Comparison of Combination Chemotherapy Regimens in Treating Patients With Metastatic Colorectal Cancer

Unicancer logo

Unicancer

Status and phase

Completed
Phase 2

Conditions

Colorectal Cancer

Treatments

Drug: FOLFIRI regimen
Drug: leucovorin calcium
Drug: FOLFOX regimen
Drug: fluorouracil
Drug: irinotecan hydrochloride
Drug: oxaliplatin

Study type

Interventional

Funder types

Other

Identifiers

NCT00066274
FRE-FNCLCC-ACCORD-08/0103
EU-20233
Accord 08

Details and patient eligibility

About

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Giving the drugs in different combinations may kill more tumor cells. PURPOSE: This randomized phase II trial is studying combination chemotherapy containing irinotecan and oxaliplatin to see how well it works compared to two standard combination chemotherapy regimens in treating patients with unresectable metastatic colorectal cancer.

Full description

OBJECTIVES: Compare the efficacy, in terms of response rate (partial response and complete response), of irinotecan and oxaliplatin vs irinotecan, fluorouracil, and leucovorin calcium vs oxaliplatin, fluorouracil, and leucovorin calcium in patients with metastatic colorectal cancer. Compare the progression-free survival of patients treated with these regimens. Compare the tolerability of these regimens in these patients. Compare the quality of life of patients treated with these regimens. OUTLINE: This is a randomized, multicenter study. Patients are randomized to 1 of 3 treatment arms. Arm I: Patients receive irinotecan IV over 90 minutes and oxaliplatin IV over 2 hours on day 1. Arm II: Patients receive irinotecan IV over 90 minutes and leucovorin calcium IV over 2 hours on day 1 and fluorouracil IV over 46 hours on days 1-2. Arm III: Patients receive oxaliplatin IV over 2 hours and leucovorin calcium IV over 2 hours on day 1 and fluorouracil IV over 46 hours on days 1-2. In all arms, treatment repeats every 2 weeks for 26 courses in the absence of disease progression or unacceptable toxicity. Quality of life is assessed at baseline and then every 3 months for 1 year. Patients are followed at 2 months. PROJECTED ACCRUAL: A total of 80 patients will be accrued for this study within 1 year.

Sex

All

Ages

18 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

DISEASE CHARACTERISTICS:

Histologically confirmed colorectal carcinoma

  • Metastatic disease
  • Not amenable to surgery
  • Unidimensionally measurable disease
  • No bone metastases
  • No brain metastases

PATIENT CHARACTERISTICS:

Age

18 to 75

Performance status

WHO 0-2

Life expectancy

At least 12 weeks

Hematopoietic

  • Neutrophil count at least 2,000/mm^3
  • Platelet count at least 100,000/mm^3
  • Hemoglobin at least 10 g/dL

Hepatic

  • Bilirubin no greater than 1.25 times upper limit of normal (ULN) (1.5 times ULN if hepatic metastases are present)
  • SGPT and SGOT no greater than 3 times ULN (5 times ULN if hepatic metastases are present)

Renal

Creatinine no greater than 1.25 times ULN

Cardiac

No concurrent cardiac abnormalities that would preclude study therapy

Pulmonary

No concurrent pulmonary abnormalities that would preclude study therapy

Other

  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • No chronic enteropathy
  • No other prior cancer within the past 5 years except carcinoma in situ of the cervix or curatively treated basal cell skin cancer
  • No concurrent severe uncontrolled infection
  • No obstruction or partial obstruction that would interfere with study therapy
  • No psychological, social, familial, or geographical situation that would preclude study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy

No concurrent anticancer biological response modifiers

Chemotherapy

  • No prior chemotherapy (except adjuvant chemotherapy completed more than 6 months ago)
  • No prior irinotecan
  • No prior oxaliplatin
  • No other concurrent chemotherapy

Endocrine therapy

No concurrent anticancer hormonal therapy

Radiotherapy

  • At least 4 weeks since prior pelvic radiotherapy
  • No prior abdominopelvic radiotherapy

Surgery

  • At least 4 weeks since prior surgery
  • No prior extensive intestinal resection (i.e., more than 1 prior hemicolectomy or extensive resection of the small intestines)

Other

  • No other concurrent experimental medication
  • No other concurrent anticancer therapy

Trial contacts and locations

17

Loading...

Data sourced from clinicaltrials.gov

Clinical trials

Find clinical trialsTrials by location
© Copyright 2024 Veeva Systems