Trial Outcomes & Findings for Study Evaluating Biomarkers in Patients With Colorectal Cancer and Native KRAS Treated With Chemotherapy + Cetuximab (NCT NCT01276379)

NCT ID: NCT01276379

Last Updated: 2021-07-02

Results Overview

Measurements according to RECIST 1.1 criteria (Response Evaluation Criteria in Solid Tumors). Main techniques: CT-scan. Two groups will be defined based on the score built from the proposed clinical variables and biomarkers. Instead of a binomial distribution, a Log-rank method has been used to calculate the sample size in order to include all the incidents during the follow-up. Expecting a minimum 20% difference (60 vs. 40%) on PFS at 12 months between groups and with the following assumptions: Alpha error (bilateral): 5% Beta error: 20% Results are reported by subgroups to compare outcome measure according to BRAF mutation. All patients belong to same treatment/study arm.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

221 participants

Primary outcome timeframe

4 years

Results posted on

2021-07-02

Participant Flow

All patients were allocated in the same treatment arm. Some patient characteristics and results may be reported according to the mutational status of the patients despite all patients received the same treatment schedule

Participant milestones

Participant milestones
Measure
FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Overall Study
STARTED
221
Overall Study
COMPLETED
181
Overall Study
NOT COMPLETED
40

Reasons for withdrawal

Reasons for withdrawal
Measure
FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Overall Study
Screening failure
40

Baseline Characteristics

Study Evaluating Biomarkers in Patients With Colorectal Cancer and Native KRAS Treated With Chemotherapy + Cetuximab

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
WT BRAF - FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
n=161 Participants
Patients with a determination of BRAF status and presence of Wild type (WT) BRAF gen. FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Mutant BRAF - FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
n=20 Participants
Patients with a determination of BRAF status and presence of a mutation in the BRAF gen. FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Total
n=181 Participants
Total of all reporting groups
Age, Continuous
62 Years
STANDARD_DEVIATION 10.5 • n=5 Participants
67 Years
STANDARD_DEVIATION 7.4 • n=7 Participants
65 Years
STANDARD_DEVIATION 9 • n=5 Participants
Sex: Female, Male
Female
46 Participants
n=5 Participants
7 Participants
n=7 Participants
53 Participants
n=5 Participants
Sex: Female, Male
Male
115 Participants
n=5 Participants
13 Participants
n=7 Participants
128 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
161 Participants
n=5 Participants
20 Participants
n=7 Participants
181 Participants
n=5 Participants
Region of Enrollment
Spain
161 participants
n=5 Participants
20 participants
n=7 Participants
181 participants
n=5 Participants
Stage
Stage I
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Stage
Stage II
13 Participants
n=5 Participants
0 Participants
n=7 Participants
13 Participants
n=5 Participants
Stage
Stage III
30 Participants
n=5 Participants
5 Participants
n=7 Participants
35 Participants
n=5 Participants
Stage
Stage IV
117 Participants
n=5 Participants
15 Participants
n=7 Participants
132 Participants
n=5 Participants
Primary location
Ascending colon
23 Participants
n=5 Participants
9 Participants
n=7 Participants
32 Participants
n=5 Participants
Primary location
Transverse colon
12 Participants
n=5 Participants
2 Participants
n=7 Participants
14 Participants
n=5 Participants
Primary location
Descending colon
10 Participants
n=5 Participants
4 Participants
n=7 Participants
14 Participants
n=5 Participants
Primary location
Sigmoid colon
73 Participants
n=5 Participants
3 Participants
n=7 Participants
76 Participants
n=5 Participants
Primary location
Rectum
43 Participants
n=5 Participants
2 Participants
n=7 Participants
45 Participants
n=5 Participants
Surgery of the primary tumor
91 Participants
n=5 Participants
10 Participants
n=7 Participants
101 Participants
n=5 Participants
Performance Status (PS)
ECOG 0
112 Participants
n=5 Participants
7 Participants
n=7 Participants
119 Participants
n=5 Participants
Performance Status (PS)
ECOG 1
49 Participants
n=5 Participants
13 Participants
n=7 Participants
62 Participants
n=5 Participants
Number of metastatic organs
1
87 Participants
n=5 Participants
7 Participants
n=7 Participants
94 Participants
n=5 Participants
Number of metastatic organs
2
58 Participants
n=5 Participants
11 Participants
n=7 Participants
69 Participants
n=5 Participants
Number of metastatic organs
3
15 Participants
n=5 Participants
2 Participants
n=7 Participants
17 Participants
n=5 Participants
Number of metastatic organs
4 or higher
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 4 years

Population: Evaluable population

Measurements according to RECIST 1.1 criteria (Response Evaluation Criteria in Solid Tumors). Main techniques: CT-scan. Two groups will be defined based on the score built from the proposed clinical variables and biomarkers. Instead of a binomial distribution, a Log-rank method has been used to calculate the sample size in order to include all the incidents during the follow-up. Expecting a minimum 20% difference (60 vs. 40%) on PFS at 12 months between groups and with the following assumptions: Alpha error (bilateral): 5% Beta error: 20% Results are reported by subgroups to compare outcome measure according to BRAF mutation. All patients belong to same treatment/study arm.

