Trial Outcomes & Findings for Pre- and Post-operative FOLFOX Based Therapy for Patients With Colorectal Cancer With Liver Involvement (NCT NCT00537823)

NCT ID: NCT00537823

Last Updated: 2016-12-20

Results Overview

Fraction of patients with any grade of complication I-V

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

9 participants

Primary outcome timeframe

30 days following surgery

Results posted on

2016-12-20

Participant Flow

The study opened to participant enrollment on 06/06/2007 and closed to participants enrollment on 11/03/2009.

Participant milestones

Participant milestones
Measure
Arm 1 - Wildtype
Neoadjuvant therapy Week 1 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV Cetuximab 400 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2/day over 46 hours Weeks 2, 4, 6, 8 \*Cetuximab 250 mg/m2 IV weekly Weeks 3, 5, 7 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV Cetuximab 400 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2/day over 46 hours Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Week 1, 3, 5, 7, 9, 11, 13, 15 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV Cetuximab 400 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2/day over 46 hours Weeks 2, 4, 6, 8, 10, 12, 16 \*Cetuximab 250 mg/m2 IV weekly
Arm 2 K-Ras 12/13 Codon Mutation
Neoadjuvant Therapy Weeks 1, 3, 5 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2 Week 7 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2 Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Weeks 1, 3, 5, 9, 11, 13 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2 Week 7, 15 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2
Overall Study
STARTED
7
2
Overall Study
COMPLETED
5
2
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm 1 - Wildtype
Neoadjuvant therapy Week 1 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV Cetuximab 400 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2/day over 46 hours Weeks 2, 4, 6, 8 \*Cetuximab 250 mg/m2 IV weekly Weeks 3, 5, 7 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV Cetuximab 400 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2/day over 46 hours Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Week 1, 3, 5, 7, 9, 11, 13, 15 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV Cetuximab 400 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2/day over 46 hours Weeks 2, 4, 6, 8, 10, 12, 16 \*Cetuximab 250 mg/m2 IV weekly
Arm 2 K-Ras 12/13 Codon Mutation
Neoadjuvant Therapy Weeks 1, 3, 5 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2 Week 7 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2 Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Weeks 1, 3, 5, 9, 11, 13 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2 Week 7, 15 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2
Overall Study
Adverse Event
2
0

Baseline Characteristics

Pre- and Post-operative FOLFOX Based Therapy for Patients With Colorectal Cancer With Liver Involvement

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1 - Wildtype
n=7 Participants
Neoadjuvant therapy Week 1 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV Cetuximab 400 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2/day over 46 hours Weeks 2, 4, 6, 8 \*Cetuximab 250 mg/m2 IV weekly Weeks 3, 5, 7 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV Cetuximab 400 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2/day over 46 hours Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Week 1, 3, 5, 7, 9, 11, 13, 15 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV Cetuximab 400 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2/day over 46 hours Weeks 2, 4, 6, 8, 10, 12, 16 \*Cetuximab 250 mg/m2 IV weekly
Arm 2 K-Ras 12/13 Codon Mutation
n=2 Participants
Neoadjuvant Therapy Weeks 1, 3, 5 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2 Week 7 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2 Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Weeks 1, 3, 5, 9, 11, 13 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2 Week 7, 15 * Leucovorin 400 mg/m2 IV * Oxaliplatin 85 mg/m2 IV * 5FU bolus 400 mg/m2 * 5FU CIVI 1200 mg/m2
Total
n=9 Participants
Total of all reporting groups
Age, Continuous
62 years
n=93 Participants
62 years
n=4 Participants
62 years
n=27 Participants
Gender
Female
3 Participants
n=93 Participants
1 Participants
n=4 Participants
4 Participants
n=27 Participants
Gender
Male
4 Participants
n=93 Participants
1 Participants
n=4 Participants
5 Participants
n=27 Participants
Region of Enrollment
United States
7 participants
n=93 Participants
2 participants
n=4 Participants
9 participants
n=27 Participants

PRIMARY outcome

Timeframe: 30 days following surgery

Population: 4 participants did not have surgery.

Fraction of patients with any grade of complication I-V

Outcome measures

Outcome measures
Measure
Arm 1 - Wildtype
n=4 Participants
Neoadjuvant therapy Week 1 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8 \*Cetuximab 250 mg/m\^2 IV weekly Weeks 3, 5, 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Week 1, 3, 5, 7, 9, 11, 13, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8, 10, 12, 16 \*Cetuximab 250 mg/m\^2 IV weekly
Arm 2 K-Ras 12/13 Codon Mutation
n=1 Participants
Neoadjuvant Therapy Weeks 1, 3, 5 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Weeks 1, 3, 5, 9, 11, 13 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2
Postoperative Complication Rate
25 percentage of participants
0 percentage of participants

PRIMARY outcome

Timeframe: 30 days following surgery

Population: 4 participants did not have surgery.

