Metastatic Colorectal Cancer Treated With Regorafenib and FOLFIRI

NCT ID: NCT03698253

Last Updated: 2018-10-05

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

NA

Total Enrollment

41 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-01

Study Completion Date

2018-06-01

Brief Summary

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The survey is a retrospective study to evaluate the prognotic value of EGFR expression, KRAS mutations and tumor sideness in patients with metastatic colorectal cancer treated with regorafenib and FOLFIRI as a third- or fourth-line setting.

Detailed Description

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Primary objective:

Progression-free survival

Secondary objecive:

Overall survival, best objective response, disease control rate and adverse events

Number of Subjects: 41 patients with metastatic colorectal cancer treated with regorafenib and FOLFIRI as a third- or fourth-line setting.

Plan of the Study:

1. This is a retrospective study.
2. Study Schedule Study date: the time getting approval letter issued by both regulatory authority and institutional review board (IRB). Duration of the study: 5 years.
3. Duration of Treatment: Treatment was administered until disease progressed.

Conditions

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Colorectal Cancer

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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Regorafenib plus FOLFIRI

Regimen for treatment consists of irinotecan (180 mg/m2 as a 120-min IV infusion for UGT1A1 genotyping (TA6/TA6) and UGT1A1 genotyping (TA6/TA7); 120 mg/m2 as a 120-min IV infusion for UGT1A1 genotyping (TA7/TA7)), followedby Leucovorin (400 mg/m2 IV infusion over 2 hours), and 5-FU (2800 mg/m2 IV infusion over a 46-hour period), repeated every 2 weeks.

After every 2 cycles of each different dose of irinotecan, if adverse events (AEs) are under the grade 2, we will escalate the dose of 30 mg/m2. The estimated maximal dose of irinotecan is 260 mg/m2 for UGT1A1 genotyping (TA6/TA6); 240 mg/m2 for UGT1A1 genotyping (TA6/TA7); 180 mg/m2 for UGT1A1 genotyping (TA7/TA7).

Regorafenib is administered at adjusted doseage of 120 mg daily for 3 weeks in a 4-week cycle.

Group Type EXPERIMENTAL

Regorafenib

Intervention Type DRUG

Regorafenib is administered at dose of 120 mg daily for 3 weeks in a 4-week cycle

UGT1A1 genotyping (TA6/TA6)

Intervention Type GENETIC

The dosage of irinotecan in FOLFIRI is escalated from 180mg/m2 to 260 mg/m2

UGT1A1 genotyping (TA6/TA7)

Intervention Type GENETIC

The dosage of irinotecan in FOLFIRI is escalated from 180mg/m2 to 240 mg/m2

UGT1A1 genotyping (TA7/TA7)

Intervention Type GENETIC

The dosage of irinotecan in FOLFIRI is escalated from 120mg/m2 to180 mg/m2

Interventions

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Regorafenib

Regorafenib is administered at dose of 120 mg daily for 3 weeks in a 4-week cycle

Intervention Type DRUG

UGT1A1 genotyping (TA6/TA6)

The dosage of irinotecan in FOLFIRI is escalated from 180mg/m2 to 260 mg/m2

Intervention Type GENETIC

UGT1A1 genotyping (TA6/TA7)

The dosage of irinotecan in FOLFIRI is escalated from 180mg/m2 to 240 mg/m2

Intervention Type GENETIC

UGT1A1 genotyping (TA7/TA7)

The dosage of irinotecan in FOLFIRI is escalated from 120mg/m2 to180 mg/m2

Intervention Type GENETIC

Other Intervention Names

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stivarga

Eligibility Criteria

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Inclusion Criteria

* Age between 20-85 years old
* Histologically proven metastatic colorectal cancer (mCRC).
* Patients with progressing mCRC who were previously treated with FOLFOX, FOLFIRI, anti-VGFR monoclonal antibody (MoAb), and anti-EGFR MoAb if KRAS-wild-type tumors were identified.
* Patient was able to understand the requirements of the study and written informed consent was obtained from each subject.

Exclusion Criteria

* Patients who do not meet the including criteria or unwilling to participate
Minimum Eligible Age

20 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kaohsiung Medical University Chung-Ho Memorial Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jaw-Yuan Wang, MD, PhD

Professor, Vice Superintendent

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jaw-Yuan Wang, PhD

Role: STUDY_CHAIR

Division of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University

Locations

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Chung-Ho Memorial Hospital, Kaohsiung Medical University:

Kaohsiung City, , Taiwan

Site Status

Countries

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Taiwan

Other Identifiers

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KMUHIRB-E(I)-20180270

Identifier Type: -

Identifier Source: org_study_id

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