Trial Outcomes & Findings for Phase II Trial of FOLFOX6, Bevacizumab and Cetuximab in Patients With Colorectal Cancer (NCT NCT00100841)

NCT ID: NCT00100841

Last Updated: 2015-07-27

Results Overview

The primary objective is to evaluate safety in all treated patients specifically the rate of serious adverse events which were defined as grade 5 events, grade 4 hemorrhage or thrombosis or bowel perforation

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

66 participants

Primary outcome timeframe

The duration of the study

Results posted on

2015-07-27

Participant Flow

A total of 67 patients were enrolled from between December 2004 and November 2006

One patient was enrolled but never started treatment

Participant milestones

Participant milestones
Measure
Treatment (Combination Chemotherapy)
Patients receive cetuximab IV over 60-120 minutes on day 1 in weeks 1-8. Patients also receive bevacizumab IV over 30-90 minutes, oxaliplatin IV over 2 hours, and leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV continuously over 48 hours on days 1 and 2 of weeks 1, 3, 5, and 7. Courses repeat every 8 weeks in the absence of disease progression or unacceptable toxicity. cetuximab: Given IV bevacizumab: Given IV oxaliplatin: Given IV leucovorin calcium: Given IV fluorouracil: Given IV
Overall Study
STARTED
66
Overall Study
COMPLETED
66
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Phase II Trial of FOLFOX6, Bevacizumab and Cetuximab in Patients With Colorectal Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Combination Chemotherapy)
n=66 Participants
Patients receive cetuximab IV over 60-120 minutes on day 1 in weeks 1-8. Patients also receive bevacizumab IV over 30-90 minutes, oxaliplatin IV over 2 hours, and leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV continuously over 48 hours on days 1 and 2 of weeks 1, 3, 5, and 7. Courses repeat every 8 weeks in the absence of disease progression or unacceptable toxicity. cetuximab: Given IV bevacizumab: Given IV oxaliplatin: Given IV leucovorin calcium: Given IV fluorouracil: Given IV
Age, Continuous
57 years
n=5 Participants
Sex: Female, Male
Female
31 Participants
n=5 Participants
Sex: Female, Male
Male
35 Participants
n=5 Participants
Race/Ethnicity, Customized
White
51 participants
n=5 Participants
Race/Ethnicity, Customized
Black
10 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
2 participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
3 participants
n=5 Participants

PRIMARY outcome

Timeframe: The duration of the study

Population: 66 patients treated with cetuximab

The primary objective is to evaluate safety in all treated patients specifically the rate of serious adverse events which were defined as grade 5 events, grade 4 hemorrhage or thrombosis or bowel perforation

Outcome measures

Outcome measures
Measure
Treatment (Combination Chemotherapy)
n=66 Participants
Patients receive cetuximab IV over 60-120 minutes on day 1 in weeks 1-8. Patients also receive bevacizumab IV over 30-90 minutes, oxaliplatin IV over 2 hours, and leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV continuously over 48 hours on days 1 and 2 of weeks 1, 3, 5, and 7. Courses repeat every 8 weeks in the absence of disease progression or unacceptable toxicity. cetuximab: Given IV bevacizumab: Given IV oxaliplatin: Given IV leucovorin calcium: Given IV fluorouracil: Given IV
Severe Adverse Event (SAE) Rate
Grade 5 Death
2 participants
Severe Adverse Event (SAE) Rate
Grade 4 venous thrombosis
2 participants

PRIMARY outcome

Timeframe: From randomization to the first documented disease progression

Outcome measures

Outcome measures
Measure
Treatment (Combination Chemotherapy)
n=38 Participants
Patients receive cetuximab IV over 60-120 minutes on day 1 in weeks 1-8. Patients also receive bevacizumab IV over 30-90 minutes, oxaliplatin IV over 2 hours, and leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV continuously over 48 hours on days 1 and 2 of weeks 1, 3, 5, and 7. Courses repeat every 8 weeks in the absence of disease progression or unacceptable toxicity. cetuximab: Given IV bevacizumab: Given IV oxaliplatin: Given IV leucovorin calcium: Given IV fluorouracil: Given IV
Progression Free Survival Rate
9.6 months
Interval 9.5 to 12.2

Adverse Events

Treatment (Combination Chemotherapy)

