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Erlotinib and Chemotherapy for 2nd Line Treatment (Tx) of Metastatic Colorectal Cancer (mCRC)
This study is currently recruiting participants.
Verified by Oregon Health and Science University, March 2008
First Received: March 24, 2008   No Changes Posted
Sponsors and Collaborators: Oregon Health and Science University
Genentech
OSI Pharmaceuticals
Information provided by: Oregon Health and Science University
ClinicalTrials.gov Identifier: NCT00642746
  Purpose

The purpose of this study is to see if alternating chemotherapy with erlotinib increases tumor shrinkage in people with metastatic colorectal cancer.

The investigator will also be studying the side effects (good and bad) of alternating chemotherapy with erlotinib on metastatic colorectal cancer.


Condition Intervention Phase
Metastatic Colorectal Cancer
Drug: Erlotinib
Phase II

MedlinePlus related topics: Cancer Colorectal Cancer
Drug Information available for: Erlotinib hydrochloride Erlotinib
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Active Control, Parallel Assignment
Official Title: Phase II Study of Erlotinib (Tarceva) Alternating With Chemotherapy for Second-Line Treatment of Metastatic Colorectal Cancer With Molecular Correlates for p53 Pathway

Further study details as provided by Oregon Health and Science University:

Primary Outcome Measures:
  • Demonstrate safety and efficacy of sequencing chemotherapy with erlotinib in the second-line treatment for metastatic colorectal cancer. [ Time Frame: The primary endpoint is tumor response. This will be analyzed using the RECIST criteria. ] [ Designated as safety issue: No ]

Estimated Enrollment: 70
Study Start Date: March 2008
Estimated Primary Completion Date: March 2010 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: Erlotinib

    Erlotinib oral tablets are conventional, immediate-release tablets containing erlotinib as the hydrochloride salt. In addition to the active ingredient, erlotinib contains lactose (hydrous), microcrystalline cellulose, sodium starch glycolate, sodium lauryl sulfate, and magnesium stearate.

    Tablets containing 25 mg, 100 mg, and 150 mg of erlotinib are available. Each bottle will contain 30 tablets, a quantity sufficient for 4 consecutive weeks of dosing, with overage.

  Eligibility

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

Inclusion Criteria:

Patients must fulfill all of the following criteria to be eligible for study entry:

  • Age 18-80
  • Able to provide informed consent
  • Biopsy proven unresectable metastatic adenocarcinoma of the colon or rectum
  • Documented progression on prior first-line oxaliplatin-based or irinotecan-based regimen for metastatic colorectal cancer
  • Radiographically measurable disease with at least one bidimensionally measurable lesion of > 1 cm
  • Prior first-line regimen must have been completed at least 4 weeks prior to study treatment
  • Use of biologic agents with first-line chemotherapy permitted
  • Previous adjuvant regimens must have been greater than 6 months before inclusion
  • Adequate organ function including bone marrow, liver and renal function as defined by the following values: absolute neutrophil count > 1500/uL; Hgb > 9 g/dL; platelets > 90,000/uL; INR < 1.8 (unless in therapeutic range if taking warfarin or other warfarin-derivative anticoagulants and are being monitored regularly for changes in prothrombin time or INR); bilirubin < 2X ULN; alkaline phosphatase < 3X ULN; AST/ALT < 5X ULN; serum creatinine < 1.5 X ULN
  • ECOG status < 2

Exclusion Criteria:

Patients meeting any of the following criteria are ineligible for study entry:

  • Prior second-line chemotherapy regimens for colorectal cancer
  • Prior treatment with erlotinib or gefitinib
  • CNS metastasis
  • Second malignancies less than 5 years prior to enrollment. Completely resected basal or squamous cell carcinoma of the skin is allowed.
  • Untreated/unresolved bowel obstruction
  • Inability to take oral mediations
  • HIV positive
  • Pregnancy
  • Other uncontrolled medical illnesses
  • Current diarrhea > grade 2
  • Symptomatic angina or uncontrolled congestive heart failure
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00642746

Contacts
Contact: Paula Fry, RN 5034945601 fryp@ohsu.edu

Locations
United States, Oregon
Oregon Health & Science University Recruiting
Portland, Oregon, United States, 97239
Contact: Paula Fry, RN     503-494-5601        
Sponsors and Collaborators
Oregon Health and Science University
Genentech
OSI Pharmaceuticals
  More Information

No publications provided

Responsible Party: Oregon Health & Science University ( Charles Lopez MD )
Study ID Numbers: 3753
Study First Received: March 24, 2008
Last Updated: March 24, 2008
ClinicalTrials.gov Identifier: NCT00642746     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Oregon Health and Science University:
Colon
Cancer
Metastatic
Colorectal

Study placed in the following topic categories:
Erlotinib
Digestive System Diseases
Digestive System Neoplasms
Gastrointestinal Diseases
Colonic Diseases
Gastrointestinal Neoplasms
Intestinal Diseases
Protein Kinase Inhibitors
Rectal Diseases
Intestinal Neoplasms
Colorectal Neoplasms

Additional relevant MeSH terms:
Erlotinib
Digestive System Neoplasms
Molecular Mechanisms of Pharmacological Action
Gastrointestinal Diseases
Colonic Diseases
Enzyme Inhibitors
Intestinal Diseases
Rectal Diseases
Protein Kinase Inhibitors
Pharmacologic Actions
Intestinal Neoplasms
Neoplasms
Neoplasms by Site
Digestive System Diseases
Gastrointestinal Neoplasms
Colorectal Neoplasms

ClinicalTrials.gov processed this record on May 07, 2009