Colorectal Cancer RECHALLENGE

NCT ID: NCT00988897

Last Updated: 2009-12-23

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

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2012-05-31

Brief Summary

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Primary Objective:

* To demonstrate that re-challenge with an oxaliplatin based regimen (modified FOLFOX-6) will provide a clinical disease control rate (DCR) of at least 20% at the end of the chemotherapy.

Secondary Objective:

* To evaluate other measures of tumour's responses and safety.

Detailed Description

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Conditions

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Colorectal Neoplasms

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Patients will receive modified FOLFOX-6 regimen:

* oxaliplatin 85mg/m2, day 1 (given as a 2-hour infusion)
* LV 400mg/m2, day 1 (given as a 2-hour infusion simultaneous to oxaliplatin)
* 5-FU given as a bolus IV 400mg/m2 dose on day 1 followed by 2400mg/m2 continuous infusion over 46 hours (day 1 and 2)

A cycle is defined as 2 weeks. Patients will receive cycles of modified FOLFOX-6 regimen every 2 weeks up to a maximum of 8 cycles. Use of bevacizumab is at the discretion of the treating physician.

Group Type EXPERIMENTAL

OXALIPLATIN (SR96669)

Intervention Type DRUG

Pharmaceutical form: Lyophilized powder for injection (50mg/vial or 100mg/vial) or aqueous solution (50mg/10mL or 100mg/20mL) Route of administration: IV

5-FLUOROURACIL (5-FU)

Intervention Type DRUG

Pharmaceutical form: vials of 5g/100mL (50mg/mL) Route of administration: IV

LEUCOVORIN (LV)

Intervention Type DRUG

Pharmaceutical form: vials of 50mg/5mL or 500mg/50mL (10mg/mL) Route of administration: IV

BEVACIZUMAB

Intervention Type DRUG

Pharmaceutical form: vials of 100mg/4mL or 400mg/16mL (25mg/mL) Route of administration: IV

Interventions

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OXALIPLATIN (SR96669)

Pharmaceutical form: Lyophilized powder for injection (50mg/vial or 100mg/vial) or aqueous solution (50mg/10mL or 100mg/20mL) Route of administration: IV

Intervention Type DRUG

5-FLUOROURACIL (5-FU)

Pharmaceutical form: vials of 5g/100mL (50mg/mL) Route of administration: IV

Intervention Type DRUG

LEUCOVORIN (LV)

Pharmaceutical form: vials of 50mg/5mL or 500mg/50mL (10mg/mL) Route of administration: IV

Intervention Type DRUG

BEVACIZUMAB

Pharmaceutical form: vials of 100mg/4mL or 400mg/16mL (25mg/mL) Route of administration: IV

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically proven adenocarcinoma of colon or rectum
* Measurable metastatic disease, either inoperable, or residual after surgical procedure
* No prior chemotherapy for metastatic disease
* For colon cancer: prior adjuvant chemotherapy with oxaliplatin that ended at least 12 months prior to enrollment.
* For rectal cancer: at least 12 months since prior use of oxaliplatin in neoadjuvant or adjuvant chemotherapy
* Adequate liver and kidney function:

* Total bilirubin inferior to 1.5 ULN
* Serum Creatinine inferior to 150 umol/L
* Creatinine clearance (ClCr) \> 30 mL/min
* ALT / AST inferior to 3 ULN
* Adequate hematological function

* Neutrophils \> or equal 1.5 x 109/L
* Platelets \> or equal 100 x 109/L

Exclusion Criteria

* Metastatic disease presenting without prior adjuvant chemotherapy
* Metastatic disease presenting after non-oxaliplatin-containing adjuvant chemotherapy
* Peripheral sensory or motor neuropathy \> grade 1
* Eastern Cooperative Oncology Group (ECOG) Performance status \> 2
* Other active malignancy
* History of known allergy to oxaliplatin or other platinum compounds, to 5-FU, to Leucovorin or to any ingredients in the formulations or the containers
* Patients who are pregnant, or breast-feeding
* Patients with severe renal impairment (ClCr \< 30 mL/min)
* Pernicious anemia or other megaloblastic anemia with Vitamin B12 deficiency
* Patients with reproductive potential not implementing accepted and effective method of contraception (the definition of effective method of contraception will be based on the investigators' judgment)
* Participation in another clinical trial with any investigational drug within 30 days prior to study screening
* For patient who will receive Bevacizumab: Bevacizumab is contraindicated in patients with know hypersensitivity to any components of the product and to Chinese hamster ovary cell product or other recombinant human or humanized antibodies
* Presence of any symptoms suggesting brain metastasis

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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sanofi-aventis

Principal Investigators

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Medical Affairs

Role: STUDY_DIRECTOR

Sanofi

Locations

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Sanofi-Aventis Administrative Office

Laval, , Canada

Site Status

Countries

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Canada

Other Identifiers

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OXALI_L_03943

Identifier Type: -

Identifier Source: org_study_id