Fraction of patients with any complication grades IV and V

Outcome measures

Outcome measures
Measure
Arm 1 - Wildtype
n=4 Participants
Neoadjuvant therapy Week 1 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8 \*Cetuximab 250 mg/m\^2 IV weekly Weeks 3, 5, 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Week 1, 3, 5, 7, 9, 11, 13, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8, 10, 12, 16 \*Cetuximab 250 mg/m\^2 IV weekly
Arm 2 K-Ras 12/13 Codon Mutation
n=1 Participants
Neoadjuvant Therapy Weeks 1, 3, 5 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Weeks 1, 3, 5, 9, 11, 13 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2
Major Postoperative Complication Rate
25 percentage of participants
0 percentage of participants

PRIMARY outcome

Timeframe: 30 days following surgery

Population: 4 participants did not have surgery.

Outcome measures

Outcome measures
Measure
Arm 1 - Wildtype
n=4 Participants
Neoadjuvant therapy Week 1 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8 \*Cetuximab 250 mg/m\^2 IV weekly Weeks 3, 5, 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Week 1, 3, 5, 7, 9, 11, 13, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8, 10, 12, 16 \*Cetuximab 250 mg/m\^2 IV weekly
Arm 2 K-Ras 12/13 Codon Mutation
n=1 Participants
Neoadjuvant Therapy Weeks 1, 3, 5 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Weeks 1, 3, 5, 9, 11, 13 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2
All-cause Mortality
0 participants
0 participants

SECONDARY outcome

Timeframe: Up to 5 years

Population: 7 participants were not evaluable. 4 participants did not have surgery (3 in Arm 1, 1 in Arm 2). 1 participant had surgery but was not resectable (Arm 1) . 1 participant developed another primary cancer (Arm 1). 1 participant died before recurrence from hepatic failure (Arm 1).

Liver only vs distant disease

Outcome measures

Outcome measures
Measure
Arm 1 - Wildtype
n=1 Participants
Neoadjuvant therapy Week 1 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8 \*Cetuximab 250 mg/m\^2 IV weekly Weeks 3, 5, 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Week 1, 3, 5, 7, 9, 11, 13, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8, 10, 12, 16 \*Cetuximab 250 mg/m\^2 IV weekly
Arm 2 K-Ras 12/13 Codon Mutation
n=1 Participants
Neoadjuvant Therapy Weeks 1, 3, 5 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Weeks 1, 3, 5, 9, 11, 13 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2
Postoperative Recurrence Patterns
Liver only
0 participants
0 participants
Postoperative Recurrence Patterns
Distant disease
1 participants
0 participants

SECONDARY outcome

Timeframe: Time of surgery (approximately 11-16 weeks)

Population: 4 participants did not have surgery.

Outcome measures

Outcome measures
Measure
Arm 1 - Wildtype
n=4 Participants
Neoadjuvant therapy Week 1 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8 \*Cetuximab 250 mg/m\^2 IV weekly Weeks 3, 5, 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Week 1, 3, 5, 7, 9, 11, 13, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8, 10, 12, 16 \*Cetuximab 250 mg/m\^2 IV weekly
Arm 2 K-Ras 12/13 Codon Mutation
n=1 Participants
Neoadjuvant Therapy Weeks 1, 3, 5 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Weeks 1, 3, 5, 9, 11, 13 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2
Histologic Hepatic Toxicity at Surgery
Not reported on pathology report
1 participants
0 participants
Histologic Hepatic Toxicity at Surgery
Mild
1 participants
0 participants
Histologic Hepatic Toxicity at Surgery
Aborted surgery
1 participants
0 participants
Histologic Hepatic Toxicity at Surgery
None
1 participants
1 participants

SECONDARY outcome

Timeframe: Time of surgery (approximately 11-16 weeks)

Population: 4 participants did not have surgery and are not included in this outcome measure. The study pathologist left the university early prior to completion of study pathology for this study.

