Efficacy and Safety Study of Recombinant Endostatin Combined With Chemotherapy to Treat Advanced Colorectal Cancer

NCT ID: NCT01529164

Last Updated: 2013-11-27

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-31

Study Completion Date

2014-09-30

Brief Summary

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Studies suggest that the addition of antiangiogenic agents to conventional therapeutic strategies, e.g., chemotherapy, radiation, or other tumor-targeting agents, will increase clinical efficacy. For advanced colorectal cancer,the antiangiogenic agent bevacizumab has become an important treatment option and its combination with chemotherapy is now being one of the standard first line therapy. This phase II study was conducted to determine the efficacy and safety of another antiangiogenesis inhibitor rh-endostatin plus mFOLFOX6 in advanced colorectal cancer.

Detailed Description

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Rh-Endostatin (Endostar; Simcere Pharmaceutical Co., Ltd, JiangSu,China) is a humanized recombinant endostatin which is a direct angiogenesis inhibitor targeting the microvascular endothelial cells (ECs). A pivotal phase III study completed in China demonstrated that the addition of rh-endostatin to navelbine plus cisplatin conferred clinically significant improvements in overall survival (OS), progression-free survival (PFS), as well as response rate (RR), in patients with previously untreated metastatic non small cell lung cancer (NSCLC). In vitro, the combination of Endostatin and fluorouracil showed synergistic activity in inhibiting colon cancer. MFolfox6 was standard first-line regimen in advanced colorectal cancer. The investigators carried out a phase II trial to investigate the activity and safety of rh-endostatin plus mFOLFOX in patients with metastatic colorectal cancer.

Conditions

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Colorectal Cancer

Keywords

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endostatin chemotherapy antiangiogenesis agent colorectal cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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treatment

Group Type EXPERIMENTAL

Endostatins (Endostar)

Intervention Type DRUG

7.5mg/m2 iv d1-10,repeat every 14 days,until progression or occurrence of untolerated toxicity

Oxaliplatin

Intervention Type DRUG

85mg/m2 iv d1 ,repeat every 14 days,until progression or occurrence of untolerated toxicity

Leucovorin

Intervention Type DRUG

200mg/m2 iv d1 ,repeat every 14 days

5-fluorouracil

Intervention Type DRUG

400mg/m2 iv bolus,then 2400mg/m2 continuous infusion for 46 hours,repeated every 14 days,until progression or occurrence of untolerated toxicity

Interventions

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Endostatins (Endostar)

7.5mg/m2 iv d1-10,repeat every 14 days,until progression or occurrence of untolerated toxicity

Intervention Type DRUG

Oxaliplatin

85mg/m2 iv d1 ,repeat every 14 days,until progression or occurrence of untolerated toxicity

Intervention Type DRUG

Leucovorin

200mg/m2 iv d1 ,repeat every 14 days

Intervention Type DRUG

5-fluorouracil

400mg/m2 iv bolus,then 2400mg/m2 continuous infusion for 46 hours,repeated every 14 days,until progression or occurrence of untolerated toxicity

Intervention Type DRUG

Other Intervention Names

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Endostar Eloxatin

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent (IC)
* Age greater than or equal to 18 years
* Histologically or cytologically confirmed metastatic or recurrent colorectal tumors with no previous treatment for advanced disease.
* At least one measurable lesion according to the RECIST criteria which has not been irradiated (i.e. newly arising lesions in previously irradiated areas are accepted). Minimum indicator lesion size: \> 10 mm measured by spiral CT or \>20mm measured by conventional techniques
* ECOG performance status 0-1
* Life expectancy \> 3 months
* ECG is normal

Exclusion Criteria

* Pregnant or lactating woman
* Any prior oxaliplatin treatment, with the exception of adjuvant therapy given \> 12 months prior to the beginning of study therapy,and any prior 5-fluorouracil treatment, with the exception of adjuvant therapy given \> 6 months prior to the beginning of study therapy
* Any prior endostatin treatment
* known hypersensitivity to 5-fluorouracil,oxaliplatin,leucovorin
* History of persistent neurosensory disorder including but not limited to peripheral neuropathy
* known DPD deficiency
* Treatment for other carcinomas within the last five years, except cured non-melanoma skin and treated in-situ cervical cancer
* Clinically significant cardiac disease (e.g. congestive heart failure, symptomatic coronary artery disease and cardiac arrhythmias not well controlled with medication) within the last 6 months
* Any of the following laboratory values:

* Abnormal hematologic values (neutrophils \< 1.5 x 109/L, platelet count \< 100 x 109/L)
* Urine protein: creatinine ratio \>/= 1.0, Impaired renal function with estimated creatinine clearance \< 30 ml/min
* Serum bilirubin \> 1.5 x upper normal limit. ALT, AST \> 2.5 x upper normal limit (or \> 5 x upper normal limit in the case of liver metastases)
* Alkaline phosphatase \> 2.5 x upper normal limit (or \> 5 x upper normal limit in the case of liver metastases or \> 10 x upper normal limit in the case of bone disease)
* use of full-dose anticoagulants or thrombolytics
* known CNS metastases
* serious nonhealing wound, ulcer, or bone fracture
* clinically significant bleeding diathesis or coagulopathy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Simcere Pharmaceutical Co., Ltd

OTHER

Sponsor Role collaborator

Chinese Academy of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Lin Yang

associated professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lin Yang, MD

Role: PRINCIPAL_INVESTIGATOR

Cancer hospital&institute,Chinese Academy of Medical Sciences

Locations

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Cancer hospital & Institute,Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Wen Zhang, MD

Role: CONTACT

Phone: 86-10-87788145

Email: [email protected]

Lin Yang, MD

Role: CONTACT

Phone: 86-10-87788118

Email: [email protected]

Facility Contacts

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Wen Zhang, MD

Role: primary

Lin Yang, MD

Role: backup

Other Identifiers

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CH-GI-023

Identifier Type: -

Identifier Source: org_study_id