Neoadjuvant Treatment of Colon Cancer

NCT ID: NCT01108107

Last Updated: 2015-05-21

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

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2015-03-31

Brief Summary

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This study will investigate

* the effect of preoperative combination chemotherapy in patients with locally advanced colon cancer with mutation in the KRAS, BRAF or PIK3CA gene
* the effect of preoperative combination chemotherapy in combination with biological treatment in patients without mutation in the KRAS, BRAF or PIK3CA gene.

Detailed Description

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Conditions

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Colon Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Chemotherapy only

Chemotherapy only, if mutations in KRAS, BRAF or PIK3CA gene

Group Type OTHER

Oxaliplatin

Intervention Type DRUG

130 mg/m2 intravenously on day 1 of a 3-weekly cycle

Capecitabine

Intervention Type DRUG

2000 mg/m2/day (tablets) on day 1 and 14 of a 3-weekly cycle

Chemotherapy + biological treatment

Addition of biological treatment, if no mutations in KRAS, BRAF, and PIK3CA genes.

Group Type OTHER

Oxaliplatin

Intervention Type DRUG

130 mg/m2 intravenously on day 1 of a 3-weekly cycle

Capecitabine

Intervention Type DRUG

2000 mg/m2/day (tablets) on day 1 and 14 of a 3-weekly cycle

Panitumumab

Intervention Type BIOLOGICAL

9 mg/kg intravenously on day 1 of a 3-weekly cycle

Interventions

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Oxaliplatin

130 mg/m2 intravenously on day 1 of a 3-weekly cycle

Intervention Type DRUG

Capecitabine

2000 mg/m2/day (tablets) on day 1 and 14 of a 3-weekly cycle

Intervention Type DRUG

Oxaliplatin

130 mg/m2 intravenously on day 1 of a 3-weekly cycle

Intervention Type DRUG

Capecitabine

2000 mg/m2/day (tablets) on day 1 and 14 of a 3-weekly cycle

Intervention Type DRUG

Panitumumab

9 mg/kg intravenously on day 1 of a 3-weekly cycle

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Histologically verified locally advanced T3 or T4 colon cancer assessed by CT scan
* Analysis of KRAS, BRAF, PIK3CA
* Age ≥18 år
* Performance status ≤ 2
* Hematology

* ANC ≥ 1.5x10\^9/l. Thrombocytes ≥ 100x10\^9/l.
* Biochemistry

* Bilirubinaemia ≤ 3 x UNL. ALAT ≤ 5 x UNL
* Consent to translational research
* Fertile women must present a negative pregnancy test and use secure birth control during and 3 months after treatment.
* Written and orally informed consent.

Exclusion Criteria

* Clinically significant cardiovascular disease (including myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) ≤ 1 year before enrollment, active severe infections or other concurrent disease.
* Peripheral neuropathy NCI grade \>1
* Other malignant disease within 5 years prior to enrollment, except basal cell squamous carcinoma of the skin and cervical carcinoma-in-situ
* Other investigational treatment within 30 days prior to treatment start
* History of interstitial lung disease e.g. pneumonitis or pulmonary fibrosis or evidence of interstitial lung disease on baseline chest CT scan.
* Bleeding tumors
* Hypersensitivity to one or more of the substances
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Herlev Hospital

OTHER

Sponsor Role collaborator

Vejle Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anders Jakobsen, DMSc

Role: PRINCIPAL_INVESTIGATOR

Vejle Hospital

Locations

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Department of Oncology, Herlev Hospital

Herlev, , Denmark

Site Status

Dept. of Oncology, Hilleroed Hospital

Hilleroed, , Denmark

Site Status

Department of Oncology, Vejle Hospital

Vejle, , Denmark

Site Status

Countries

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Denmark

References

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Dam C, Lund-Rasmussen V, Ploen J, Jakobsen A, Rafaelsen SR. Computed tomography assessment of early response to neoadjuvant therapy in colon cancer. Dan Med J. 2015 Jul;62(7):A5103.

Reference Type DERIVED
PMID: 26183044 (View on PubMed)

Other Identifiers

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S-20100014

Identifier Type: -

Identifier Source: org_study_id

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