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Sponsored by: |
European Organization for Research and Treatment of Cancer |
Information provided by: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT00064181 |
RATIONALE: Drugs used in chemotherapy such as irinotecan, capecitabine, leucovorin, and fluorouracil use different ways to stop tumor cells from dividing so they stop growing or die. Celecoxib may stop the growth of colorectal cancer by stopping blood flow to the tumor. It is not yet known which combination chemotherapy regimen with or without celecoxib is more effective in treating metastatic colorectal cancer.
PURPOSE: This randomized phase III trial is studying two combination chemotherapy regimens and celecoxib to see how well they work compared to two combination chemotherapy regimens alone in treating patients with metastatic colorectal cancer.
Condition | Intervention | Phase |
Colorectal Cancer |
Drug: capecitabine Drug: celecoxib Drug: fluorouracil Drug: irinotecan hydrochloride Drug: leucovorin calcium |
Phase III |
MedlinePlus related topics: | Cancer Colorectal Cancer |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Double-Blind, Active Control |
Official Title: | Irinotecan Combined With Infusional 5-FU/Folinic Acid or Capecitabine and the Role of Celecoxib in Patients With Metastatic Colorectal Cancer |
Study Start Date: | May 2003 |
OBJECTIVES:
OUTLINE: This is a randomized, double-blind*, multicenter study. Patients are stratified according to participating center, prior adjuvant therapy (yes vs no), and risk group (poor vs intermediate vs good). Patients are randomized to 1 of 4 treatment arms.
In all arms, treatment repeats every 6 weeks for up to 6 courses in the absence of disease progression or unacceptable toxicity. If all chemotherapy is discontinued due to toxicity, patients may continue celecoxib or placebo until disease progression, unacceptable toxicity, or starting a new cytotoxic regimen.
NOTE: *The double-blind treatment only applies to the celecoxib and placebo randomization
Patients are followed every 2 months.
PROJECTED ACCRUAL: A total of 692 patients (173 per treatment arm) will be accrued for this study within 3.5 years.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Measurable disease
PATIENT CHARACTERISTICS:
Age
Performance status
Life expectancy
Hematopoietic
Hepatic
Renal
Cardiovascular
Other
PRIOR CONCURRENT THERAPY:
Biologic therapy
Chemotherapy
Endocrine therapy
Radiotherapy
Surgery
Other
No concurrent chronic use of full-dose aspirin (325 mg/day or greater)
Belgium | |||||
Academisch Ziekenhuis der Vrije Universiteit Brussel | |||||
Brussels, Belgium, 1090 | |||||
Cazk Groeninghe - Campus St-Niklaas | |||||
Kortrijk, Belgium, B-8500 | |||||
Institut Jules Bordet | |||||
Brussels, Belgium, 1000 | |||||
St. Elizabeth Ziekenhuis | |||||
Turnhout, Belgium, 2300 | |||||
Universitair Ziekenhuis Antwerpen | |||||
Edegem, Belgium, B-2650 | |||||
Ziekenhuis Network Antwerpen Middelheim | |||||
Antwerp, Belgium, 2020 | |||||
Egypt | |||||
National Cancer Institute - Cairo | |||||
Cairo, Egypt | |||||
Germany | |||||
Klinikum der Albert - Ludwigs - Universitaet Freiburg | |||||
Freiburg, Germany, D-79106 | |||||
Allgemeines Krankenhaus Hagen | |||||
Hagen, Germany, D-58095 | |||||
Charite - Campus Charite Mitte | |||||
Berlin, Germany, D-10117 | |||||
Eberhard Karls Universitaet | |||||
Tuebingen, Germany, D-72076 | |||||
General Hospital | |||||
Celle, Germany, 29223 | |||||
Kliniken Essen - Mitte | |||||
Essen, Germany, D-45136 | |||||
Allgemeines Krankenhaus Altona | |||||
Hamburg, Germany, 22763 | |||||
Klinikum der J.W. Goethe Universitaet | |||||
Frankfurt, Germany, D-60590 | |||||
Klinikum Rechts Der Isar - Technische Universitaet Muenchen | |||||
Munich, Germany, D-81675 | |||||
Kreiskrankenhaus Meissen | |||||
Meissen, Germany, D-01662 | |||||
Onkologische Schwerpunktpraxis Leer | |||||
Leer, Germany, D-26789 | |||||
Universitaetsklinkum Magdeburg der Otto-von-Guericke-Universitaet Magdeburg | |||||
Magdeburg, Germany, D-39120 | |||||
Universitaets-Hautklinik Wuerzburg | |||||
Wuerzburg, Germany, D-97080 | |||||
St. Marien Hospital | |||||
Hamm, Germany, 59065 | |||||
Universitaets-Krankenhaus Eppendorf | |||||
Hamburg, Germany, D-20246 | |||||
Universitatsklinikum Carl Gustav Carl Carus | |||||
Dresden, Germany, D-01307 | |||||
Vinzentiuskrankenhaus | |||||
Landau, Germany, D-76829 | |||||
Westpfalz-Klinikum GmbH | |||||
Kaiserslautern, Germany, D-67653 | |||||
Hungary | |||||
National Institute of Oncology | |||||
Budapest, Hungary, 1122 | |||||
Israel | |||||
Rambam Medical Center | |||||
Haifa, Israel, 31096 | |||||
Wolfson Medical Center | |||||
Holon, Israel, 58100 |
European Organization for Research and Treatment of Cancer |
Investigator: | Claus-Henning Koehne, MD | Klinikum Oldenburg |
Clinical trial summary from the National Cancer Institute's PDQ® database 
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Köhne CH, De Greve J, Hartmann JT, Lang I, Vergauwe P, Becker K, Braumann D, Joosens E, Müller L, Janssens J, Bokemeyer C, Reimer P, Link H, Späth-Schwalbe E, Wilke HJ, Bleiberg H, Van Den Brande J, Debois M, Bethe U, Van Cutsem E. Irinotecan combined with infusional 5-fluorouracil/folinic acid or capecitabine plus celecoxib or placebo in the first-line treatment of patients with metastatic colorectal cancer. EORTC study 40015. Ann Oncol. 2007 Dec 6; [Epub ahead of print]
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De Grève J, Koehne C, Hartmann J, et al.: Capecitabine plus irinotecan versus 5-FU/FA/irinotecan ± celecoxib in first line treatment of metastatic colorectal cancer (CRC). Long-term results of the prospective multicenter EORTC phase III study 40015. [Abstract] J Clin Oncol 24 (Suppl 18): A-3577, 2006.
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Kohne C, De Greve J, Bokemeyer C, et al.: Capecitabine plus irinotecan versus 5-FU/FA/irinotecan +/- celecoxib in first line treatment of metastatic colorectal cancer. Safety results of the prospective multicenter EORTC phase III study 40015. [Abstract] J Clin Oncol 23 (Suppl 16): A-3525, 252s, 2005.
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Study ID Numbers: | CDR0000309572, EORTC-40015 |
First Received: | July 8, 2003 |
Last Updated: | July 23, 2008 |
ClinicalTrials.gov Identifier: | NCT00064181 |
Health Authority: | United States: Federal Government |
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