatic colon cancer (lung, liver, peritoneal) on thoracic-abdomino-pelvis CT scan",
"criterions": [
{
"exact_snippets": "Non metastatic colon cancer",
"criterion": "colon cancer",
"requirements": [
{
"requirement_type": "metastasis",
"expected_value": false
}
]
},
{
"exact_snippets": "thoracic-abdomino-pelvis CT scan",
"criterion": "CT scan",
"requirements": [
{
"requirement_type": "regions",
"expected_value": [
"thoracic",
"abdomino",
"pelvis"
]
}
]
}
]
},
{
"line": "* Absence of synchronous colorectal cancer",
"criterions": [
{
"exact_snippets": "Absence of synchronous colorectal cancer",
"criterion": "synchronous colorectal cancer",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
}
]
},
{
"line": "* No prior chemotherapy or abdominal or pelvic irradiation",
"criterions": [
{
"exact_snippets": "No prior chemotherapy",
"criterion": "prior chemotherapy",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "No prior ... abdominal or pelvic irradiation",
"criterion": "prior abdominal or pelvic irradiation",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
}
]
},
{
"line": "* No history of colorectal cancer",
"criterions": [
{
"exact_snippets": "No history of colorectal cancer",
"criterion": "colorectal cancer",
"requirements": [
{
"requirement_type": "history",
"expected_value": false
}
]
}
]
},
{
"line": "* No serious medical co-morbidity : uncontrolled inflammatory bowel disease, uncontrolled angina, recent [within the past 6 months] myocardial infarction, or another serious medical condition, judged to compromise ability to tolerate chemotherapy and/or surgery",
"criterions": [
{
"exact_snippets": "uncontrolled inflammatory bowel disease",
"criterion": "inflammatory bowel disease",
"requirements": [
{
"requirement_type": "control",
"expected_value": false
}
]
},
{
"exact_snippets": "uncontrolled angina",
"criterion": "angina",
"requirements": [
{
"requirement_type": "control",
"expected_value": false
}
]
},
{
"exact_snippets": "recent [within the past 6 months] myocardial infarction",
"criterion": "myocardial infarction",
"requirements": [
{
"requirement_type": "recency",
"expected_value": {
"operator": "<=",
"value": 6,
"unit": "months"
}
}
]
},
{
"exact_snippets": "another serious medical condition, judged to compromise ability to tolerate chemotherapy and/or surgery",
"criterion": "serious medical condition",
"requirements": [
{
"requirement_type": "impact on treatment tolerance",
"expected_value": "compromise ability to tolerate chemotherapy and/or surgery"
}
]
}
]
},
{
"line": "* Women of childbearing potential with effective contraception will be required during chemotherapy treatment and for 6 months after cessation of chemotherapy treatment and a negative blood pregnancy test by beta-HCG at inclusion.",
"criterions": [
{
"exact_snippets": "Women of childbearing potential",
"criterion": "childbearing potential",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "effective contraception will be required during chemotherapy treatment and for 6 months after cessation of chemotherapy treatment",
"criterion": "contraception",
"requirements": [
{
"requirement_type": "duration",
"expected_value": "during chemotherapy treatment and for 6 months after cessation of chemotherapy treatment"
}
]
},
{
"exact_snippets": "negative blood pregnancy test by beta-HCG at inclusion",
"criterion": "blood pregnancy test",
"requirements": [
{
"requirement_type": "result",
"expected_value": "negative"
}
]
}
]
},
{
"line": "* Women surgically sterile (absence of ovaries and/or uterus)",
"criterions": [
{
"exact_snippets": "Women surgically sterile (absence of ovaries and/or uterus)",
"criterion": "surgical sterility",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "absence of ovaries",
"criterion": "ovaries",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "absence of ... uterus",
"criterion": "uterus",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
}
]
},
{
"line": "* Postmenopausal women: confirmation diagnostic (non-medically induced amenorrhea for at least 12 months prior to the inclusion visit)",
"criterions": [
{
"exact_snippets": "Postmenopausal women: confirmation diagnostic (non-medically induced amenorrhea for at least 12 months",
"criterion": "postmenopausal status",
"requirements": [
{
"requirement_type": "confirmation",
"expected_value": "non-medically induced amenorrhea for at least 12 months"
}
]
}
]
},
{
"line": "* For men participating in the study, contraception is required during the trial and for 6 months after stopping chemotherapy treatment.",
"criterions": [
{
"exact_snippets": "For men participating in the study, contraception is required during the trial and for 6 months after stopping chemotherapy treatment.",
"criterion": "contraception",
"requirements": [
{
"requirement_type": "duration",
"expected_value": "during the trial and for 6 months after stopping chemotherapy treatment"
}
]
}
]
},
{
"line": "* Patient able to comply with the study protocol, in the investigator's judgment",
"criterions": [
{
