Avastin and Chemotherapy Followed by a KRAS Stratified Randomization to Maintenance Treatment for First Line Treatment of Metastatic Colorectal Cancer.

NCT ID: NCT01229813

Last Updated: 2015-04-13

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

PHASE3

Total Enrollment

233 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-10-31

Study Completion Date

2013-12-31

Brief Summary

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Patients with metastatic colorectal cancer will be treated with chemotherapy according to investigators choice. In addition to chemotherapy treatment, treatment with bevacizumab will be given concomitantly. This treatment will continue during 18 weeks. Meanwhile, the patients KRAS status will be tested. After having fulfilled these 18 weeks of induction treatment, patients who has responded (complete response/partial response versus stable disease) will be randomized to maintenance treatment. Patients with KRAS WT will be randomized to either bevacizumab alone, or to bevacizumab and erlotinib. Patient with KRAS mutation will be randomized to either bevacizumab, or metronomic capecitabine. Translational research is performed, with purpose to find predictive factors in blood and tumor tissue.

Detailed Description

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Conditions

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Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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bevacizumab and erlotinib (KRAS WT)

Group Type ACTIVE_COMPARATOR

bevacizumab, erlotinib

Intervention Type DRUG

bevacizumab 7.5 mg/kg body weight every third week, erlotinib 150 mg daily

bevacizumab (KRAS WT)

Group Type ACTIVE_COMPARATOR

bevacizumab

Intervention Type DRUG

bevacizumab 7.5 mg/kg body weight every third week

bevacizumab (KRAS mutated)

Group Type ACTIVE_COMPARATOR

bevacizumab

Intervention Type DRUG

bevacizumab 7.5 mg/kg body weight every third week.

low dose capecitabine (KRAS mutated)

Group Type ACTIVE_COMPARATOR

low dose capecitabine

Intervention Type DRUG

capecitabine 500 mg twice daily

Interventions

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bevacizumab, erlotinib

bevacizumab 7.5 mg/kg body weight every third week, erlotinib 150 mg daily

Intervention Type DRUG

bevacizumab

bevacizumab 7.5 mg/kg body weight every third week

Intervention Type DRUG

bevacizumab

bevacizumab 7.5 mg/kg body weight every third week.

Intervention Type DRUG

low dose capecitabine

capecitabine 500 mg twice daily

Intervention Type DRUG

Other Intervention Names

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Avastin, Tarceva Tarceva Avastin Xeloda

Eligibility Criteria

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Inclusion Criteria

* Untreated metastatic colorectal carcinoma
* Age 18 yrs or over
* Measurable disease according to Response Evaluation Criteria in solid Tumors (RECIST criteria)
* ECOG performance status 0 or 1
* Life expectancy more than 3 months
* Adequate haematological, renal and liver function
* Tumor tissue available for determination of KRAS mutational status
* Blood sample and paraffin embedded tumor tissue for translational research

Exclusion Criteria

* Adjuvant therapy within 6 months
* CNS metastases
* Clinically significant atherosclerotic vascular disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role collaborator

Lund University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University Hospital

Odense, , Denmark

Site Status

County Hospital Ryhov

Jönköping, , Sweden

Site Status

County Hospital

Kalmar, , Sweden

Site Status

Central Hospital

Karlstad, , Sweden

Site Status

University Hospital

Linköping, , Sweden

Site Status

Skåne University Hospital-Lund

Lund, , Sweden

Site Status

Karolinska University Hospital

Stockholm, , Sweden

Site Status

Sundsvall Hospital

Sundsvall, , Sweden

Site Status

Norrland University Hospital

Umeå, , Sweden

Site Status

Akademiska Hospital

Uppsala, , Sweden

Site Status

Central Hospital

Vaxjo, , Sweden

Site Status

Central Hospital

Västerås, , Sweden

Site Status

Countries

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Denmark Sweden

References

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Hagman H, Frodin JE, Berglund A, Sundberg J, Vestermark LW, Albertsson M, Fernebro E, Johnsson A. A randomized study of KRAS-guided maintenance therapy with bevacizumab, erlotinib or metronomic capecitabine after first-line induction treatment of metastatic colorectal cancer: the Nordic ACT2 trial. Ann Oncol. 2016 Jan;27(1):140-7. doi: 10.1093/annonc/mdv490. Epub 2015 Oct 19.

Reference Type DERIVED
PMID: 26483047 (View on PubMed)

Other Identifiers

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ML 25359

Identifier Type: -

Identifier Source: org_study_id

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