Study of Biomarkers in Patients Undergoing Chemotherapy for Metastatic Colorectal Cancer

NCT ID: NCT00559676

Last Updated: 2011-05-16

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

PHASE4

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-03-31

Brief Summary

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RATIONALE: Studying samples of blood and tumor tissue in the laboratory from patients with cancer receiving chemotherapy may help doctors understand the effect of chemotherapy on biomarkers. It may also help doctors predict how patients will respond to treatment.

PURPOSE: This phase IV trial is studying biomarkers in patients undergoing chemotherapy for metastatic colorectal cancer.

Detailed Description

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OBJECTIVES:

Primary

* Research the oncogenetic parameters and pharmacogenetic and pharmacokinetic predictors of therapeutic response and toxic effects.

Secondary

* Study the correlations between the pharmacogenetic and pharmacokinetic parameters.
* Study the predictive value of these parameters on disease-free and overall survival.

OUTLINE: This is a multicenter study.

Patients receive 1 of 4 chemotherapy regimens:

* Regimen 1: Fluorouracil and leucovorin calcium
* Regimen 2: Capecitabine and leucovorin calcium
* Regimen 3: Irinotecan hydrochloride
* Regimen 4: Oxaliplatin Tumor and blood samples are collected before the start of chemotherapy and are examined by pharmacogenetic analysis. Clinical and biological parameters are also studied. Blood samples are also collected during the first course of chemotherapy for pharmacokinetic studies.

After completion of study therapy, patients are followed periodically for 3 years.

Conditions

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Colorectal Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Primary Study Purpose

TREATMENT

Interventions

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capecitabine

Intervention Type DRUG

fluorouracil

Intervention Type DRUG

irinotecan hydrochloride

Intervention Type DRUG

leucovorin calcium

Intervention Type DRUG

oxaliplatin

Intervention Type DRUG

laboratory biomarker analysis

Intervention Type OTHER

pharmacological study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Histologically confirmed metastatic colorectal cancer

* Unresectable metastatic disease must be confirmed histologically if \> 2 years since primary diagnosis
* Measurable metastatic disease \> 1 cm by spiral CT scan or \> 2 cm by other methods
* Scheduled to receive first-line chemotherapy for metastatic disease

* Chemotherapy must include fluorouracil, capecitabine, irinotecan hydrochloride, or oxaliplatin
* No inadequate or unusable tissue as the only tissue available
* No known brain metastases or meningeal disease

PATIENT CHARACTERISTICS:

* WHO performance status 0-2
* No contraindication to chemotherapy
* Not pregnant or nursing
* Fertile patients must use effective contraception
* No other severe pathology that is likely to worsen during therapy
* No dementia or severely impaired mental condition
* No geographical or psychological reasons that would preclude treatment

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
* No prior therapy for metastatic cancer
* Prior adjuvant chemotherapy allowed
* Concurrent bevacizumab or other monoclonal antibody therapy allowed
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospital Regional Universitaire de Limoges

OTHER

Sponsor Role lead

Principal Investigators

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Nicole Tubiana-Mathieu, MD

Role: STUDY_CHAIR

Centre Hospital Regional Universitaire de Limoges

Locations

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Centre Hospital Regional Universitaire de Limoges

Limoges, , France

Site Status

Countries

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France

References

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Deyme L, Barbolosi D, Mbatchi LC, Tubiana-Mathieu N, Ychou M, Evrard A, Gattacceca F. Population pharmacokinetic model of irinotecan and its four main metabolites in patients treated with FOLFIRI or FOLFIRINOX regimen. Cancer Chemother Pharmacol. 2021 Aug;88(2):247-258. doi: 10.1007/s00280-021-04255-9. Epub 2021 Apr 28.

Reference Type DERIVED
PMID: 33912999 (View on PubMed)

Other Identifiers

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CHUL-BIO-COLON

Identifier Type: -

Identifier Source: secondary_id

INCA-RECF0356

Identifier Type: -

Identifier Source: secondary_id

CDR0000574159

Identifier Type: -

Identifier Source: org_study_id

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