Efficacy and Tolerance of Maintenance Therapy in Patients With Incurable Advanced Colorectal Cancer

NCT ID: NCT02071069

Last Updated: 2015-11-18

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

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-07-31

Study Completion Date

2016-07-31

Brief Summary

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1. To evaluate efficacy, safety, and feasibility of maintenance therapy with Cetuximab combined with irinotecan or fluorouracil after Cetuximab plus irinotecan and fluorouracil(FOLFIRI) in patients with incurable colorectal cancer.
2. The relevant phase III studies reported that the progression free-survival of cetuximab combined with FOLFIRI in advanced colorectal cancer was 4.3 months up to 6.8 months.

This study assumed that the progression free-survival was 5.1 months which was not inferior to the continuous chemotherapy

Detailed Description

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Conditions

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Incurable Colorectal Cancer RAS-wild-type

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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maintenance therapy

Initially, all subjects received 8 cycles of Cetuximab (400mg/m2 d1,250mg/m2 every week or 500mg/m2 every 2 weeks)plus FOLFIRI (irinotecan 180 mg/m2 IV on day 1 , leucovorin 400mg/m2 on day 1 , fluorouracil 400mg/m2 on day 1 and fluorouracil 2400mg/m2 civ46h every 2 weeks) .

After 8 cycles or severe toxicity, patients received maintenance therapy comprising Cetuximab (250mg/m2 every week or 500mg/m2 every 2 weeks) and either irinotecan( 180 mg/m2 IV every 2 weeks) or fluorouracil arm( leucovorin 400mg/m2 on day 1 , fluorouracil 400mg/m2 on day 1 and fluorouracil 2400mg/m2 civ46h every 2 weeks ). In cases of unacceptable toxicity, only the related medication was stopped

Group Type EXPERIMENTAL

Cetuximab

Intervention Type DRUG

400mg/m2 d1,250mg/m2 every week or 500mg/m2 every 2 weeks

irinotecan

Intervention Type DRUG

180 mg/m2 IV every 2 weeks

fluorouracil

Intervention Type DRUG

400mg/m2 on day 1 and 2400mg/m2 civ46h every 2 weeks

Interventions

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Cetuximab

400mg/m2 d1,250mg/m2 every week or 500mg/m2 every 2 weeks

Intervention Type DRUG

irinotecan

180 mg/m2 IV every 2 weeks

Intervention Type DRUG

fluorouracil

400mg/m2 on day 1 and 2400mg/m2 civ46h every 2 weeks

Intervention Type DRUG

Other Intervention Names

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5FU

Eligibility Criteria

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Inclusion Criteria

1. Patients aged ≥18 years with histologically confirmed metastatic colorectal cancer
2. Eastern Cooperative Oncology Group performance status ≤2 and
3. life expectancy of \>3 months were enrolled.
4. All patients had to have at least one measurable lesion according to the Response Evaluation Criteria in Solid Tumors (RECIST, version 1.1)
5. None was previous exposure to Cetuximab or irinotecan .
6. Patients had to have adequate haematological (absolute neutrophil count \>1.5 × 109/l; platelet count \>100 × 109/l; haemoglobin \>9 g/dl), hepatic \[total bilirubin \<1.5 × the upper limit of normal (ULN); alanine aminotransferase and aspartate aminotransferase \<2.5 × ULN, or \<5 × ULN in the case of hepatic metastases or \<10 × ULN in the case of osseous metastases; alkaline phosphatase \<2.5 × ULN, or \<5 × ULN or \<10 × ULN in the case of hepatic or osseous metastases, respectively\] and renal function (creatinine clearance ≥60 ml/min)
7. All RAS were wildtype. -

Exclusion Criteria

1. Pregnant or breast-feeding women;
2. Clinically significant cardiac disease;
3. Lack of physical integrity of the upper gastrointestinal tract;
4. History of other malignancy;
5. Central nervous system metastases. -
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tianshu Liu

OTHER

Sponsor Role lead

Responsible Party

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Tianshu Liu

Director of Medicine-Oncology department

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Tianshu Liu, Doctor

Role: PRINCIPAL_INVESTIGATOR

Medicine-Oncology Derpartment of Zhongshan hospital

Locations

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Zhongshan Hospital Affiliated to Fudan University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Tianshu Liu, Doctor

Role: CONTACT

+861368 1973 996

yiyi yu, Master

Role: CONTACT

+86 1381 6730 912

Facility Contacts

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Tianshu Liu, Doctor

Role: primary

Other Identifiers

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ZS-ON-05

Identifier Type: -

Identifier Source: org_study_id