Outcome measures

Outcome measures
Measure
WT BRAF - FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
n=161 Participants
Patients with a determination of BRAF status and presence of Wild type (WT) BRAF gen. FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Mutant BRAF - FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
n=20 Participants
Patients with a determination of BRAF status and presence of a mutation in the BRAF gen. FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Progression Free Survival
11.4 Months
Interval 9.9 to 13.1
5.9 Months
Interval 3.3 to 7.8

SECONDARY outcome

Timeframe: 4 years

Population: Evaluable population

Measured as time in months from start of study treatment to death or lost to follow up. Results are reported by subgroups to compare outcome measure according to BRAF mutation. All patients belong to same treatment/study arm.

Outcome measures

Outcome measures
Measure
WT BRAF - FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
n=161 Participants
Patients with a determination of BRAF status and presence of Wild type (WT) BRAF gen. FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Mutant BRAF - FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
n=20 Participants
Patients with a determination of BRAF status and presence of a mutation in the BRAF gen. FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Overall Survival
32.6 Months
Interval 27.5 to 38.8
9.3 Months
Interval 5.3 to 22.0

SECONDARY outcome

Timeframe: 4 years

Population: Evaluable population

Duration of the partial or total response to the treatment. Evaluation and classification according to RECIST 1.1 criteria (Response Evaluation Criteria in Solid Tumors)

Outcome measures

Outcome measures
Measure
WT BRAF - FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
n=181 Participants
Patients with a determination of BRAF status and presence of Wild type (WT) BRAF gen. FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Mutant BRAF - FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
Patients with a determination of BRAF status and presence of a mutation in the BRAF gen. FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Response Duration
8.66 Months
Interval 1.16 to 53.49

SECONDARY outcome

Timeframe: 4 years

Population: Safety population (all patients that received at least one infusion of study treatment)

Frequency and type of adverse events (AEs). AEs were coded according to NCI CTCAE V3.0 and classified by frequency, relatedness to study treatment (related/not related) and severity (Grade). Severity ranges from grade 1 (low intensity) to Grade 5 (max. intensity, death)

Outcome measures

Outcome measures
Measure
WT BRAF - FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
n=218 Participants
Patients with a determination of BRAF status and presence of Wild type (WT) BRAF gen. FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Mutant BRAF - FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
Patients with a determination of BRAF status and presence of a mutation in the BRAF gen. FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Frequency of Adverse Events
Any AEs · yes
198 Participants
Frequency of Adverse Events
Any AEs · no
20 Participants
Frequency of Adverse Events
Grade 3 or higher AEs · yes
138 Participants
Frequency of Adverse Events
Grade 3 or higher AEs · no
80 Participants
Frequency of Adverse Events
Grade 5 AEs · yes
5 Participants
Frequency of Adverse Events
Grade 5 AEs · no
213 Participants
Frequency of Adverse Events
Treatment related AEs of any grade · yes
176 Participants
Frequency of Adverse Events
Treatment related AEs of any grade · no
42 Participants
Frequency of Adverse Events
Treatment related AEs grade 3 or higher · yes
101 Participants
Frequency of Adverse Events
Treatment related AEs grade 3 or higher · no
117 Participants

SECONDARY outcome

Timeframe: 4 years

Population: Evaluable population

The secondary biomarkers in serum and tumoral tissue will be analysed in order to predict the acquired resistance.

Outcome measures

Outcome measures
Measure
WT BRAF - FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
n=181 Participants
Patients with a determination of BRAF status and presence of Wild type (WT) BRAF gen. FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Mutant BRAF - FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
Patients with a determination of BRAF status and presence of a mutation in the BRAF gen. FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Secondary Biomarkers Analysis
PI3K and PTEN · Mutant
98 Participants
Secondary Biomarkers Analysis
PI3K and PTEN · UK
14 Participants
Secondary Biomarkers Analysis
IGF-1RP/MMP7 · WT
158 Participants
Secondary Biomarkers Analysis
IGF-1RP/MMP7 · Mutant
23 Participants
Secondary Biomarkers Analysis
IGF-1RP/MMP7 · UK
0 Participants
Secondary Biomarkers Analysis
PI3K and PTEN · WT
69 Participants

SECONDARY outcome

Timeframe: 4 years

Population: Evaluable population

Measurements according to RECIST 1.1 criteria (Response Evaluation Criteria in Solid Tumors). Main techniques: CT-scan. Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR Results are reported by subgroups to compare outcome measure according to BRAF mutation. All patients belong to same treatment/study arm.