"exact_snippets": "Patient able to comply with the study protocol",
"criterion": "compliance with study protocol",
"requirements": [
{
"requirement_type": "ability",
"expected_value": true
}
]
}
]
},
{
"line": "* Patient affiliated with, or beneficiary of a social security (national health insurance) category",
"criterions": [
{
"exact_snippets": "Patient affiliated with, or beneficiary of a social security (national health insurance) category",
"criterion": "social security affiliation",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "* Person informed and having signed his consent",
"criterions": [
{
"exact_snippets": "Person informed and having signed his consent",
"criterion": "informed consent",
"requirements": [
{
"requirement_type": "status",
"expected_value": "signed"
}
]
}
]
},
{
"line": "Healthy volunteers allowed",
"criterions": [
{
"exact_snippets": "Healthy volunteers allowed",
"criterion": "volunteer health status",
"requirements": [
{
"requirement_type": "status",
"expected_value": "healthy"
}
]
}
]
},
{
"line": "Must have minimum age of 18 Years",
"criterions": [
{
"exact_snippets": "minimum age of 18 Years",
"criterion": "age",
"requirements": [
{
"requirement_type": "minimum",
"expected_value": {
"operator": ">=",
"value": 18,
"unit": "Years"
}
}
]
}
]
}
],
"exclusion_lines": [
{
"line": "* Contraindication to colectomy and/or anesthesia",
"criterions": [
{
"exact_snippets": "Contraindication to colectomy",
"criterion": "colectomy",
"requirements": [
{
"requirement_type": "contraindication",
"expected_value": true
}
]
},
{
"exact_snippets": "Contraindication to ... anesthesia",
"criterion": "anesthesia",
"requirements": [
{
"requirement_type": "contraindication",
"expected_value": true
}
]
}
]
},
{
"line": "* Rectal cancer located within 10 cm of the anal verge by endoscopy or under the peritoneal reflection at surgery",
"criterions": [
{
"exact_snippets": "Rectal cancer located within 10 cm of the anal verge by endoscopy",
"criterion": "rectal cancer location",
"requirements": [
{
"requirement_type": "distance from anal verge",
"expected_value": {
"operator": "<=",
"value": 10,
"unit": "cm"
}
}
]
},
{
"exact_snippets": "Rectal cancer located ... under the peritoneal reflection at surgery",
"criterion": "rectal cancer location",
"requirements": [
{
"requirement_type": "position",
"expected_value": "under the peritoneal reflection"
}
]
}
]
},
{
"line": "* Patient having received radiation therapy prior to surgery",
"criterions": [
{
"exact_snippets": "Patient having received radiation therapy prior to surgery",
"criterion": "radiation therapy",
"requirements": [
{
"requirement_type": "timing",
"expected_value": "prior to surgery"
}
]
}
]
},
{
"line": "* Metastatic spread at baseline assessment (lung, liver, peritoneal)",
"criterions": [
{
"exact_snippets": "Metastatic spread at baseline assessment (lung, liver, peritoneal)",
"criterion": "metastatic spread",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "Metastatic spread at baseline assessment (lung, liver, peritoneal)",
"criterion": "lung metastasis",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "Metastatic spread at baseline assessment (lung, liver, peritoneal)",
"criterion": "liver metastasis",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "Metastatic spread at baseline assessment (lung, liver, peritoneal)",
"criterion": "peritoneal metastasis",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "* History or current evidence on physical examination of central nervous system disease or; Peripheral neuropathy ≥ grade 1",
"criterions": [
{
"exact_snippets": "History or current evidence on physical examination of central nervous system disease",
"criterion": "central nervous system disease",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "Peripheral neuropathy ≥ grade 1",
"criterion": "peripheral neuropathy",
"requirements": [
{
"requirement_type": "severity",
"expected_value": {
"operator": ">=",
"value": 1,
"unit": "grade"
}
}
]
}
]
},
{
"line": "* Contraindication to study neoadjuvant chemotherapy treatments",
"criterions": [
{
"exact_snippets": "Contraindication to study neoadjuvant chemotherapy treatments",
"criterion": "contraindication to neoadjuvant chemotherapy",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
}
]
},
{
"line": "* Presence of inflammatory bowel disease, HNPCC syndrome or polyposis Clinically relevant coronary artery disease or history of myocardial infarction in the last 6 months, or high risk of uncontrolled arrhythmia",
"criterions": [
{
"exact_snippets": "Presence of inflammatory bowel disease",
"criterion": "inflammatory bowel disease",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "Presence of ... HNPCC syndrome",
"criterion": "HNPCC syndrome",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "Presence of ... polyposis",
"criterion": "polyposis",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "Clinically relevant coronary artery disease",
"criterion": "coronary artery disease",
"requirements": [
{
"requirement_type": "clinical relevance",