* NASH Scoring * Steatosis \*\*\<5% = 0 \*\*5-33%=1 \*\*\>33-66%=2 \*\*\>66%=3 * Lobular inflammation \*\*No foci=0 \*\*\<2 foci per x 200 field=1 \*\*2-4 foci per x 200 field=2 \*\*\>4 foci per x 200 field=3 * Hepatocellular ballooning \*\*None=0 \*\*Few balloon cells = 1 \*\*Many cells/prominent ballooning=2

Outcome measures

Outcome measures
Measure
Arm 1 - Wildtype
n=4 Participants
Neoadjuvant therapy Week 1 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8 \*Cetuximab 250 mg/m\^2 IV weekly Weeks 3, 5, 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Week 1, 3, 5, 7, 9, 11, 13, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8, 10, 12, 16 \*Cetuximab 250 mg/m\^2 IV weekly
Arm 2 K-Ras 12/13 Codon Mutation
n=1 Participants
Neoadjuvant Therapy Weeks 1, 3, 5 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Weeks 1, 3, 5, 9, 11, 13 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2
Nonalcoholic Steatohepatitis Score (0-3)
Not reported on pathology report
3 participants
0 participants
Nonalcoholic Steatohepatitis Score (0-3)
Aborted surgery
1 participants
0 participants
Nonalcoholic Steatohepatitis Score (0-3)
Score 0
0 participants
1 participants

SECONDARY outcome

Timeframe: Time of surgery (approximately 11-16 weeks)

Population: Data was not collected for this outcome measure as the study pathologist left the institution early prior to study closure.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Upon completion of neoadjuvant chemotherapy (approximately 2 months)

Population: 2 participants did not have the CT scan prior to surgery as both did not complete preoperative chemotherapy due to adverse skin reactions to cetuximab.

Number of participants whose tumor size decreased from baseline to completion of preoperative chemotherapy.

Outcome measures

Outcome measures
Measure
Arm 1 - Wildtype
n=5 Participants
Neoadjuvant therapy Week 1 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8 \*Cetuximab 250 mg/m\^2 IV weekly Weeks 3, 5, 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Week 1, 3, 5, 7, 9, 11, 13, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8, 10, 12, 16 \*Cetuximab 250 mg/m\^2 IV weekly
Arm 2 K-Ras 12/13 Codon Mutation
n=2 Participants
Neoadjuvant Therapy Weeks 1, 3, 5 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Weeks 1, 3, 5, 9, 11, 13 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2
Effect of Preoperative Chemotherapy on Tumor Size
4 participants
2 participants

SECONDARY outcome

Timeframe: Completion of neoadjuvant therapy (approximately 8 weeks)

Population: 2 participants did not have the CT scan prior to surgery as both did not complete preoperative chemotherapy due to adverse skin reactions to cetuximab.

-Compare total longest diameter from baseline to preoperative CT scan.

Outcome measures

Outcome measures
Measure
Arm 1 - Wildtype
n=5 Participants
Neoadjuvant therapy Week 1 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8 \*Cetuximab 250 mg/m\^2 IV weekly Weeks 3, 5, 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Week 1, 3, 5, 7, 9, 11, 13, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8, 10, 12, 16 \*Cetuximab 250 mg/m\^2 IV weekly
Arm 2 K-Ras 12/13 Codon Mutation
n=2 Participants
Neoadjuvant Therapy Weeks 1, 3, 5 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Weeks 1, 3, 5, 9, 11, 13 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2
Change in Tumor Size From Pretreatment to Preoperative CT Scan
-23.8 percentage of change of longest diameter
Interval -71.7 to -0.7
-14.3 percentage of change of longest diameter
Interval -28.0 to 2.1

Adverse Events

Arm 1 - Wildtype

Serious events: 4 serious events
Other events: 7 other events
Deaths: 0 deaths

Arm 2 K-Ras 12/13 Codon Mutation

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm 1 - Wildtype
n=7 participants at risk
Neoadjuvant therapy Week 1 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8 \*Cetuximab 250 mg/m\^2 IV weekly Weeks 3, 5, 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Week 1, 3, 5, 7, 9, 11, 13, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8, 10, 12, 16 \*Cetuximab 250 mg/m\^2 IV weekly
Arm 2 K-Ras 12/13 Codon Mutation
n=2 participants at risk
Neoadjuvant Therapy Weeks 1, 3, 5 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Weeks 1, 3, 5, 9, 11, 13 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2
Investigations
Hyperbilirubinemia
28.6%
2/7
0.00%
0/2
Infections and infestations
Febrile neutropenia
14.3%
1/7
0.00%
0/2
Metabolism and nutrition disorders
Hypoglycemia
14.3%
1/7
0.00%
0/2
Vascular disorders
Thrombosis
28.6%
2/7
0.00%
0/2
Hepatobiliary disorders
Death NOS
14.3%
1/7
0.00%
0/2
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Secondary malignancy
14.3%
1/7
0.00%
0/2

