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Cap/Iri Plus Cetuximab Compared to Cap/ox Plus Cetuximab in Patients With Metastatic Colorectal Cancer.

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StatusCompleted
Sponsors
Ludwig-Maximilians - University of Munich
Collaborators
Merck Sharp & Dohme Corp.
Sanofi
Pfizer
Hoffmann-La Roche

Keywords

Abstract

A randomized phase II-study to evaluate the safety and efficacy of capecitabine plus irinotecan plus cetuximab compared to capecitabine plus oxaliplatin plus cetuximab in first-line treatment of patients with metastatic colorectal cancer.

Dates

Last Verified: 08/31/2004
First Submitted: 11/13/2005
Estimated Enrollment Submitted: 11/13/2005
First Posted: 11/14/2005
Last Update Submitted: 10/26/2010
Last Update Posted: 10/27/2010
Actual Study Start Date: 08/31/2004
Estimated Study Completion Date: 10/31/2006

Condition or disease

Metastatic Colorectal Cancer

Intervention/treatment

Drug: capecitabine

Drug: irinotecan

Drug: oxaliplatin

Drug: cetuximab

Phase

Phase 2

Eligibility Criteria

Ages Eligible for Study 18 Years To 18 Years
Sexes Eligible for StudyAll
Accepts Healthy VolunteersYes
Criteria

Inclusion Criteria:

- Histologically confirmed metastatic colorectal cancer.

- EGF-receptor testing.

- No prior chemotherapy for colorectal cancer (except adjuvant chemotherapy with an interval ³ 6 months).

- No prior therapy with topoisomerase-1 inhibitors, no prior therapy directed against the EGF-pathway.

- No prior surgery (except diagnostic biopsy) or radiation therapy 4 weeks before start of study treatment.

- Measurable disease (diameter ³ 20mm, diameter ³ 10mm with spiral-CT).

- Male and female patients ³ 18 years, £ 75 years. Karnofsky PS ³ 70%. Life expectancy ³ 3 months. Effective contraception if risk of conception exists.

- Adequate bone marrow, liver and renal function (leucocytes ³3.000/µl, neutrophils ³1.500/µl, platelets ³100.000/µl, hemoglobin ³9g/dl, bilirubin £1,5x ULN, ASAT and ALAT £3x ULN (£5x ULN with liver metastasis), serum creatinine £1,5x ULN).

- Written informed consent.

Exclusion Criteria:

- Concurrent treatment of colorectal cancer (except study medication).

- EGF-receptor testing not possible.

- Known DPD-deficiency (no particular screening necessary). Known Gilbert-Meulengracht-Syndrome (no particular screening necessary).

- Known or expected contraindication against study medication.

- Participation in other studies during 30 days before study entry.

- Prior myocardial infarction, severe renal insufficiency (creatinine clearance £30ml/min).

- Previous malignancy (except colorectal cancer, history of basal cell carcinoma of skin or pre-invasive carcinoma of the cervix with adequate treatment and no sign of disease during 5 years).

- Known or suspected cerebral metastasis.

- History of inflammatory bowel disease. Symptomatic peritoneal carcinomatosis.

- Drug or alcohol abuse. Lack of adequate legal capacity.

- Breast-feeding or pregnant women.

- Concurrent medication with Sorivudine and analoga, anticoagulation with Cumarine or derivatives.

Outcome

Primary Outcome Measures

1. Objective response rate (CR+PR) [undefined]

Secondary Outcome Measures

1. Time to progression. [undefined]

2. Disease control rate (CR+PR+SD). [undefined]

3. Safety profile. [undefined]

4. Grade 3/4- toxicities. [undefined]

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