Trial Outcomes & Findings for Phase II Trial of Neoadjuvant FOLFOX4 and Cetuximab for Localized Adenocarcinoma of Rectum (NCT NCT00580073)

NCT ID: NCT00580073

Last Updated: 2019-12-13

Results Overview

Down-staging of the tumor and tumor response rate is defined as the proportion of participant who have any evidence of complete response (CR), pathologic complete response (pCR), or partial response (PR).

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

6 participants

Primary outcome timeframe

6 months

Results posted on

2019-12-13

Participant Flow

Participants were enrolled between 4/08 and 11/09 from a large cancer research institution.

Participant milestones

Participant milestones
Measure
FOLFOX4 + Cetuximab
FOLFOX4: oxaliplatin (85mg/m2 on days 1 and 15 of each cycle)+ 5FU (5-fluorouracil) Bolus (400mg/m2 on days 1, 2, 15, and 16 of each cycle) + 5FU CI (600mg/m2 on days 1, 2, 15, and 16 of each cycle) + Leucovorin (200mg/m2 on days 1, 2, 15, and 16 of each cycle) Cetuximab: Cetuximab 400mg/m2 on day 1 only, 250mg/mr on days 8, 15, and 22 of each cycle.
Overall Study
STARTED
6
Overall Study
COMPLETED
6
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Phase II Trial of Neoadjuvant FOLFOX4 and Cetuximab for Localized Adenocarcinoma of Rectum

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
FOLFOX4 + Cetuximab
n=6 Participants
FOLFOX4: oxaliplatin (85mg/m2 on days 1 and 15 of each cycle)+ 5FU Bolus (400mg/m2 on days 1, 2, 15, and 16 of each cycle) + 5FU CI (600mg/m2 on days 1, 2, 15, and 16 of each cycle) + Leucovorin (200mg/m2 on days 1, 2, 15, and 16 of each cycle) Cetuximab: Cetuximab 400mg/m2 on day 1 only, 250mg/mr on days 8, 15, and 22 of each cycle.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
Region of Enrollment
United States
6 participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months

Down-staging of the tumor and tumor response rate is defined as the proportion of participant who have any evidence of complete response (CR), pathologic complete response (pCR), or partial response (PR).

Outcome measures

Outcome measures
Measure
FOLFOX4 + Cetuximab
n=6 Participants
FOLFOX4: oxaliplatin (85mg/m2 on days 1 and 15 of each cycle)+ 5FU Bolus (400mg/m2 on days 1, 2, 15, and 16 of each cycle) + 5FU CI (600mg/m2 on days 1, 2, 15, and 16 of each cycle) + Leucovorin (200mg/m2 on days 1, 2, 15, and 16 of each cycle) Cetuximab: Cetuximab 400mg/m2 on day 1 only, 250mg/mr on days 8, 15, and 22 of each cycle.
Down-staging of the Tumor; Response to Therapy
PR
4 participants
Down-staging of the Tumor; Response to Therapy
pCR
1 participants
Down-staging of the Tumor; Response to Therapy
CR
0 participants

SECONDARY outcome

Timeframe: Up to 3 years

Number of participants who achieve progression free survival, defined as the time from date of registration to date of disease progression, up through study closure. Progressive disease is defined as ≥ 20% increase in the sum of the longest dimensions of the primary lesion taking as a reference the smallest sum of the longest dimensions recorded since the treatment started, or the appearance of 1 or more new lesions.

Outcome measures

Outcome measures
Measure
FOLFOX4 + Cetuximab
n=6 Participants
FOLFOX4: oxaliplatin (85mg/m2 on days 1 and 15 of each cycle)+ 5FU Bolus (400mg/m2 on days 1, 2, 15, and 16 of each cycle) + 5FU CI (600mg/m2 on days 1, 2, 15, and 16 of each cycle) + Leucovorin (200mg/m2 on days 1, 2, 15, and 16 of each cycle) Cetuximab: Cetuximab 400mg/m2 on day 1 only, 250mg/mr on days 8, 15, and 22 of each cycle.
Progression Free Survival
5 participants

SECONDARY outcome

Timeframe: Up to 3 years

Population: This study was closed because of withdrawal of funding. All participants were off study on 02/03/2011.