Other adverse events

Other adverse events
Measure
Arm 1 - Wildtype
n=7 participants at risk
Neoadjuvant therapy Week 1 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8 \*Cetuximab 250 mg/m\^2 IV weekly Weeks 3, 5, 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Week 1, 3, 5, 7, 9, 11, 13, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV Cetuximab 400 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2/day over 46 hours Weeks 2, 4, 6, 8, 10, 12, 16 \*Cetuximab 250 mg/m\^2 IV weekly
Arm 2 K-Ras 12/13 Codon Mutation
n=2 participants at risk
Neoadjuvant Therapy Weeks 1, 3, 5 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Wait 3-8 weeks after completion of therapy Liver resection Wait 4 weeks or until clinical status allows Adjuvant Therapy Weeks 1, 3, 5, 9, 11, 13 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * Bevacizumab 5 mg/kg IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2 Week 7, 15 * Leucovorin 400 mg/m\^2 IV * Oxaliplatin 85 mg/m\^2 IV * 5FU bolus 400 mg/m\^2 * 5FU CIVI 1200 mg/m\^2
Immune system disorders
Seasonal allergies
0.00%
0/7
50.0%
1/2
Infections and infestations
Rhinitis
0.00%
0/7
50.0%
1/2
Blood and lymphatic system disorders
Hemoglobin
85.7%
6/7
100.0%
2/2
Investigations
Leukocytes
100.0%
7/7
100.0%
2/2
Investigations
Lymphopenia
85.7%
6/7
100.0%
2/2
Investigations
Neutrophils
85.7%
6/7
100.0%
2/2
Investigations
Platelets
85.7%
6/7
100.0%
2/2
Investigations
INR
42.9%
3/7
100.0%
2/2
Investigations
PTT
28.6%
2/7
100.0%
2/2
Investigations
Fatigue
85.7%
6/7
100.0%
2/2
Metabolism and nutrition disorders
Anorexia
71.4%
5/7
100.0%
2/2
Gastrointestinal disorders
Diarrhea
71.4%
5/7
100.0%
2/2
Gastrointestinal disorders
Nausea
85.7%
6/7
100.0%
2/2
Gastrointestinal disorders
Vomiting
57.1%
4/7
100.0%
2/2
Respiratory, thoracic and mediastinal disorders
Resp-bronchopulmonary hemorrhage
0.00%
0/7
50.0%
1/2
Infections and infestations
Infection grade 1/2 normal ANC - general (wound)
0.00%
0/7
50.0%
1/2
Infections and infestations
Infection grade 1/2 normal ANC - pulmonary (sinus)
0.00%
0/7
50.0%
1/2
Infections and infestations
Infection grade 1/2 normal ANC - pulmonary (up airway)
0.00%
0/7
50.0%
1/2
Metabolism and nutrition disorders
Albumin, serum-low
57.1%
4/7
100.0%
2/2
Investigations
Alkaline phosphatase
57.1%
4/7
100.0%
2/2
Investigations
ALT
71.4%
5/7
100.0%
2/2
Investigations
AST
71.4%
5/7
100.0%
2/2
Investigations
Creatinine
0.00%
0/7
50.0%
1/2
Investigations
GGT
0.00%
0/7
50.0%
1/2
Metabolism and nutrition disorders
Hyperglycemia
42.9%
3/7
100.0%
2/2
Metabolism and nutrition disorders
Hypocalcemia
71.4%
5/7
100.0%
2/2
Metabolism and nutrition disorders
Hyponatremia
57.1%
4/7
100.0%
2/2
Metabolism and nutrition disorders
Hypophosphatemia
0.00%
0/7
50.0%
1/2
Nervous system disorders
Neuropathy - sensory
57.1%
4/7
100.0%
2/2
Gastrointestinal disorders
Pain - GI (Abdomen NOS)
0.00%
0/7
50.0%
1/2
Respiratory, thoracic and mediastinal disorders
Pain - Pulmonary (Throat)
0.00%
0/7
50.0%
1/2
Respiratory, thoracic and mediastinal disorders
Cough
28.6%
2/7
100.0%
2/2
Renal and urinary disorders
Decreased urination
0.00%
0/7
50.0%
1/2
Immune system disorders
Allergic reaction
0.00%
0/7
0.00%
0/2
Musculoskeletal and connective tissue disorders
