Modufolin (Arfolitixorin) in Combination With 5-Fluorouracil Alone or Together With Oxaliplatin or Irinotecan in Colorectal Cancer

NCT ID: NCT02244632

Last Updated: 2020-09-09

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

105 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2020-01-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose is to characterise the tolerability of Modufolin (arfolitixorin) in combination with 5-FU alone, in combination with 5-FU and Oxaliplatin, in combination with 5-FU and Irinotecan and in combination with 5-FU, Oxaliplatin and Bevacizumab.

Another purpose is to investigate 4 doses of Modufolin to identify the best dose for further assessment.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

The study will investigate the tolerability of Modufolin at four (4) different dose levels (30 to 240 mg/m2) in therapy combinations with the chemotherapeutic agents 5-FU, Oxaliplatin +/- bevcizumab, and Irinotecan.

When the selected phase 2 dose is determined, 40 additional patients, will be included in the study in order to acquire more data on the safety and tolerability of Modufolin at this dose level. Twenty (20) of these additional patients will be treated in with Oxaliplatin, 20 with Irinotecan.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Colorectal Neoplasm

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Modufolin / Nordic FLV

Modufolin in combination with 5-Fluorouracil only.

Group Type EXPERIMENTAL

Modufolin (arfolitixorin)

Intervention Type DRUG

IV injection every second week for 8 weeks.

Fluorouracil

Intervention Type DRUG

IV injection every second week for 8 weeks.

Modufolin / Nordic FLOX

Modufolin in combination with 5-Fluorouracil and Oxaliplatin according to Nordic FLOX regime

Group Type EXPERIMENTAL

Modufolin (arfolitixorin)

Intervention Type DRUG

IV injection every second week for 8 weeks.

Fluorouracil

Intervention Type DRUG

IV injection every second week for 8 weeks.

Oxaliplatin

Intervention Type DRUG

IV infusion every second week for 8 weeks.

Modufolin / Nordic FLIRI

Modufolin in combination with 5-Fluorouracil and Irinotecan.

Group Type EXPERIMENTAL

Modufolin (arfolitixorin)

Intervention Type DRUG

IV injection every second week for 8 weeks.

Fluorouracil

Intervention Type DRUG

IV injection every second week for 8 weeks.

Irinotecan

Intervention Type DRUG

IV infusion every second week for 8 weeks.

MOFOX

Modufolin in combination with 5-Fluorouracil and Oxaliplatin according to mFOLFOX-6 regime

Group Type EXPERIMENTAL

Modufolin (arfolitixorin)

Intervention Type DRUG

IV injection every second week for 8 weeks.

Fluorouracil

Intervention Type DRUG

IV injection every second week for 8 weeks.

Oxaliplatin

Intervention Type DRUG

IV infusion every second week for 8 weeks.

MOFOX / Bevacizumab

Modufolin in combination with 5-Fluorouracil, Oxaliplatin and Bevacizumab

Group Type EXPERIMENTAL

Modufolin (arfolitixorin)

Intervention Type DRUG

IV injection every second week for 8 weeks.

Fluorouracil

Intervention Type DRUG

IV injection every second week for 8 weeks.

Oxaliplatin

Intervention Type DRUG

IV infusion every second week for 8 weeks.

Bevacizumab

Intervention Type DRUG

IV infusion every second week for 8 weeks.

MOFIRI

Modufolin in combination with 5-Fluorouracil and Irinotecan

Group Type EXPERIMENTAL

Modufolin (arfolitixorin)

Intervention Type DRUG

IV injection every second week for 8 weeks.

Fluorouracil

Intervention Type DRUG

IV injection every second week for 8 weeks.

Irinotecan

Intervention Type DRUG

IV infusion every second week for 8 weeks.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Modufolin (arfolitixorin)

IV injection every second week for 8 weeks.

Intervention Type DRUG

Fluorouracil

IV injection every second week for 8 weeks.

Intervention Type DRUG

Oxaliplatin

IV infusion every second week for 8 weeks.

Intervention Type DRUG

Irinotecan

IV infusion every second week for 8 weeks.

Intervention Type DRUG

Bevacizumab

IV infusion every second week for 8 weeks.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

[6R] 5,10-methylenetetrahydrofolate 6R-MTHF 6R-methylene THF ISO-901 arfolitixorin 5-FU 5-Flourouacil 5-Fluoro-1H,3H-pyrimidine-2,4-dione Adrucil Eloxatin [(1R,2R)-cyclohexane-1,2-diamine](ethanedioato-O,O')platinum(II) Olatin Oxamed Oxitropic (+)-(4S)-4,11-Dietyl-4-hydroxi-9-[(4-piperidinopiperidino)karbonyloxi]-1H-pyrano[3¢,4¢:6,7]indolizino[1,2-b]kinolin-3,14-(4H,12H)dion Irinosor Campto Namedica Avastin

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

Advanced metastatic colorectal (Stage IV) cancer verified by biopsy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Isofol Medical AB

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Göran Carlsson, MD

Role: PRINCIPAL_INVESTIGATOR

Sahlgrenska University Hospital

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Odense University Hospital

Odense, , Denmark

Site Status

251 General Airforce Hospital

Athens, , Greece

Site Status

Medical School University of Athens, Aretaieio Hospital

Athens, , Greece

Site Status

Metropolitan General Hospital

Athens, , Greece

Site Status

University Genral Hospital Attikon

Athens, , Greece

Site Status

University General Hospital of Heraklion

Irakleio, , Greece

Site Status

Oslo University Hospital - Radiumhospitalet

Oslo, , Norway

Site Status

Oslo University Hospital - Ullevål

Oslo, , Norway

Site Status

Sahlgrenska University Hospital

Gothenburg, , Sweden

Site Status

Skaraborg hospital

Skövde, , Sweden

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Denmark Greece Norway Sweden

References

Explore related publications, articles, or registry entries linked to this study.

Carlsson G, Koumarianou A, Guren TK, Haux J, Katsaounis P, Kentepozidis N, Pfeiffer P, Braendengen M, Mavroudis D, Taflin H, Skintemo L, Tell R, Papadimitriou C. A phase I/II study of arfolitixorin and 5-fluorouracil in combination with oxaliplatin (plus or minus bevacizumab) or irinotecan in metastatic colorectal cancer. ESMO Open. 2022 Oct;7(5):100589. doi: 10.1016/j.esmoop.2022.100589. Epub 2022 Sep 29.

Reference Type DERIVED
PMID: 36183444 (View on PubMed)

Taflin H, Odin E, Carlsson G, Tell R, Gustavsson B, Wettergren Y. Plasma deoxyuridine as a surrogate marker for toxicity and early clinical response in patients with metastatic colorectal cancer after 5-FU-based therapy in combination with arfolitixorin. Cancer Chemother Pharmacol. 2021 Jan;87(1):31-41. doi: 10.1007/s00280-020-04173-2. Epub 2020 Oct 24.

Reference Type DERIVED
PMID: 33099678 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2014-001862-84

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ISO-CC-005

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.