An Observational Study to Evaluate the Safety and Efficacy of FOLFIRI / FOLFOX Plus Cetuximab as First-line Therapy in Patients With KRAS Wild-type Metastatic Colorectal Cancer

NCT ID: NCT01134666

Last Updated: 2017-06-09

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

TERMINATED

Total Enrollment

165 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-11-30

Study Completion Date

2014-08-05

Brief Summary

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This is an open-label, non-randomized, prospective, multicentric, Phase IV study evaluating FOLFIRI/ FOLFOX plus cetuximab in the first-line therapy of subjects with KRAS wild-type metastatic CRC.

Detailed Description

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Cetuximab, a chimeric immunoglobulin G1 (IgG1) monoclonal antibody, has been found to potentiate the effects of chemotherapy and radiotherapy in experimental systems. The findings from clinical trials suggest a favorable risk-benefit ratio of the combination of irinotecan or oxaliplatin, infusional 5-FU/FA and biweekly cetuximab, and support the current study to demonstrate the therapeutic value of the biweekly cetuximab regimen as a combination partner for those regimens in subjects with KRAS wild-type mCRC in the first-line setting. The purpose of this study is to generate post marketing surveillance (PMS) data for cetuximab in first-line mCRC, which is mandated by the Licensing Authorities.

This is an open-label, non-randomized, prospective, multicentric Phase IV study evaluating FOLFIRI/ FOLFOX plus cetuximab in the first-line therapy of subjects with KRAS wild-type metastatic CRC. The study plans to enroll 100 subjects with KRAS wild type CRC at 20 centres across India. Tumour status, physical and laboratory examinations will be performed during the baseline visit. Subjects will be administered FOLFIRI/ FOLFOX and cetuximab according to the clinical condition in the following treatment visits. Regular safety assessments and all adverse events (AEs) will be documented throughout and until the end-of-study visit. The outcome of AEs ongoing at the final tumour assessment visit will be followed up at the end-of-study visit (If possible, 6 weeks after the last administration of study medication but before second-line anticancer treatment, and not earlier than 30 days after the end of study treatment). Skin toxicity present at the end-of-study visit will be followed up until outcome is known.

OBJECTIVES

Primary Objective:

* To evaluate the safety and tolerability of Cetuximab in combination with standard chemotherapy such as FOLFOX or FOLFIRI as first-line therapy of patients with KRAS wild-type metastatic colorectal cancer.

Secondary Objective:

* To evaluate the efficacy of Cetuximab in combination with standard chemotherapy as first-line therapy of patients with KRAS wild-type metastatic colorectal cancer.

Conditions

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Colorectal Neoplasms

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Cetuximab

FOLFOX Oxaliplatin 100 mg/ m2 day 1 Folinic Acid 400 mg/m² (racemic) or 200 mg/m² (L-form) day 1 5- FU 400 mg/m² bolus on day 1 followed by a 46-hour continuous infusion of 2,400 mg/m² day 1 FOLFIRI Irinotecan 180 mg/ m2 day 1 Folinic Acid 400 mg/m² (racemic) or 200 mg/m² (L-form) day 1 5- FU 400 mg/m² bolus on day 1 followed by a 46-hour continuous infusion of 2,400 mg/m² day 1 CETUXIMAB Cetuximab administered at loading dose of 400 mg/m2/week over 120 min followed by maintenance dose of 250 mg/m2/ week over 60 min, till disease progression or dose limiting toxicity

Intervention Type DRUG

Other Intervention Names

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Erbitux

Eligibility Criteria

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Inclusion Criteria

* Subjects with histologically confirmed, adenocarcinoma of the colon or rectum (mCRC)
* Subjects with KRAS wild-type status of tumour tissue
* Chemotherapy naïve subjects
* Subject who have signed written informed consent (as per institutional protocol)

Exclusion Criteria

* As per summary of product characteristics of cetuximab
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Ltd., India

INDUSTRY

Sponsor Role collaborator

Merck KGaA, Darmstadt, Germany

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rajiv Rana, MD

Role: STUDY_DIRECTOR

Merck Ltd., India

Locations

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Indo- American Cancer Institute & Research Centre

Hyderabad, Andhra Pradesh, India

Site Status

NVS Ramakrishna's Clinic

Hyderabad, Andhra Pradesh, India

Site Status

Dr. Nikhil's Clinic

Secunderabad, Andhra Pradesh, India

Site Status

Nikhil Gharyalpatil's Clinic

Secunderabad, Andhra Pradesh, India

Site Status

Ravi Kumar's Clinic

Hyderabad, Andrapradesh, India

Site Status

Ambaa Hospitals

Hyderabad, Andrapradesh, India

Site Status

Swarna Sai Hospital

Hyderabad, Andrapradesh, India

Site Status

Manipal Centre For Clinical Research

Mangalore, Bangalore, India

Site Status

Medical College Calicut

Kerala, Calicut, India

Site Status

Hemato Oncology Clinic

Ahmedabad, Gujarat, India

Site Status

SKIMS

Srinagar, Jammu and Kashmir, India

Site Status

S. K. I. M. S.

Srinagar, Jammu and Kashmir, India

Site Status

Kattimani Oncology Clinic

Hubli, Karnataka, India

Site Status

Dr. T. P. Sahoo's Clinic

Bhopal, Madhya Pradesh, India

Site Status

BND Onco Centre

Mumbai, Maharashtra, India

Site Status

Joy Hospital

Mumbai, Maharashtra, India

Site Status

Ruby Hall Clinic

Pune, Maharashtra, India

Site Status

Grace Nursing Home

Aizawl, Mizoram, India

Site Status

Lilavati Hospital

Bāndra, Mumbai, India

Site Status

S.L.Raheja Hospital

Mahīm, Mumbai, India

Site Status

Apollo Cancer Institute

Delhi, New Delhi, India

Site Status

Rajiv Gandhi Cancer Institute & Research

Delhi, New Delhi, India

Site Status

Fortis Escorts Hospital

Amritsar, Punjab, India

Site Status

Dr. Rajeev Bedi's Clinic

Chandigarh, Punjab, India

Site Status

D.M.C Hospital

Ludhiana, Punjab, India

Site Status

IVY Hospital

Mohali, Punjab, India

Site Status

Cancer Clinic

Jaipur, Rajasthan, India

Site Status

SMS Hospital

Jaipur, Rajasthan, India

Site Status

Bhagwan Mahaveer Cancer Hospital

Jaipur, Rajasthan, India

Site Status

Bhagwan Mahaveer Cancer Hospital & Research Centre

Jaipur, Rajasthan, India

Site Status

Vyas Cancer Care

Jodhpur, Rajasthan, India

Site Status

TC 14/ 764 Sreemangalam

Trivandrum, Tamil Nadu, India

Site Status

Shati Gopal Hospital

Ghaziabad, Uttar Pradesh, India

Site Status

Annapurna Medical and Cancer Relief Society

Lucknow, Uttar Pradesh, India

Site Status

Chittaranjan National Cancer Institute

Kolkata, West Bengal, India

Site Status

Apollo Gleneagles Cancer Hospital

Kolkata, West Bengal, India

Site Status

Nothern Railway Central Hospital

Delhi, , India

Site Status

Indraprastha Apollo Hospital

Delhi, , India

Site Status

Shanti Mukand Hospital

Delhi, , India

Site Status

Dharamshila Cancer Hospital & Research Centre

Delhi, , India

Site Status

Countries

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India

Other Identifiers

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EMR 062202-517

Identifier Type: -

Identifier Source: org_study_id

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