Pain - Musculoskeletal (Back)
28.6%
2/7
100.0%
2/2
Musculoskeletal and connective tissue disorders
Pain - Musculoskeletal (Limb)
28.6%
2/7
100.0%
2/2
Nervous system disorders
Pain - Neurology (Headache)
0.00%
0/7
50.0%
1/2
Hepatobiliary disorders
Pain - Other (Liver pain)
0.00%
0/7
50.0%
1/2
Vascular disorders
Hypotension
14.3%
1/7
0.00%
0/2
Investigations
Elevated PT
14.3%
1/7
0.00%
0/2
Psychiatric disorders
Insomnia
14.3%
1/7
0.00%
0/2
Investigations
Rigors/chills
28.6%
2/7
0.00%
0/2
Investigations
Sweating
28.6%
2/7
0.00%
0/2
Skin and subcutaneous tissue disorders
Alopecia
14.3%
1/7
0.00%
0/2
Skin and subcutaneous tissue disorders
Dry skin
14.3%
1/7
0.00%
0/2
Skin and subcutaneous tissue disorders
Nail changes
14.3%
1/7
0.00%
0/2
Skin and subcutaneous tissue disorders
Pruritus
14.3%
1/7
0.00%
0/2
Skin and subcutaneous tissue disorders
Rash/desquamation
28.6%
2/7
0.00%
0/2
Skin and subcutaneous tissue disorders
Rash: acne/acneiform
57.1%
4/7
0.00%
0/2
Skin and subcutaneous tissue disorders
Rash: hand-foot reaction
14.3%
1/7
0.00%
0/2
Gastrointestinal disorders
Constipation
14.3%
1/7
0.00%
0/2
Metabolism and nutrition disorders
Dehydration
14.3%
1/7
0.00%
0/2
Gastrointestinal disorders
Digestive problems
14.3%
1/7
0.00%
0/2
Gastrointestinal disorders
Heartburn
14.3%
1/7
0.00%
0/2
Gastrointestinal disorders
Mucositis (oral cavity)
28.6%
2/7
0.00%
0/2
Gastrointestinal disorders
Mucositis (stomach)
14.3%
1/7
0.00%
0/2
Respiratory, thoracic and mediastinal disorders
Hemorrhage (resp-nose)
28.6%
2/7
0.00%
0/2
Hepatobiliary disorders
Liver dysfunction/failure
28.6%
2/7
0.00%
0/2
Infections and infestations
Febrile neutropenia
14.3%
1/7
0.00%
0/2
Investigations
Slight puffiness in right upper lip
14.3%
1/7
0.00%
0/2
Infections and infestations
Vaginal infection
14.3%
1/7
0.00%
0/2
Investigations
Edema: limb
14.3%
1/7
0.00%
0/2
Investigations
Bilirubin
14.3%
1/7
0.00%
0/2
Metabolism and nutrition disorders
Hyperkalemia
14.3%
1/7
0.00%
0/2
Metabolism and nutrition disorders
Hypernatremia
14.3%
1/7
0.00%
0/2
Metabolism and nutrition disorders
Hypertriglyceridemia
14.3%
1/7
0.00%
0/2
Metabolism and nutrition disorders
Hypoglycemia
28.6%
2/7
0.00%
0/2
Metabolism and nutrition disorders
Hypokalemia
42.9%
3/7
0.00%
0/2
Metabolism and nutrition disorders
Hypomagnesemia
42.9%
3/7
0.00%
0/2
Musculoskeletal and connective tissue disorders
Muscle weakness - whole body
14.3%
1/7
0.00%
0/2
Psychiatric disorders
Depression
14.3%
1/7
0.00%
0/2
Nervous system disorders
Dizziness
28.6%
2/7
0.00%
0/2
Nervous system disorders
Neuropathy (motor)
14.3%
1/7
0.00%
0/2
Respiratory, thoracic and mediastinal disorders
Dyspnea
14.3%
1/7
0.00%
0/2
Respiratory, thoracic and mediastinal disorders
Pleural effusion
14.3%
1/7
0.00%
0/2
Respiratory, thoracic and mediastinal disorders
Congestion
14.3%
1/7
0.00%
0/2
Renal and urinary disorders
Urinary retention
14.3%
1/7
0.00%
0/2
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Secondary malignancy
14.3%
1/7
0.00%
0/2
Vascular disorders
Thrombosis/thrombus/embolism
14.3%
1/7
0.00%
0/2

Additional Information

David Linehan, M.D.

Washington University School of Medicine

Results disclosure agreements

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