Outcome measures

Outcome measures
Measure
WT BRAF - FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
n=161 Participants
Patients with a determination of BRAF status and presence of Wild type (WT) BRAF gen. FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Mutant BRAF - FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
n=20 Participants
Patients with a determination of BRAF status and presence of a mutation in the BRAF gen. FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Tumoral Response
Complete response (CR)
16 Participants
1 Participants
Tumoral Response
Partial response (PR)
106 Participants
6 Participants
Tumoral Response
Stable disease (SD)
25 Participants
6 Participants
Tumoral Response
Progression disease (PD)
8 Participants
4 Participants
Tumoral Response
Not evaluable (NE)
6 Participants
3 Participants

Adverse Events

FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab

Serious events: 173 serious events
Other events: 198 other events
Deaths: 136 deaths

Serious adverse events

Serious adverse events
Measure
FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
n=218 participants at risk
FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Skin and subcutaneous tissue disorders
Alopecia
1.8%
4/218 • Number of events 4 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Blood and lymphatic system disorders
Anemia
1.8%
4/218 • Number of events 4 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Metabolism and nutrition disorders
Anorexia
0.92%
2/218 • Number of events 2 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Ascites
0.46%
1/218 • Number of events 1 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
General disorders
Asthenia
8.7%
19/218 • Number of events 19 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Diarrhoea
12.8%
28/218 • Number of events 28 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
General disorders
Pain
0.92%
2/218 • Number of events 2 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Abdominal pain
1.4%
3/218 • Number of events 3 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
General disorders
Edema
0.46%
1/218 • Number of events 1 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Constipation
0.92%
2/218 • Number of events 2 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
General disorders
Fever
0.46%
1/218 • Number of events 1 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Fistula
3.2%
7/218 • Number of events 7 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Hepatobiliary disorders
Hepatic toxicity
1.4%
3/218 • Number of events 3 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Infections and infestations
Infections
4.1%
9/218 • Number of events 9 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Blood and lymphatic system disorders
Leucocytopenia
1.8%
4/218 • Number of events 4 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Mucositis
6.4%
14/218 • Number of events 14 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Nausea
4.1%
9/218 • Number of events 9 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Nervous system disorders
Neuropathy
2.3%
5/218 • Number of events 5 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Blood and lymphatic system disorders
Neutropenia
24.3%
53/218 • Number of events 53 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Blood and lymphatic system disorders
Febrile neutropenia
2.3%
5/218 • Number of events 5 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Intestinal obstruction
4.6%
10/218 • Number of events 10 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Eye disorders
Ocular alterations non otherwise specified (NOS)
0.46%
1/218 • Number of events 1 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Nervous system disorders
paresthesia
2.3%
5/218 • Number of events 5 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Blood and lymphatic system disorders
Thrombocytopenia
1.4%
3/218 • Number of events 3 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Immune system disorders
Alergic reaction
3.2%
7/218 • Number of events 7 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Skin and subcutaneous tissue disorders
Skin reaction
13.3%
29/218 • Number of events 29 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
rectal bleeding
0.46%
1/218 • Number of events 1 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
General disorders
Hand-foot syndrome
0.46%
1/218 • Number of events 1 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Hepatobiliary disorders
Transaminitis
0.92%
2/218 • Number of events 2 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Cardiac disorders
Cardiac disorders NOS
0.92%
2/218 • Number of events 2 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Metabolism and nutrition disorders
Metabolic disorders NOS
2.8%
6/218 • Number of events 6 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Gastrointestinal disorders NOS
2.3%
5/218 • Number of events 5 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
General disorders
General and site reactions NOS
0.92%
2/218 • Number of events 2 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Musculoskeletal and connective tissue disorders
Muscolosqueletal disorders NOS
2.3%
5/218 • Number of events 5 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Eye disorders
Ocular disorders NOS
1.4%
3/218 • Number of events 3 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Renal and urinary disorders
Urinary disorders NOS
1.8%
4/218 • Number of events 4 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Respiratory, thoracic and mediastinal disorders
Respiratory disorders NOS
2.8%
6/218 • Number of events 6 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Vascular disorders
Vascular disorders NOS
4.6%
10/218 • Number of events 10 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Skin and subcutaneous tissue disorders
Xerosis
3.7%
8/218 • Number of events 8 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients

