Status:
UNKNOWN
A Study of 2nd-line FOLFIRI ± Bevacizumab vs. Irinotecan ± Bevacizumab in mCRC
Lead Sponsor:
Sun Yat-sen University
Conditions:
Colorectal Neoplasms
Neoplasm Metastasis
Eligibility:
All Genders
18+ years
Phase:
PHASE3
Brief Summary
The primary purpose of this study is to determine the non-inferiority of overall survival FOLFIRI with or without Bevacizumab compared with Irinotecan (CPT-11) with or without Bevacizumab as Second-li...
Detailed Description
Primary endpoint: Overall survival (OS), Secondary endpoints: Progression-free survival (PFS), Time to treatment failure (TTF), Overall response rate (ORR),Disease Control Rate (DCR), Safety.
Eligibility Criteria
Inclusion
- Histologically-confirmed inoperable colorectal adenocarcinoma excluding vermiform appendix cancer and anal canal cancer.
- Age ≥18 years at the time of informed consent
- ECOG performance status (PS) of 0-2
- Written informed consent prior to study-specific screening procedures
- Life expectancy of at least 90 days
- Withdrawal from first-line chemotherapy (regardless of containing molecular-targeted drugs) for metastatic colorectal cancer due to intolerable toxicity or progressive disease, or relapse within 180 days after the last dose of adjuvant chemotherapy.
- Adequate organ function according to following laboratory values obtained within 14 days before enrolment (excluding patients who received blood transfusions or hematopoietic growth factors within 14 days before the laboratory test) Neutrophil count: ≥1500/mm3 Platelet count: ≥10.0 x 104/mm3 Hemoglobin: ≥9.0 g/dL Total bilirubin: ≤1.5 mg/dL AST, ALT: ≤100 IU/L (≤200 IU/I if liver metastases present) Serum creatinine: ≤1.5 mg/dL
Exclusion
- History of other malignancy with a disease-free interval \<5 years (other than curatively treated cutaneous basal cell carcinoma, curatively treated carcinoma in situ of the cervix, and gastroenterological cancer confirmed to be cured by endoscopic mucosal resection)
- With massive pleural effusion or ascites requiring intervention
- Radiological evidence of brain tumor or brain metastases
- Active infection including hepatitis
- Any of the following complication:
- i) Gastrointestinal bleeding or gastrointestinal obstruction (including paralytic ileus) ii) Symptomatic heart disease (including unstable angina, myocardial infarction, and heart failure) iii) Interstitial pneumonia or pulmonary fibrosis iv) Uncontrolled diabetes mellitus v) Uncontrolled diarrhea (that interferes with daily activities despite adequate therapy)
- Any of the following medical history:
- Myocardial infarction: History of one episode within one year before enrollment or two or more lifetime episodes i) Serious hypersensitivity to any of the study drugs ii) History of adverse reaction to fluoropyrimidines suggesting dihydropyrimidine dehydrogenase (DPD) deficiency
- Previous treatment with irinotecan hydrochloride
- Current treatment with atazanavir sulfate
- Previous treatment with tegafur, gimeracil, and oteracil potassium within seven days before enrollment
- Pregnant or lactating females, and males and females unwilling to use contraception
- Requires continuous treatment with systemic steroids
- Psychiatric disability that would preclude study compliance
- Otherwise determined by the investigator to be unsuitable for participation in the study
- Concurrent gastrointestinal perforation or history of gastrointestinal perforation with 1 year before enrollment
- History of pulmonary hemorrhage/hemoptysis ≥ Grade 2 (defined as bright red blood of at least 2.5mL) within 1 month prior to enrollment.
- History of laparotomy, thoracotomy, or intestinal resection within 28 days before enrollment
- Unhealed wound (except suture wounds from implantation of a central venous port), gastrointestinal ulcer, or traumatic fracture
- Current or recent (within 1 year) thromboembolism or cerebrovascular disease
- Currently receiving or requires anticoagulation therapy (\> 325 mg/day of aspirin)
- Bleeding diathesis, coagulopathy, or coagulation factor abnormality (INR ≥1.5 within 14 days before enrollment)
- Uncontrolled hypertension
- Urine dipstick for proteinuria \>+2
Key Trial Info
Start Date :
November 14 2011
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 31 2018
Estimated Enrollment :
280 Patients enrolled
Trial Details
Trial ID
NCT03303495
Start Date
November 14 2011
End Date
December 31 2018
Last Update
October 6 2017
Active Locations (1)
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1
Cancer center of Sun Yat-sen University
Guangzhou, Guangdong, China, 510060