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Alternate Title Phase III Randomized Study of Oxaliplatin, Leucovorin Calcium, and Fluorouracil With Versus Without Bevacizumab in Patients With Resected Stage II Colon Cancer and at High Risk for Recurrence Based on Molecular Markers
Special Category: CTSU trial, NCI - CMS pilot project trial, NCI Web site featured trial Trial Description Drugs used in chemotherapy, such as oxaliplatin, leucovorin, and fluorouracil, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. 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. Giving combination chemotherapy together with bevacizumab after surgery may kill any remaining tumor cells or prevent the cancer from coming back. Sometimes, after surgery, the tumor may not need additional treatment until it progresses. In this case, observation may be sufficient. It is not yet known whether giving combination chemotherapy together with bevacizumab is more effective than combination chemotherapy alone or observation only in treating colon cancer. This randomized phase III trial is studying oxaliplatin, leucovorin, fluorouracil, and bevacizumab to see how well they work compared to oxaliplatin, leucovorin, and fluorouracil or observation only in treating patients who have undergone surgery for stage II colon cancer. Eligibility criteria include the following:
Final eligibility for a clinical trial is determined by the health professionals conducting the trial. Some patients will be randomly assigned (have an equal chance of being placed) to one of two treatment groups. Other patients will be assigned to group three. Patients in group one will receive a 2-hour infusion of oxaliplatin and a 2-hour infusion of leucovorin once in week 1. They will also receive a 2-day continuous infusion of fluorouracil in week 1. Treatment may repeat every 2 weeks for up to 12 courses. Patients in group two will receive a 2-hour infusion of oxaliplatin and a 2-hour infusion of leucovorin once in week 1. They will also receive a 2-day continuous infusion of fluorouracil and a 30- to 90-minute infusion of bevacizumab once in week 1. Treatment may repeat every 2 weeks for up to 12 courses. Patients will then receive bevacizumab alone for up to 12 additional courses. Patients in group three will undergo observation only. Patients will be evaluated every 3 months for 1-2 years, every 6 months for 3 years, and once a year for up to 10 years from study entry. Important: For more details about this trial, refer to the Health Professional version of the trial summary. If you are interested in participating in a clinical trial, contact your doctor for a referral or call a trial contact person listed below. You may see the same contact person listed at more than one site, however, if you call the number listed you can ask to speak to the study coordinator or person involved with the specific trial you are interested in. If you have questions about cancer or clinical trials, call the Cancer Information Service at 1-800-4-CANCER (1-800-422-6237). General information about clinical trials, including risks, benefits, and costs, can be found on NCI's Web site. Trial Lead Organizations Eastern Cooperative Oncology Group
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