Treatment After Irinotecan-based Frontline Therapy: Maintenance With Erbitux (in Patients wtRAS mCRC)

NCT ID: NCT02404935

Last Updated: 2022-03-24

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

139 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-22

Study Completion Date

2021-10-25

Brief Summary

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National multicentric phase II trial evaluating whether single agent cetuximab is effective as maintenance therapy after 8 cycles of first line FOLFIRI plus cetuximab in mCRC patients with KRAS and NRAS wild-type genes, assessed by progression-free survival at 6 months after start of maintenance therapy.

Detailed Description

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Conditions

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Metastatic Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A cetuximab

cetuximab 500 mg/m2 (every 2 weeks) until progression

Group Type EXPERIMENTAL

Cetuximab

Intervention Type DRUG

FOLFIRI and cetuximab

Intervention Type DRUG

Arm B observation

observation until progression

Group Type OTHER

FOLFIRI and cetuximab

Intervention Type DRUG

Interventions

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Cetuximab

Intervention Type DRUG

FOLFIRI and cetuximab

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed colorectal cancer
2. KRAS and NRAS wild-type genes after analysis of mutation status from the primary tumour or metastasis
3. Non resectable metastatic disease in a curative intent
4. No prior chemotherapy except for fluoropyrimidines with or without oxaliplatin-based adjuvant treatment, at least 6 months before inclusion
5. At least one measurable tumour target (higher than 20 mm) according to RECIST criteria, which has never been irradiated
6. Life expectancy above 3 months
7. Performance Status ≤2 (WHO)
8. Patient ≥18 years-old
9. Acceptable blood test
10. Patient having signed a written informed consent form

Exclusion Criteria

1. Known and/or symptomatic brain metastases
2. Known allergy to one of treatment components
3. Neurological or psychiatric condition which could interfere with good treatment compliance
4. Current anti-tumour treatment : chemotherapy or targeted therapy or radiotherapy ≤ 14 days before randomisation
5. Other severe conditions such as: respiratory failure. History of interstitial lung disease e.g. pneumonitis or pulmonary fibrosis or evidence of interstitial lung disease on baseline chest CT scan
6. Clinically significant cardiovascular disease (including myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) 6 months before enrollment/randomization
7. Concomitant severe infection
8. History of cancer (except skin cancer other than melanoma or an in situ cervical epithelioma or other solid tumour treated for curative purposes without signs of the condition and with no treatment administered in the 5 years before randomisation.)
9. Patient already included in another clinical trial with an investigational molecule
10. Prior treatment with anti-EGFr antibodies (e.g. panitumumab (Vectibix® or cetuximab / Erbitux® ) or treatment with small EGFr inhibitor molecules (e.g., erlotinib / Tarceva®)
11. Pregnant female, likely to be or currently breastfeeding, or planning to become pregnant within 6 months after the end of treatment or absence of effective contraception for males and females of childbearing age during treatment and for 6 months (male or female) after the end of treatment
12. Those deprived of their freedom or under guardianship
13. Impossibility of undergoing trial's medical follow-up for geographical, social or psychological reasons
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UNICANCER