Overall survival is defined as the time from date of registration to date of death. In the absence of confirmation of death, survival time will be censored at the last date of follow-up.

Outcome measures

Outcome data not reported

Adverse Events

FOLFOX4 + Cetuximab

Serious events: 4 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
FOLFOX4 + Cetuximab
n=6 participants at risk
FOLFOX4: oxaliplatin (85mg/m2 on days 1 and 15 of each cycle)+ 5FU Bolus (400mg/m2 on days 1, 2, 15, and 16 of each cycle) + 5FU CI (600mg/m2 on days 1, 2, 15, and 16 of each cycle) + Leucovorin (200mg/m2 on days 1, 2, 15, and 16 of each cycle) Cetuximab: Cetuximab 400mg/m2 on day 1 only, 250mg/mr on days 8, 15, and 22 of each cycle.
Blood and lymphatic system disorders
Grade 3/4 neutropenia
50.0%
3/6 • Number of events 3 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All
Metabolism and nutrition disorders
Grade 3/4 potassium, serum-low (hypokalemia)
33.3%
2/6 • Number of events 2 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All
Nervous system disorders
Grade 3/4 neuropathy
16.7%
1/6 • Number of events 1 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All
General disorders
Grade 3/4 fatigue
16.7%
1/6 • Number of events 1 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All
Investigations
Grade 3/4 aspartate aminotransferase (AST)
16.7%
1/6 • Number of events 1 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All
Investigations
Grade 3/4 alanine aminotransferase (ALT)
16.7%
1/6 • Number of events 1 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All

Other adverse events

Other adverse events
Measure
FOLFOX4 + Cetuximab
n=6 participants at risk
FOLFOX4: oxaliplatin (85mg/m2 on days 1 and 15 of each cycle)+ 5FU Bolus (400mg/m2 on days 1, 2, 15, and 16 of each cycle) + 5FU CI (600mg/m2 on days 1, 2, 15, and 16 of each cycle) + Leucovorin (200mg/m2 on days 1, 2, 15, and 16 of each cycle) Cetuximab: Cetuximab 400mg/m2 on day 1 only, 250mg/mr on days 8, 15, and 22 of each cycle.
Skin and subcutaneous tissue disorders
Grade 1/2 rash
66.7%
4/6 • Number of events 4 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All
Nervous system disorders
Grade 1/2 neuropathy
50.0%
3/6 • Number of events 3 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All
Blood and lymphatic system disorders
Grade 1/2 neutropenia
50.0%
3/6 • Number of events 3 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All
General disorders
Grade 1/2 fatigue
50.0%
3/6 • Number of events 3 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All
Gastrointestinal disorders
Grade 1/2 mucositis
33.3%
2/6 • Number of events 2 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All
Gastrointestinal disorders
Grade 1/2 nausea
33.3%
2/6 • Number of events 2 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All
Gastrointestinal disorders
Grade 1/2 diarrhea
33.3%
2/6 • Number of events 2 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All
Metabolism and nutrition disorders
Grade 1/2 potassium, serum-low (hypokalemia)
16.7%
1/6 • Number of events 1 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All
Investigations
Grade 1/2 aspartate aminotransferase (AST)
16.7%
1/6 • Number of events 1 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All
Investigations
Grade 1/2 alanine transaminase (ALT)
16.7%
1/6 • Number of events 1 • Adverse event data were collected from Day 0 of treatment through the Study Completion Date (02/03/2011), which is a time period of up to 3 years.
Participants were closely monitored for treatment-related adverse events, especially infusion reactions, during the infusion and the post-infusion observation hour. All

Additional Information

CRA

University of Wisconsin-Madison

Phone: 608-265-4347

Results disclosure agreements

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