Other adverse events

Other adverse events
Measure
FOLFIRI (m) or FOLFOX-6 (m) + Cetuximab
n=218 participants at risk
FOLFOX/FOLFIRI + cetuximab 500mg/m2 bi-weekly for 6 months, then bi-weekly cetuximab as monotherapy. FOLFIRI (m): FOLFIRI (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Irinotecan 180 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2), in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. FOLFOX-6 (m): FOLFOX6 (m) chemotherapy will be administered on day 1 of each 14-days-cycle. The administered doses will be: * Oxaliplatin 85 mg/m2 in infusion i.v., 120 minutes, on day 1 of each cycle. * l-Leucovorin 200 mg/m2 (or d,l-leucovorin 400 mg/m2) in infusion i.v., 120 minutes, on day 1. * One bolus i.v. (2-4 minutes) of 400 mg/m2 of 5-FU on day 1. * 5-FU in continuous infusion (2400 mg/m2) administered through an ambulatory pump during 46-48 hours. Cetuximab: - 500 mg/m2 i.v. Every 2 weeks.
Skin and subcutaneous tissue disorders
Alopecia
13.3%
29/218 • Number of events 29 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Blood and lymphatic system disorders
Anemia
15.6%
34/218 • Number of events 34 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Metabolism and nutrition disorders
Anorexia
12.4%
27/218 • Number of events 27 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
General disorders
Asthenia
46.3%
101/218 • Number of events 101 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Diarrhoea
36.7%
80/218 • Number of events 80 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Nervous system disorders
Dysgeusia
10.1%
22/218 • Number of events 22 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
General disorders
Pain NOS
9.6%
21/218 • Number of events 21 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Abdominal pain
12.8%
28/218 • Number of events 28 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Constipation
18.3%
40/218 • Number of events 40 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
General disorders
Fever
11.5%
25/218 • Number of events 25 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Fistula
21.6%
47/218 • Number of events 47 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Infections and infestations
Infections NOS
7.8%
17/218 • Number of events 17 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Blood and lymphatic system disorders
Leucopenia
7.3%
16/218 • Number of events 16 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Mucositis
39.9%
87/218 • Number of events 87 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Nausea
27.5%
60/218 • Number of events 60 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Nervous system disorders
Neuropathy
33.0%
72/218 • Number of events 72 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Blood and lymphatic system disorders
Neutropenia
17.0%
37/218 • Number of events 37 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Nervous system disorders
Paresthesia
20.6%
45/218 • Number of events 45 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Blood and lymphatic system disorders
Thrombocytopenia
10.1%
22/218 • Number of events 22 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Skin and subcutaneous tissue disorders
Cutaneous reaction
61.5%
134/218 • Number of events 134 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
Mucosa dryness
6.0%
13/218 • Number of events 13 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Hepatobiliary disorders
Transaminitis
6.0%
13/218 • Number of events 13 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Metabolism and nutrition disorders
Metabolic disorders NOS
16.5%
36/218 • Number of events 36 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Gastrointestinal disorders
gastrointestinal disorders
18.3%
40/218 • Number of events 40 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Musculoskeletal and connective tissue disorders
Musculoskeletal disorders NOS
9.2%
20/218 • Number of events 20 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Eye disorders
Ocular disorders NOS
11.0%
24/218 • Number of events 24 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Psychiatric disorders
Psychiatric disorders NOS
5.5%
12/218 • Number of events 12 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Renal and urinary disorders
Urinary disorders NOS
6.0%
13/218 • Number of events 13 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Respiratory, thoracic and mediastinal disorders
Respiratory disorders NOS
13.3%
29/218 • Number of events 29 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Vascular disorders
Vascular disorders NOS
5.5%
12/218 • Number of events 12 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Congenital, familial and genetic disorders
trichomegaly
5.0%
11/218 • Number of events 11 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients
Skin and subcutaneous tissue disorders
Xerosis
16.5%
36/218 • Number of events 36 • 4 years
Safety assessments included patient history and physical examinations, vital signs, ECOG PS, AEs, blood chemistry, and blood counts, which were performed at each visit. AE severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 3.0. Relation to cetuximab or chemotherapy (definitely, probably, possibly, unlikely, or unrelated) were assessed by the PI. AEs reported by treatment arm, which includes all patients

Additional Information

Joan Maurel Santasusana

GEMCAD

Phone: + 34 93 434 44 12

Results disclosure agreements

  • Principal investigator is a sponsor employee Complying with the R.D. 223/2004, the results of this trial will be published, both positive and negative results in recognized scientific journals or congress. The Sponsor and the Investigators are fully committed to publishing the results of the study. All publications (i.e., manuscripts, abstracts, oral / slide presentations, book chapters) based on this study must be submitted to the sponsor for review prior to publication.
  • Publication restrictions are in place

Restriction type: OTHER