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Combination Chemotherapy and Bevacizumab With or Without Erlotinib in Treating Patients With Metastatic Colorectal Cancer That Cannot Be Removed By Surgery

This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), May 2007

Sponsored by: Groupe Cooperateur Multidisciplinaire en Oncologie (GERCOR)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00265824
  Purpose

RATIONALE: Drugs used in chemotherapy work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Bevacizumab may also stop the growth of tumor cells by blocking blood flow to the tumor. Erlotinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. It is not yet known whether giving combination chemotherapy together with bevacizumab and erlotinib is more effective than giving combination chemotherapy together with bevacizumab in treating colorectal cancer.

PURPOSE: This randomized phase III trial is studying combination chemotherapy, bevacizumab, and erlotinib to see how well they work compared to combination chemotherapy and bevacizumab in treating patients with metastatic colorectal cancer that cannot be removed by surgery.


Condition Intervention Phase
Colorectal Cancer
Drug: bevacizumab
Drug: capecitabine
Drug: erlotinib hydrochloride
Drug: fluorouracil
Drug: leucovorin calcium
Drug: oxaliplatin
Phase III

MedlinePlus related topics:   Cancer    Colorectal Cancer   

ChemIDplus related topics:   Leucovorin Calcium    Citrovorum factor    Folinic acid calcium salt pentahydrate    Leucovorin    Capecitabine    Erlotinib    Erlotinib hydrochloride    Bevacizumab    Fluorouracil    Oxaliplatin    Calcium gluconate   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized
Official Title:   Phase III Study of an Optimized Chemotherapy + Avastin Strategy ± Tarceva in Metastatic Colorectal Cancer

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Progression-free survival [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Duration of disease control [ Designated as safety issue: No ]
  • Overall survival [ Designated as safety issue: No ]
  • Response rates [ Designated as safety issue: No ]
  • Chemotherapy-free interval [ Designated as safety issue: No ]
  • Salvage surgery rates [ Designated as safety issue: No ]
  • Tolerability as measured by NCI CTCAE v3.0 [ Designated as safety issue: Yes ]
  • Quality of life as measured by Functional Assessment of Cancer Therapy Neurotoxicity Module v4.0 and European Quality of Life questionnaire (EQ-5D) scale at baseline, courses 4 and 6, and every 2 months thereafter [ Designated as safety issue: Yes ]
  • Pharmacogenetics and pharmacoeconomics [ Designated as safety issue: No ]

Estimated Enrollment:   640
Study Start Date:   May 2005

Show detailed description  Show Detailed Description

  Eligibility
Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

DISEASE CHARACTERISTICS:

  • Histologically proven metastatic adenocarcinoma of colon or rectum

    • Documented inoperable disease (i.e., not suitable for complete carcinological surgical resection)
  • Measurable lesion as assessed by CT scan or MRI in at least one dimension (longest diameter to be recorded) ≥ 20 mm with conventional CT scan or ≥ 10 mm with spiral CT scan
  • No history or evidence upon physical examination of CNS disease (e.g., non-irradiated CNS metastasis, seizure not controlled with standard medical therapy, or history of stroke) unless adequately treated
  • No exclusive bone metastasis
  • No symptomatic ascites or pleural effusion not evacuated prior to entry into the study

PATIENT CHARACTERISTICS:

  • ECOG performance status 0-2
  • WBC ≥ 1,500/mm^3
  • Platelets ≥ 100,000/mm^3
  • Hemoglobin > 9 g/dL (may be transfused to maintain or exceed this level)
  • INR ≤ 1.5
  • PPT < 1.5 times upper limit of normal (ULN)
  • Creatinine < 1.5 mg/dL
  • Creatinine clearance > 30 mL/min
  • Proteinuria < 2+ by dipstick OR ≤ 1 g of protein on 24-hr urine collection
  • Bilirubin < 1.5 times ULN
  • Alkaline phosphatase < 3 times ULN
  • No peripheral sensory neuropathy
  • Negative pregnancy test
  • Fertile patients must use effective means of contraception (oral contraceptives, intrauterine contraceptive device, barrier method of contraception in conjunction with spermicidal jelly, or surgically sterilization)
  • No significant traumatic injury within the past 28 days
  • Fully healed wounds
  • No total or partial bowel obstruction
  • No uncontrolled hypercalcemia
  • No other concomitant or previous malignancy, except adequately treated in situ carcinoma of the uterine cervix or basal or squamous cell carcinoma of the skin or cancer in complete remission for < 5 years
  • No peripheral neuropathy ≥ grade 1
  • No other serious nonmalignant disease
  • No pre-existing lung disease (in particular chronic obstructive lung disease, pleural effusion, lymphangitis carcinomatosis, or interstitial syndrome)
  • No clinically significant (i.e. active) cardiovascular disease including any the following:

    • Cerebrovascular accidents in the past 6 months
    • Myocardial infarction in the past year
    • Unstable angina
    • New York Heart Association grade II or greater congestive heart failure
    • Serious cardiac arrhythmia requiring medication
    • Uncontrolled hypertension
  • No evidence of other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates use of an investigational drug
  • Not at high risk of treatment complications
  • No evidence of bleeding diathesis or coagulopathy
  • No serious, non-healing wound, ulcer, or bone fracture
  • No known allergy to any excipients of study drugs
  • No significant ophthalmologic abnormality, especially severe dry eye syndrome, keratoconjunctivitis sicca, Sjögren's syndrome, severe exposure keratitis or any other disorder likely to increase the risk of corneal epithelial lesions (the use of contact lenses is not recommended during the study)

