Safety and Efficacy of Folfox6 + Cetuximab Versus Folfiri +Cetuximab in Patients With Metastatic Colorectal Cancer

NCT ID: NCT00286130

Last Updated: 2012-05-01

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-07-31

Study Completion Date

2007-10-31

Brief Summary

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In Patients with metastatic colorectal cancer the following treatments first-line Folfiri+Cetuximab first-line Folfox6 + Cetuximab will be concerning efficacy and safety.

The trial compares Folfiri + Cetuximab and Folfox6 + Cetuximab concerning efficacy and safety as first

Detailed Description

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The multicenter randomized phase II study will enroll a target of approximately 150 first-line patients with metastatic CRC.

EGFR expression is not required for study entry, however, the EGFR status will be measured retrospectively.

Patients are randomized to Arm A or Arm B. Arm A: FOLFOX 6 in combination with cetuximab Arm B: FOLFIRI in combination with cetuximab. Both efficacy and safety data will be collected. The investigators will assess response to treatment at 6 weeks, 12 weeks and thereafter every 12 weeks based on imaging Following permanent treatment cessation (stop of all study treatments) patients will be followed-up for.

Conditions

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Metastatic Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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FOLFOX 6

FOLFOX 6:

* Oxaliplatin 100 mg/m² d1 concurrent with
* Leucovorin 400 mg/m², followed by
* Bolus 5FU 400 mg/m² , followed by
* Infusional 5FU 2400 mg/m² over 46 hours, every 2 weeks:

Group Type ACTIVE_COMPARATOR

Cetuximab, Oxaliplatin, Leucovorin, 5FU, Irinotecan

Intervention Type DRUG

FOLFOX 6

Intervention Type DRUG

FOLFOX 6:

* Oxaliplatin 100 mg/m² d1 concurrent with
* Leucovorin 400 mg/m², followed by
* Bolus 5FU 400 mg/m² , followed by
* Infusional 5FU 2400 mg/m² over 46 hours, every 2 weeks:

FOLFIRI

FOLFIRI:

* Irinotecan 180 mg/m² day 1 concurrent with
* Leucovorin 400 mg/m² followed by
* Bolus 5FU 400 mg/m², followed by
* Infusional 5FU 2400 mg/m² over 46 hours, every 2 weeks

Group Type ACTIVE_COMPARATOR

Cetuximab, Oxaliplatin, Leucovorin, 5FU, Irinotecan

Intervention Type DRUG

FOLFIRI

Intervention Type DRUG

FOLFIRI:

* Irinotecan 180 mg/m² day 1 concurrent with
* Leucovorin 400 mg/m² followed by
* Bolus 5FU 400 mg/m², followed by
* Infusional 5FU 2400 mg/m² over 46 hours, every 2 weeks

Interventions

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Cetuximab, Oxaliplatin, Leucovorin, 5FU, Irinotecan

Intervention Type DRUG

FOLFOX 6

FOLFOX 6:

* Oxaliplatin 100 mg/m² d1 concurrent with
* Leucovorin 400 mg/m², followed by
* Bolus 5FU 400 mg/m² , followed by
* Infusional 5FU 2400 mg/m² over 46 hours, every 2 weeks:

Intervention Type DRUG

FOLFIRI

FOLFIRI:

* Irinotecan 180 mg/m² day 1 concurrent with
* Leucovorin 400 mg/m² followed by
* Bolus 5FU 400 mg/m², followed by
* Infusional 5FU 2400 mg/m² over 46 hours, every 2 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of histologically confirmed adenocarcinoma of the colon or rectum
* Metastatic colorectal carcinoma not suitable for curative-intent resection
* Availability of tumor sample (or able and willing to provide tumor sample) for EGFR assessment
* Presence of at least one lesion measurable unidimensional by CT scan or MRI (Target lesion(s) must not lie within an irradiated area)
* ECOG performance status of \< 2 at study entry

Exclusion Criteria

* Brain metastasis (known or suspected)
* Previous chemotherapy for metastatic CRC or adjuvant therapy with oxaliplatin or irinotecan. Adjuvant therapy with 5 FU or derivatives is allowed if the chemotherapy treatment free interval is \> 6 months
* Surgery (excluding diagnostic biopsy) or irritation within 4 weeks prior to study entry
* Cocurrent chronic systemic immune therapy, chemotherapy, or hormone therapy not indicated in the study protocol
* Any investigational agent(s) within 4 weeks prior to entry
* Previous exposure to EGFR-pathway targeting therapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Central European Cooperative Oncology Group

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Werner Scheithauer, MD

Role: PRINCIPAL_INVESTIGATOR

Dep. of Internal Medicine I, Medical University of Vienna

Locations

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LKH Leoben, Abt. für Innere Medizin

Leoben, Styria, Austria

Site Status

Univ. Klinik für Innere Medizin I

Vienna, , Austria

Site Status

Institute of Oncology

Sarajevo, , Bosnia and Herzegovina

Site Status

University Hospital "Queen Joanna"

Sofia, , Bulgaria

Site Status

SBALO National Oncology Center

Sofia, , Bulgaria

Site Status

University Hospital for Tumors

Zagreb, , Croatia

Site Status

University Hospital Rebro

Zagreb, , Croatia

Site Status

Bank of Cyprus Oncology Center

Nicosia, , Cyprus

Site Status

Univ. Hospital Brno, Dept. Of Clinical Oncology

Brno, , Czechia

Site Status

Charles University Prague, Dep. of Oncology

Prague, , Czechia

Site Status

National Medical Center

Budapest, , Hungary

Site Status

Markusovsy Hospital

Szomathely, , Hungary

Site Status

Csolnoky Ferenc County Hospital

Veszprém, , Hungary

Site Status

Hadassah Medical Center

Jerusalem, , Israel

Site Status

Souraski Medical Center

Tel Aviv, , Israel

Site Status

Hospital Amadora Sintra, Servico de Oncologia

Amadora, , Portugal

Site Status

Hospital de Beja

Beja, , Portugal

Site Status

Hospital Distrital de Faro

Faro, , Portugal

Site Status

Hospital Geral de Sto. António

Porto, , Portugal

Site Status

Hospital San Teotóno -

Viseu, , Portugal

Site Status

Institutul Oncologic Bucuresti

Bucharest, , Romania

Site Status

Institutul Oncologic Cluj

Cluj-Napoca, , Romania

Site Status

National Cancer Institute

Bratislava, , Slovakia

Site Status

Institute of Oncology

Ljubljana, , Slovenia

Site Status

Ankara Hacettepe University, Oncology Unit

Ankara, , Turkey (Türkiye)

Site Status

Gazi University Medical Faculty

Ankara, , Turkey (Türkiye)

Site Status

9 Eyul University Medical Faculty, Dep of Oncology

Izmir, , Turkey (Türkiye)

Site Status

Countries

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Austria Bosnia and Herzegovina Bulgaria Croatia Cyprus Czechia Hungary Israel Portugal Romania Slovakia Slovenia Turkey (Türkiye)

Other Identifiers

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EUDRACT number 2004-002391-42

Identifier Type: -

Identifier Source: secondary_id

CECOG/Core 1.2.001

Identifier Type: -

Identifier Source: org_study_id

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