Combination Chemotherapy in Treating Patients With Metastatic Colorectal Cancer

NCT ID: NCT00006115

Last Updated: 2009-01-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

1999-04-30

Brief Summary

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RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy in treating patients who have metastatic colorectal cancer that has not responded to previous chemotherapy.

Detailed Description

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OBJECTIVES: I. Determine the efficacy of oxaliplatin, leucovorin calcium, and fluorouracil followed by irinotecan, leucovorin calcium, and fluorouracil in terms of progression free survival in patients with metastatic colorectal cancer. II. Evaluate these treatment regimens in terms of overall survival, response rate, toxicity, and quality of life in this patient population.

OUTLINE: This is a multicenter study. Patients receive 4 courses of oxaliplatin IV and leucovorin calcium IV over 2 hours on day 1 followed by fluorouracil IV continuously over 46 hours. Following the initial 4 courses of therapy, patients receive 4 courses of irinotecan IV over 30-90 minutes and leucovorin calcium IV over 2 hours on day 1 followed by fluorouracil IV continuously over 46 hours. Courses repeat every 2 weeks in the absence of disease progression or unacceptable toxicity. Quality of life is assessed every 8 weeks. Patients are followed every 3 months until death.

PROJECTED ACCRUAL: A total of 14-39 patients will be accrued for this study over 12 months.

Conditions

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Colorectal Cancer

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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FOLFIRI regimen

Intervention Type DRUG

FOLFOX regimen

Intervention Type DRUG

fluorouracil

Intervention Type DRUG

irinotecan hydrochloride

Intervention Type DRUG

leucovorin calcium

Intervention Type DRUG

oxaliplatin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS: Histologically confirmed metastatic adenocarcinoma of the colon or rectum Measurable or evaluable lesion or residual disease (e.g., ascites, bone metastases) Failure after first line therapy Fluorouracil and leucovorin calcium OR Raltitrexed No oxaliplatin or irinotecan Relapse within 6 months of adjuvant therapy Relapse within 6 months of hepatic artery infusion chemotherapy for resected hepatic metastasis No symptomatic brain metastasis

PATIENT CHARACTERISTICS: Age: 18 to 80 Performance status: WHO 0-2 Life expectancy: At least 3 months Hematopoietic: Absolute neutrophil count at least 1,500/mm3 Hepatic: AST and ALT no greater than 3 times upper limit of normal (ULN) Alkaline phosphatase no greater than 5 times ULN Renal: Not specified Other: No bowel obstruction No other significant, uncontrolled underlying medical or psychiatric condition No serious active infection Neurologically stable No other prior malignancy except nonmelanomatous skin cancer or carcinoma in situ of the cervix No psychological, social, familial, or geographical condition that would preclude study Not pregnant or nursing Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: See Disease Characteristics Endocrine therapy: Not specified Radiotherapy: At least 2 weeks since prior radiotherapy Surgery: At least 2 weeks since prior surgery Other: No other concurrent experimental drugs
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GERCOR - Multidisciplinary Oncology Cooperative Group

OTHER

Sponsor Role lead

Principal Investigators

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Mohamed Hebbar, MD

Role: STUDY_CHAIR

Centre Hospital Universitaire Hop Huriez

Locations

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Hopital Drevon

Dijon, , France

Site Status

Centre Jean Bernard

Le Mans, , France

Site Status

Centre Hospital Universitaire Hop Huriez

Lille, , France

Site Status

Clinique Saint Jean

Lyon, , France

Site Status

CH Meulan

Meulan-en-Yvelines, , France

Site Status

Intercommunal Hospital

Montfermeil, , France

Site Status

Centre Hospitalier de Mulhouse

Mulhouse, , France

Site Status

American Hospital of Paris

Neuilly-sur-Seine, , France

Site Status

Hopital Bichat-Claude Bernard

Paris, , France

Site Status

Hopital Saint Antoine

Paris, , France

Site Status

CHU Pitie-Salpetriere

Paris, , France

Site Status

Hopital Tenon

Paris, , France

Site Status

Hopital Claude Gallien

Quincy-sous-Sénart, , France

Site Status

Polyclinique De Courlancy

Reims, , France

Site Status

C.H. Senlis

Senlis, , France

Site Status

Clinique de l'Orangerie

Strasbourg, , France

Site Status

Countries

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France

Other Identifiers

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FRE-GERCOR-C98-3-FIREFOX

Identifier Type: -

Identifier Source: secondary_id

EU-20023

Identifier Type: -

Identifier Source: secondary_id

CDR0000068128

Identifier Type: -

Identifier Source: org_study_id

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