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Valérie Boige, Dr

Role: PRINCIPAL_INVESTIGATOR

Gustave Roussy, Cancer Campus, Grand Paris

Locations

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CHU- Hôpital Sud

Amiens, , France

Site Status

Centre Hospitalier Universitaire d'Angers

Angers, , France

Site Status

Centre Hospitalier d'Auxerre

Auxerre, , France

Site Status

Institut Sainte Catherine

Avignon, , France

Site Status

Centre Hospitalier Intercommunal Cote Basque

Bayonne, , France

Site Status

Centre Hospitalier de Beauvais

Beauvais, , France

Site Status

Centre Hospitalier de Béziers

Béziers, , France

Site Status

Centre Hospitalier de Blois

Blois, , France

Site Status

Hôpital Avicenne

Bobigny, , France

Site Status

Clinqiue Tivoli

Bordeaux, , France

Site Status

Institut Bergonie

Bordeaux, , France

Site Status

Centre François Baclesse

Caen, , France

Site Status

Hôpital Côte de nacre

Caen, , France

Site Status

Centre Hospitalier Jean Rougier

Cahors, , France

Site Status

Centre Hospitalier Jean Rougier

Cahors, , France

Site Status

Centre Hospitalier Estaing

Clermont-Ferrand, , France

Site Status

Hôpital du Bocage

Dijon, , France

Site Status

Centre Hospitalier de la Dracénie

Draguignan, , France

Site Status

Clinique du Mousseau

Évry, , France

Site Status

Centre Hospitalier Intercommunal

Fréjus, , France

Site Status

Centre hospitalier Départemental de Vendée - Les Oudairies

La Roche-sur-Yon, , France

Site Status

Clinique du Cap d'Or

La Seyne-sur-Mer, , France

Site Status

Hôpital Bicêtre

Le Kremlin-Bicêtre, , France

Site Status

Centre Oscar Lambret

Lille, , France

Site Status

Clinique Francois Chenieux

Limoges, , France

Site Status

CHU de Limoges - Hôpital Dupuytren

Limoges, , France

Site Status

Centre Léon Bérard

Lyon, , France

Site Status

Hôpital Privé Clairval

Marseille, , France

Site Status

Institut Paoli Calmettes

Marseille, , France

Site Status

Centre Hospitalier Montelimar

Montélimar, , France

Site Status

Centre de Cancérologie du Grand Montpellier - Clinique Clementville

Montpellier, , France

Site Status

Institut régional du Cancer Montpellier

Montpellier, , France

Site Status

Centre Antoine Lacassagne

Nice, , France

Site Status

Centre Hospitalier d'Orléans La Source

Orléans, , France

Site Status

Hôpital Saint Jean

Perpignan, , France

Site Status

Polyclinique Francheville

Périgueux, , France

Site Status

Centre Hospitalier Lyon Sud

Pierre-Bénite, , France

Site Status

CHU - Robert Debre

Reims, , France

Site Status

Centre Hospitalier de Romans

Romans, , France

Site Status

Centre Hospitalier Hôpital Victor Provo

Roubaix, , France

Site Status

Hôpital Saint Gregoire

Saint-Grégoire, , France

Site Status

Clinique Mutualiste de l'Estuaire

Saint-Nazaire, , France

Site Status

CHU Saint Etienne - Hôpital Nord

Saint-Priest-en-Jarez, , France

Site Status

Centre Paul Strauss

Strasbourg, , France

Site Status

Polyclinique de l'Ormeau

Tarbes, , France

Site Status

Centre Hospitalier Intercommunal de Toulon

Toulon, , France

Site Status

Gustave Roussy

Villejuif, Île-de-France Region, France

Site Status

Countries

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France

References

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Boige V, Blons H, Francois E, Ben Abdelghani M, Phelip JM, Le Brun-Ly V, Mineur L, Galais MP, Villing AL, Hautefeuille V, Miglianico L, De La Fouchardiere C, Genet D, Levasseur N, Levache CB, Penel N, Mitry E, Jacquot S, Aparicio T, Brument E, Gourgou S, Castan F, Bouche O. Maintenance Therapy With Cetuximab After FOLFIRI Plus Cetuximab for RAS Wild-Type Metastatic Colorectal Cancer: A Phase 2 Randomized Clinical Trial. JAMA Netw Open. 2023 Sep 5;6(9):e2333533. doi: 10.1001/jamanetworkopen.2023.33533.

Reference Type DERIVED
PMID: 37721754 (View on PubMed)

Other Identifiers

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2012-005139-99

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

Prodige 28 - UCGI 27 (TIME)

Identifier Type: -

Identifier Source: org_study_id

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