PRIOR CONCURRENT THERAPY:

  • No previous chemotherapy and/or immunotherapy for metastatic disease

    • More than 6 months since prior adjuvant chemotherapy (2 years if oxaliplatin or irinotecan was received as adjuvant therapy)
  • No prior palliative chemotherapy and/or immunotherapy for metastatic disease
  • More than 28 days since prior major surgical procedure or open biopsy
  • More than 10 days since prior use of full-dose oral or parenteral anticoagulants for therapeutic purposes
  • No concurrent full-dose oral or parenteral anticoagulants for therapeutic purposes
  • No concurrent chronic, daily treatment with aspirin (> 325 mg/day)
  • No other concurrent antitumor treatment
  • No participation in another clinical trial with any investigational drug within 30 days prior to randomization or during study participation
  • No other concurrent agents known to have anticancer activity
  • No concurrent radiotherapy
  • No concurrent treatments that could cause an interstitial pulmonary syndrome (e.g., thoracic radiotherapy, beta blockers, nonsteroidal anti-inflammatory drugs, or bleomycin)
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00265824

Locations
France
C.H. Senlis     Recruiting
      Senlis, France, 60309
      Contact: Elisabeth Carola, MD     33-3-4421-7026        
Clinique Saint Jean     Recruiting
      Lyon, France, 69008
      Contact: Gerard Lledo     33-4-7878-1051        
Clinique Victor Hugo     Recruiting
      Le Mans, France, F-72000
      Contact: Gerard Ganem, MD     33-2-4339-1300        
Hopital Drevon     Recruiting
      Dijon, France, 21000
      Contact: Michel Flesch, MD     33-3-8036-4822        
Hopital Europeen Georges Pompidou     Recruiting
      Paris, France, 75015
      Contact: Bruno Landi, MD     33-1-5609-3555     bruno.landi@egp.aphp.fr    
Hopital Foch     Recruiting
      Suresnes, France, 92151
      Contact: May Mabro, MD     33-1-4625-2168     m.mabro@hopital-foch.org    
Polyclinique De Courlancy     Recruiting
      Reims, France, F-51100
      Contact: Philippe Colin, MD     33-3-2684-0284     colin.courlancy@wanadoo.fr    
Hopital Saint Antoine     Recruiting
      Paris, France, 75571
      Contact: Christophe Tournigand     33-1-4928-2329     christophe.tournigand@sat.ap-hop-paris.fr    
Hopital Tenon     Recruiting
      Paris, France, 75970
      Contact: Thierry Andre, MD     33-1-6177-0708     thierry.andre@tnn.ap-hop-paris.fr    
Institut Claudius Regaud     Recruiting
      Toulouse, France, 31052
      Contact: Jean-Pierre Delord, MD, PhD     33-5-6142-4114     delord.jean-pierre@claudiusregaud.fr    
Institut Sainte Catherine     Recruiting
      Avignon, France, 84000
      Contact: Laurent Mineur, MD     33-4-9027-6397        
Intercommunal Hospital     Recruiting
      Montfermeil, France, 93370
      Contact: Mostefa Bennamoun, MD     33-1-4850-1808        
Hopital Robert Boulin     Recruiting
      Libourne, France, 33500
      Contact: Dominique Auby     33-5-5755-3552     dominique.auby@cheibourne.aquisante.fr    

Sponsors and Collaborators
Groupe Cooperateur Multidisciplinaire en Oncologie (GERCOR)

Investigators
Investigator:     Aimery de Gramont, MD     Hopital Saint Antoine    
Study Chair:     Christophe Tournigand     Hopital Saint Antoine    
  More Information


Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site
 

Study ID Numbers:   CDR0000453861, GERCOR-C04-2, EU-20565, GERCOR-OPTIMOX3-TARCEVA, ROCHE-GERCOR-C04-2, GERCOR-DREAM- C04-2
First Received:   December 14, 2005
Last Updated:   July 23, 2008
ClinicalTrials.gov Identifier:   NCT00265824
Health Authority:   Unspecified

Keywords provided by National Cancer Institute (NCI):
stage IV colon cancer  
stage IV rectal cancer  
recurrent colon cancer  
recurrent rectal cancer
adenocarcinoma of the colon
adenocarcinoma of the rectum

Study placed in the following topic categories:
Erlotinib
Capecitabine
Digestive System Neoplasms
Gastrointestinal Diseases
Colonic Diseases
Leucovorin
Bevacizumab
Intestinal Diseases
Rectal Diseases
Recurrence
Intestinal Neoplasms
Oxaliplatin
Digestive System Diseases
Fluorouracil
Gastrointestinal Neoplasms
Adenocarcinoma
Rectal cancer
Colorectal Neoplasms

Additional relevant MeSH terms:
Antimetabolites
Antimetabolites, Antineoplastic
Vitamin B Complex
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Growth Substances
Physiological Effects of Drugs
Enzyme Inhibitors
Protein Kinase Inhibitors
Angiogenesis Inhibitors
Immunosuppressive Agents
Pharmacologic Actions
Neoplasms
Neoplasms by Site
Therapeutic Uses
Vitamins
Growth Inhibitors
Angiogenesis Modulating Agents
Micronutrients

ClinicalTrials.gov processed this record on October 10, 2008




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