Serious events: 54 serious events
Other events: 63 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Combination Chemotherapy)
n=66 participants at risk
Patients receive cetuximab IV over 60-120 minutes on day 1 in weeks 1-8. Patients also receive bevacizumab IV over 30-90 minutes, oxaliplatin IV over 2 hours, and leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV continuously over 48 hours on days 1 and 2 of weeks 1, 3, 5, and 7. Courses repeat every 8 weeks in the absence of disease progression or unacceptable toxicity. cetuximab: Given IV bevacizumab: Given IV oxaliplatin: Given IV leucovorin calcium: Given IV fluorouracil: Given IV
Blood and lymphatic system disorders
Hemoglobin (anemia)
3.0%
2/66 • Number of events 2
Blood and lymphatic system disorders
Neutropenia
22.7%
15/66 • Number of events 15
Infections and infestations
Catheter-related infection
3.0%
2/66 • Number of events 2
Investigations
Platelet count decreased
3.0%
2/66 • Number of events 2
Infections and infestations
Ungual (nails) infection
1.5%
1/66 • Number of events 1
Cardiac disorders
Cardiopulmonary-restrictive
1.5%
1/66 • Number of events 1
Cardiac disorders
Hypotension
3.0%
2/66 • Number of events 2
Metabolism and nutrition disorders
Anorexia
3.0%
2/66 • Number of events 2
General disorders
Fatigue
13.6%
9/66 • Number of events 9
Nervous system disorders
Cerebrovascular ischemia
1.5%
1/66 • Number of events 1
Vascular disorders
Thromboembolic event
1.5%
1/66 • Number of events 1
Investigations
Alkaline phosphatase
3.0%
2/66 • Number of events 2
Investigations
Alanine transaminase
3.0%
2/66 • Number of events 2
Investigations
Aspartate transaminase
1.5%
1/66 • Number of events 1
Metabolism and nutrition disorders
Hypoalbuminemia
1.5%
1/66 • Number of events 1
Gastrointestinal disorders
Constipation
1.5%
1/66 • Number of events 1
Gastrointestinal disorders
Diarrhea
13.6%
9/66 • Number of events 9
Gastrointestinal disorders
Oral mucositis
3.0%
2/66 • Number of events 2
Gastrointestinal disorders
Nausea
1.5%
1/66 • Number of events 1
Skin and subcutaneous tissue disorders
Nail changes
3.0%
2/66 • Number of events 2
Skin and subcutaneous tissue disorders
Rash: acne/acneiform
7.6%
5/66 • Number of events 5
Gastrointestinal disorders
Vomiting
4.5%
3/66 • Number of events 3
Nervous system disorders
Neuropathy: Sensory
12.1%
8/66 • Number of events 8
Gastrointestinal disorders
Abdominal pain
9.1%
6/66 • Number of events 6
Respiratory, thoracic and mediastinal disorders
Pneumonitis
1.5%
1/66 • Number of events 1
Renal and urinary disorders
Proteinuria
1.5%
1/66 • Number of events 1
Metabolism and nutrition disorders
Hypomagnesemia
4.5%
3/66 • Number of events 3
Metabolism and nutrition disorders
Hypokalemia
1.5%
1/66 • Number of events 1
Metabolism and nutrition disorders
Hyperglycemia
3.0%
2/66 • Number of events 2

Other adverse events

Other adverse events
Measure
Treatment (Combination Chemotherapy)
n=66 participants at risk
Patients receive cetuximab IV over 60-120 minutes on day 1 in weeks 1-8. Patients also receive bevacizumab IV over 30-90 minutes, oxaliplatin IV over 2 hours, and leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV continuously over 48 hours on days 1 and 2 of weeks 1, 3, 5, and 7. Courses repeat every 8 weeks in the absence of disease progression or unacceptable toxicity. cetuximab: Given IV bevacizumab: Given IV oxaliplatin: Given IV leucovorin calcium: Given IV fluorouracil: Given IV
Infections and infestations
Eye infection
9.1%
6/66 • Number of events 6
Infections and infestations
Upper airway infection
7.6%
5/66 • Number of events 5
Infections and infestations
Upper tract infection
4.5%
3/66 • Number of events 3
Vascular disorders
Hypertension
15.2%
10/66 • Number of events 10
Respiratory, thoracic and mediastinal disorders
Hemorrhage: nose
18.2%
12/66 • Number of events 12
Gastrointestinal disorders
Hemorrhage: lower gastrointestinal
10.6%
7/66 • Number of events 7
Renal and urinary disorders
Hemorrhage: urine
7.6%
5/66 • Number of events 5
Skin and subcutaneous tissue disorders
Dry skin
16.7%
11/66 • Number of events 11
Skin and subcutaneous tissue disorders
Hand-foot reaction
24.2%
16/66 • Number of events 16
Respiratory, thoracic and mediastinal disorders
Cough
15.2%
10/66 • Number of events 10
Respiratory, thoracic and mediastinal disorders
Dyspnea
15.2%
10/66 • Number of events 10

Additional Information

Lisa Escobar-Peralta

Montefiore Medical Center

Phone: 718-379-6866

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60