Status:

TERMINATED

Irinotecan/Cetuximab Followed by XELOX/Cetuximab vs the Reverse Sequence in Metastatic CRC

Lead Sponsor:

Hellenic Oncology Research Group

Collaborating Sponsors:

University Hospital of Crete

Conditions:

Colorectal Cancer

Eligibility:

All Genders

18-72 years

Phase:

PHASE2

Brief Summary

This phase II study will evaluate which is the best way to administer cetuximab after recurrence in 1st line irinotecan+bevacizumab based treatment and to obtain results of the efficacy of the oxalipl...

Detailed Description

Because of the recent advances in the field of systemic chemotherapy for mCRC, like irinotecan, oxaliplatin, capecitabine, and targeted agents (Cetuximab, Bevacizumab) mCRC patients have an overall su...

Eligibility Criteria

Inclusion

  • Histologically confirmed locally advanced or metastatic colorectal cancer
  • Measurable or evaluable disease according to the Response Evaluation Criteria in Solid Tumors (RECIST)
  • ECOG performance status ≤ 2
  • Age 18 - 72 years
  • Patients who have had a CR, PR or SD after 1st line therapy based on Irinotecan+Bevacizumab
  • Paraffin block from the primary tumor in order to perform tha mutational analysis of the KRAS gene
  • Adequate liver (Bilirubin ≤ 1.5 upper normal limit, SGOT/SGPT ≤ 4 upper normal limit, ALP ≤ 2.5 upper normal limit),renal (Creatinine ≤ 1.5 upper normal limit) and bone marrow (ANC ≥ 1,500/mm3, PLT ≥100,000/mm3) function
  • Patients must be able to understand the nature of this study
  • Written informed consent

Exclusion

  • Presence of central nervous system or brain metastases
  • Pregnant or lactating woman
  • Life expectancy \< 3 months
  • Previous radiotherapy within the last 4 weeks or \> 25% of bone marrow or in the field where the treatment target is located
  • Peripheral neuropathy grade ≥2
  • Known hypersensitivity to Erbitux
  • Metastatic infiltration of the liver \>50%
  • Patients with chronic diarrhea (at least for 3 months) or partial bowel obstruction or total colectomy
  • Active infection
  • Second primary malignancy, except for non-melanoma skin cancer and in situ cervical cancer
  • Psychiatric illness or social situation that would preclude study compliance

Key Trial Info

Start Date :

November 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2008

Estimated Enrollment :

68 Patients enrolled

Trial Details

Trial ID

NCT00755534

Start Date

November 1 2008

End Date

November 1 2008

Last Update

February 13 2013

Active Locations (10)

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Page 1 of 3 (10 locations)

1

University Hospital of Heraklion, Dep of Medical Oncology

Heraklion, Crete, Greece

2

University General Hospital of Alexandroupolis, Dep of Medical Oncology

Alexandroupoli, Greece

3

"Laikon" General Hospital, Medical Oncology Unit, Propedeutic Dep of Internal Medicine

Athens, Greece

4

401 Military Hospital of Athens

Athens, Greece