Metformin Plus Irinotecan for Refractory Colorectal Cancer

NCT ID: NCT01930864

Last Updated: 2017-06-22

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

41 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-01

Study Completion Date

2020-12-01

Brief Summary

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MetIri seeks to identify if metformin combined to irinotecan can improve tumor control.

Detailed Description

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MetIri is a two-stage single arm Phase II assessing the role of combination of metformin to irinotecan for colorectal cancer patients already treat with oxaliplatin, fluoropyrimidine, irinotecan and an anti-EGFr antibody if KRAS wild-type.

Conditions

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Colorectal Neoplasms Adenocarcinoma

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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metfomin + irinotecan

Irinotecan 350mg/m² q21d + metformin up to 2500mg/d until disease progression, prohibitive toxicity or consent withdrawal

Group Type EXPERIMENTAL

metformin

Intervention Type DRUG

metformin up to 2500mg/d

irinotecan

Intervention Type DRUG

Irinotecan 350 mg/m² IV q21d

Interventions

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metformin

metformin up to 2500mg/d

Intervention Type DRUG

irinotecan

Irinotecan 350 mg/m² IV q21d

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 18 years or older
* Biopsy-proven colorectal adenocarcinoma
* Ineligibility for curative intent therapy, e.g., surgery or radiation
* Disease progression after oxaliplatin (either adjuvant or palliative), fluoropyrimidine (either adjuvant or palliative), irinotecan, and if Kras wild type a anti-EGFR therapy
* Assessable disease according to RECIST v1.1

Exclusion Criteria

* known hypersensitivity to metformin or irinotecan
* Uncontrolled Central nervous system metastasis
* Acute or chronic severe infection
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Campinas, Brazil

OTHER

Sponsor Role collaborator

AC Camargo Cancer Center

OTHER

Sponsor Role collaborator

Barretos Cancer Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joao Paulo SN Lima, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

AC Camargo Cancer Center

Locations

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Barretos Cancer Hospital

Barretos, São Paulo, Brazil

Site Status RECRUITING

State University of Campinas

Campinas, São Paulo, Brazil

Site Status NOT_YET_RECRUITING

Countries

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Brazil

Central Contacts

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Joao Paulo SN Lima, MD

Role: CONTACT

551733216600 ext. 7128

Arinilda C Bragagnoli, MD

Role: CONTACT

551733216600 ext. 6829

Facility Contacts

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Joao Paulo SN Lima, MD

Role: primary

551733216600 ext. 6829

Arinilda C Bragagnoli, MD

Role: backup

551733216600 ext. 6829

Lígia T Macedo, MD

Role: primary

References

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Rocha GZ, Dias MM, Ropelle ER, Osorio-Costa F, Rossato FA, Vercesi AE, Saad MJ, Carvalheira JB. Metformin amplifies chemotherapy-induced AMPK activation and antitumoral growth. Clin Cancer Res. 2011 Jun 15;17(12):3993-4005. doi: 10.1158/1078-0432.CCR-10-2243. Epub 2011 May 4.

Reference Type BACKGROUND
PMID: 21543517 (View on PubMed)

Other Identifiers

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MetIri

Identifier Type: -

Identifier Source: org_study_id

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