Side Effects to FOLFOXIRI + Tocotrienol/Placebo as First Line Treatment of Metastatic Colorectal Cancer

NCT ID: NCT02705300

Last Updated: 2024-08-29

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

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-06

Study Completion Date

2024-03-27

Brief Summary

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Treatment with FOLFOXIRI (5-fluorouracil, oxaliplatin, irinotecan) can be effective, but it has serious side effects, which may require hospitalization.

The purpose of this study is to investigate whether the addition of tocotrienol can reduce the side effects to FOLFOXIRI otherwise leading to hospitalization.

Detailed Description

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Conditions

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Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Chemotherapy plus tocotrienol

Every 2 weeks: irinotecan 165 mg/m2 iv, oxaliplatin 85 mg/m2 iv, calcium folinate 200 mg/m2 iv, and 5-fluorouracil 3200 mg/m2 as a 46 hour infusion.

Daily: Tocotrienol 300 mg x 3 daily

Group Type EXPERIMENTAL

Irinotecan 165 mg/m2 iv

Intervention Type DRUG

Max. 4 months

Oxaliplatin 85 mg/m2 iv

Intervention Type DRUG

Max. 4 months

Calcium folinate 200 mg/m2 iv

Intervention Type DRUG

Max. 6 months

5-fluorouracil 3200 mg/m2

Intervention Type DRUG

Max. 6 months

Tocotrienol

Intervention Type DIETARY_SUPPLEMENT

Max. 2 years or at the discretion of the investigator

Chemotherapy plus placebo

Every 2 weeks: irinotecan 165 mg/m2 iv, oxaliplatin 85 mg/m2 iv, calcium folinate 200 mg/m2 iv, and 5-fluorouracil 3200 mg/m2 as a 46 hour infusion.

Daily: Placebo x 3 daily

Group Type PLACEBO_COMPARATOR

Irinotecan 165 mg/m2 iv

Intervention Type DRUG

Max. 4 months

Oxaliplatin 85 mg/m2 iv

Intervention Type DRUG

Max. 4 months

Calcium folinate 200 mg/m2 iv

Intervention Type DRUG

Max. 6 months

5-fluorouracil 3200 mg/m2

Intervention Type DRUG

Max. 6 months

Placebo

Intervention Type DRUG

Max. 2 years or at the discretion of the investigator

Interventions

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Irinotecan 165 mg/m2 iv

Max. 4 months

Intervention Type DRUG

Oxaliplatin 85 mg/m2 iv

Max. 4 months

Intervention Type DRUG

Calcium folinate 200 mg/m2 iv

Max. 6 months

Intervention Type DRUG

5-fluorouracil 3200 mg/m2

Max. 6 months

Intervention Type DRUG

Tocotrienol

Max. 2 years or at the discretion of the investigator

Intervention Type DIETARY_SUPPLEMENT

Placebo

Max. 2 years or at the discretion of the investigator

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically verified colorectal adenocarcinoma.
* Patients to receive first line treatment of metastatic disease, including potentially resectable or non-resectable disease
* \> 6 months without recurrence after end of adjuvant chemotherapy for radically treated stage II or III colorectal cancer
* Disease evaluable according to RECIST 1.1, but not necessarily measurable disease.
* Age 18-75 years
* Performance status (PS) 0-1. If age 71-75, then PS 0
* Life expectancy \> 3 months
* Organ and bone marrow function as follows:

* Neutrophil count ≥ 1.5 x 10\^9/L
* Thrombocytes ≥ 100 x 10\^9/L
* Total bilirubin ≤ 1.5 x upper level of normal (ULN)
* Alanine transaminase (ALAT) ≤ 2.5 x ULN (or≤ 5 x ULN in case of liver metastases)
* Fertile women must present negative pregnancy test. Male (with a female fertile partner) as well as female patients must use secure contraceptives during and 6 months after end of treatment.
* Orally and written informed consent to treatment and biobank

Exclusion Criteria

* Primarily resectable metastases
* Chemotherapy, radiotherapy or immunotherapy within 4 weeks
* Known neuropathy ≥ grade 2
* Serious competitive medical condition
* Other concurrent malignant disease other than non-melanoma skin cancer
* Previous serious and unexpected reactions to 5-fluorouracil, calcium folinate, oxaliplatin, irinotecan or capecitabine.
* Hypersensitivity to one or more of the active substances or auxilliary agents
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vejle Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lars H Jensen, PhD

Role: STUDY_CHAIR

Department of Oncology, Vejle Hospital

Louise R Larsen, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Oncology, Vejle Hospital

Locations

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Department of Oncology, Vejle Hospital

Vejle, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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FOLFOXIRI-Toco

Identifier Type: -

Identifier Source: org_study_id

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