"expected_value": true
}
]
},
{
"exact_snippets": "history of myocardial infarction in the last 6 months",
"criterion": "myocardial infarction",
"requirements": [
{
"requirement_type": "history",
"expected_value": {
"operator": "<=",
"value": 6,
"unit": "months"
}
}
]
},
{
"exact_snippets": "high risk of uncontrolled arrhythmia",
"criterion": "uncontrolled arrhythmia",
"requirements": [
{
"requirement_type": "risk",
"expected_value": "high"
}
]
}
]
},
{
"line": "* Uracilemia ≥ 150 ng/ml (suggestive of complete DPD deficiency)",
"criterions": [
{
"exact_snippets": "Uracilemia ≥ 150 ng/ml",
"criterion": "uracilemia",
"requirements": [
{
"requirement_type": "level",
"expected_value": {
"operator": ">=",
"value": 150,
"unit": "ng/ml"
}
}
]
}
]
},
{
"line": "* Medical, geographical, sociological, psychological or legal conditions that would not permit the patient to complete the study or sign informed consent",
"criterions": [
{
"exact_snippets": "Medical ... conditions that would not permit the patient to complete the study or sign informed consent",
"criterion": "medical conditions",
"requirements": [
{
"requirement_type": "impact on study participation",
"expected_value": "would not permit the patient to complete the study or sign informed consent"
}
]
},
{
"exact_snippets": "geographical ... conditions that would not permit the patient to complete the study or sign informed consent",
"criterion": "geographical conditions",
"requirements": [
{
"requirement_type": "impact on study participation",
"expected_value": "would not permit the patient to complete the study or sign informed consent"
}
]
},
{
"exact_snippets": "sociological ... conditions that would not permit the patient to complete the study or sign informed consent",
"criterion": "sociological conditions",
"requirements": [
{
"requirement_type": "impact on study participation",
"expected_value": "would not permit the patient to complete the study or sign informed consent"
}
]
},
{
"exact_snippets": "psychological ... conditions that would not permit the patient to complete the study or sign informed consent",
"criterion": "psychological conditions",
"requirements": [
{
"requirement_type": "impact on study participation",
"expected_value": "would not permit the patient to complete the study or sign informed consent"
}
]
},
{
"exact_snippets": "legal conditions that would not permit the patient to complete the study or sign informed consent",
"criterion": "legal conditions",
"requirements": [
{
"requirement_type": "impact on study participation",
"expected_value": "would not permit the patient to complete the study or sign informed consent"
}
]
}
]
},
{
"line": "* Any significant disease, which, in the investigator's opinion, would exclude the patient from the study.",
"criterions": [
{
"exact_snippets": "Any significant disease, which, in the investigator's opinion, would exclude the patient from the study.",
"criterion": "significant disease",
"requirements": [
{
"requirement_type": "exclusion",
"expected_value": true
}
]
}
]
},
{
"line": "* Patient is a pregnant (positive blood pregnancy test) or breastfeeding (lactating) woman or intending to become pregnant during the study and for at least 6 months after the treatment termination",
"criterions": [
{
"exact_snippets": "Patient is a pregnant (positive blood pregnancy test)",
"criterion": "pregnancy",
"requirements": [
{
"requirement_type": "status",
"expected_value": "positive"
}
]
},
{
"exact_snippets": "breastfeeding (lactating) woman",
"criterion": "breastfeeding",
"requirements": [
{
"requirement_type": "status",
"expected_value": true
}
]
},
{
"exact_snippets": "intending to become pregnant during the study and for at least 6 months after the treatment termination",
"criterion": "intention to become pregnant",
"requirements": [
{
"requirement_type": "timeframe",
"expected_value": "during the study and for at least 6 months after the treatment termination"
}
]
}
]
},
{
"line": "* Person deprived of liberty by administrative or judicial decision or placed under judicial protection (guardianship or supervision)",
"criterions": [
{
"exact_snippets": "Person deprived of liberty by administrative or judicial decision",
"criterion": "deprivation of liberty",
"requirements": [
{
"requirement_type": "cause",
"expected_value": [
"administrative decision",
"judicial decision"
]
}
]
},
{
"exact_snippets": "placed under judicial protection (guardianship or supervision)",
"criterion": "judicial protection",
"requirements": [
{
"requirement_type": "type",
"expected_value": [
"guardianship",
"supervision"
]
}
]
}
]
},
{
"line": "* Simultaneous participation in another interventional research",
"criterions": [
{
"exact_snippets": "Simultaneous participation in another interventional research",
"criterion": "participation in another interventional research",
"requirements": [
{
"requirement_type": "simultaneity",
"expected_value": true
}
]
}
]
}
],
"miscellaneous_lines": [],
"failed_inclusion": [],
"failed_exclusion": [],
"failed_miscellaneous": []
}