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Study Evaluating the Safety and Efficacy of FOLFIRI Plus Cetuximab (Erbitux) or FOLFOX Plus Cetuximab as First-Line Therapy in Subjects With KRAS Wild-Type Metastatic Colorectal Cancer (APEC-Study)
This study is not yet open for participant recruitment.
Verified by EMD Pharmaceuticals, October 2008
Sponsored by: Merck KGaA
Information provided by: EMD Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00778830
  Purpose

This is an open-label, non-randomized, multicenter phase II study evaluating FOLFIRI plus cetuximab or FOLFOX plus cetuximab as first-line therapy of patients with KRAS wild-type metastatic colorectal cancer.

Only subjects with KRAS wild-type tumors are eligible. Efficacy will be assessed every 8 weeks. Treatment will be continued until progressive disease or unacceptable adverse events occur. After the end of study treatment, information on further anticancer treatment and survival will be collected every 3 months.


Condition Intervention Phase
Metastatic Colorectal Cancer
Drug: Erbitux
Phase I
Phase II

MedlinePlus related topics: Cancer Colorectal Cancer
Drug Information available for: Leucovorin Calcium Citrovorum factor Folinic acid calcium salt pentahydrate Leucovorin Irinotecan Irinotecan hydrochloride Fluorouracil Oxaliplatin Cetuximab
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: An Asia Pacific Non-Randomized, Open-Label Phase II Study Evaluating the Safety and Efficacy of FOLFIRI Plus Cetuximab (Erbitux) or FOLFOX Plus Cetuximab as First-Line Therapy in Subjects With KRAS Wild-Type Metastatic Colorectal Cancer (APEC-Study)

Further study details as provided by EMD Pharmaceuticals:

Primary Outcome Measures:
  • Response Rate [ Time Frame: Every 8 weeks during study participation ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Progression Free Survival Overall Survival Safety [ Time Frame: Entire study participation ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 260
Study Start Date: December 2008
Estimated Study Completion Date: September 2012
Estimated Primary Completion Date: January 2011 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: Erbitux

    Erbitux 500mg/m2 biweekly on day 1 in combination with modified FOLFIRI regimen or modified FOLFOX regimen given biweekly:

    Option 1 (FOLFIRI) Irinotecan 180 mg/m² on day 1 Folinic acid 400 mg/m² (racemic) or 200 mg/m² (L-form) on day 1 5-Fluorouracil 400 mg/m² bolus on day 1 followed by a 46-hour continuous infusion of 2,400 mg/m²

    Option 2 (FOLFOX) Oxaliplatin 100 mg/m² on day 1 Folinic acid 400 mg/m² (racemic) or 200 mg/m² (L-form) on day 1 5-Fluorouracil 400 mg/m² bolus on day 1 followed by a 46-hour continuous infusion of 2,400 mg/m²

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Signed written informed consent

  • Inpatient or outpatient subjects, 18 years of age
  • Diagnosis of histologically confirmed adenocarcinoma of the colon or rectum
  • Metastatic disease (M1)
  • Life expectancy of at least 12 weeks
  • Presence of at least 1 measurable index lesion (not lie in an irradiated area) by CT scan or MRI
  • ECOG performance status of 0 or 1 at study entry
  • Effective contraception for both male and female subjects if the risk of conception exists
  • White blood cell count ≥ 3,000/mm3 with neutrophils ≥ 1,500/mm3, platelet count ≥ 100,000/mm3, hemoglobin ≥ 5.6 mmol/L (9 g/dL)
  • Total bilirubin ≤ 1.5 x upper reference range
  • AST ≤ 2.5x upper reference range, or ≤ 5x upper reference range in case of liver metastasis
  • Serum creatinine ≤ 1.5x upper reference range
  • Recovery from relevant toxicity to previous treatment before study entry
  • KRAS wild-type status of tumor tissue - Tissue should also be available for other biomarker determinations

Exclusion Criteria:

  • Previous chemotherapy for colorectal cancer except adjuvant treatment if terminated > 6 months before the start of treatment in this study
  • Radiotherapy, surgery (excluding prior diagnostic biopsy) or any investigational drug in the 30 days before the start of treatment in this study
  • Concurrent chronic systemic immune therapy, targeted therapy, anti-VEGF therapy, or EGFR-pathway targeting therapy not indicated in this study protocol
  • Concurrent hormone therapy not indicated in this study protocol except for physiologic replacement or contraception
  • Known hypersensitivity reaction to any of the components of study treatments
  • Pregnancy (absence to be confirmed by ß-hCG test) or lactation period
  • Brain metastasis and/or leptomeningeal disease (known or suspected)
  • Clinically relevant coronary artery disease, history of myocardial infarction in the last 12 months, or high risk of uncontrolled arrhythmia
  • Acute or sub-acute intestinal occlusion or history of inflammatory bowel disease
  • Peripheral neuropathy > grade 1
  • Previous malignancy other than colorectal cancer in the last 5 years except basal cell cancer of the skin or preinvasive cancer of the cervix
  • Known alcohol or drug abuse
  • Medical or psychological conditions that would not permit the patient to complete the study or sign informed consent
  • Participation in another clinical study within the past 30 days
  • Significant disease which, in the investigator's opinion, would exclude the patient from the study
  • Legal incapacity or limited legal capacity
  • KRAS mutated status of tumor tissue
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00778830

Contacts
Contact: Shih Lene Ooi, BBMedSc ++65 68906648 Shih.Lene.Ooi@Merck.sg

Sponsors and Collaborators
Merck KGaA
Investigators
Principal Investigator: Andrew Ann-Lii Cheng, MD, Phd National Taiwan University Hospital
  More Information

Responsible Party: Merck Pte. Ltd ( OOI Shih Lene )
Study ID Numbers: EMR 62 202-505
Study First Received: October 22, 2008
Last Updated: October 22, 2008
ClinicalTrials.gov Identifier: NCT00778830  
Health Authority: Australia: Department of Health and Ageing Therapeutic Goods Administration;   China: State Food and Drug Administration;   Hong Kong: Department of Health;   India: Drugs Controller General of India;   Indonesia: Indonesia Drugs and Foods Regulatory Authority;   Korea: Food and Drug Administration;   Malaysia: Ministry of Health;   Singapore: Health Sciences Authority;   Taiwan: Department of Health;   Thailand: Food and Drug Administration;   Pakistan: Ministry of Health;   Philippines: Bureau of Food and Drugs

Keywords provided by EMD Pharmaceuticals:
mCRC

Study placed in the following topic categories:
Digestive System Neoplasms
Gastrointestinal Diseases
Cetuximab
Colonic Diseases
Irinotecan
Leucovorin
Intestinal Diseases
Rectal Diseases
Intestinal Neoplasms
Oxaliplatin
Digestive System Diseases
Fluorouracil
Gastrointestinal Neoplasms
Colorectal Neoplasms

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 14, 2009