Comparison of Combination Chemotherapy Regimens in Treating Patients With Metastatic Colorectal Cancer
This trial is active, not recruiting.
|Treatments||folfiri regimen, folfox regimen, fluorouracil, irinotecan hydrochloride, leucovorin calcium, oxaliplatin|
|Start date||May 2002|
|Trial identifier||NCT00066274, CDR0000315384, EU-20233, FRE-FNCLCC-ACCORD-08/0103|
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Giving the drugs in different combinations may kill more tumor cells.
PURPOSE: This randomized phase II trial is studying combination chemotherapy containing irinotecan and oxaliplatin to see how well it works compared to two standard combination chemotherapy regimens in treating patients with unresectable metastatic colorectal cancer.
|United States||No locations recruiting|
|Other Countries||No locations recruiting|
|Amilly, France||Centre Hospitalier de L' Agglomeration Montargoise||no longer recruiting|
|Angers, France||Pole Sante Sarthe et Loir Hopital Pierre Daguet||no longer recruiting|
|Bordeaux, France||Institut Bergonie||no longer recruiting|
|Caen, France||Centre Regional Francois Baclesse||no longer recruiting|
|Hyeres, France||Clinique Sainte-Marguerite||no longer recruiting|
|La Roche Sur Yon, France||Centre Hospitalier Departemental||no longer recruiting|
|Lille, France||Centre Oscar Lambret||no longer recruiting|
|Montpellier, France||Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle||no longer recruiting|
|Nice, France||Centre Antoine Lacassagne||no longer recruiting|
|Orleans, France||CHR D'Orleans - Hopital de la Source||no longer recruiting|
|Perigueux, France||Polyclinique Francheville||no longer recruiting|
|Rennes, France||Centre Eugene Marquis||no longer recruiting|
|Roanne, France||CHG Roanne||no longer recruiting|
|Rodez, France||Centre Hospitalier de Rodez||no longer recruiting|
|Saint Cloud, France||Centre Rene Huguenin||no longer recruiting|
|Thionville, France||Centre Hospitalier Regional Metz Thionville||no longer recruiting|
|Vienne, France||Centre Hospitalier General Lucien Hussel||no longer recruiting|
Male or female participants from 18 years up to 75 years old.
DISEASE CHARACTERISTICS: - Histologically confirmed colorectal carcinoma - Metastatic disease - Not amenable to surgery - Unidimensionally measurable disease - No bone metastases - No brain metastases PATIENT CHARACTERISTICS: Age - 18 to 75 Performance status - WHO 0-2 Life expectancy - At least 12 weeks Hematopoietic - Neutrophil count at least 2,000/mm^3 - Platelet count at least 100,000/mm^3 - Hemoglobin at least 10 g/dL Hepatic - Bilirubin no greater than 1.25 times upper limit of normal (ULN) (1.5 times ULN if hepatic metastases are present) - SGPT and SGOT no greater than 3 times ULN (5 times ULN if hepatic metastases are present) Renal - Creatinine no greater than 1.25 times ULN Cardiac - No concurrent cardiac abnormalities that would preclude study therapy Pulmonary - No concurrent pulmonary abnormalities that would preclude study therapy Other - Not pregnant or nursing - Fertile patients must use effective contraception - No chronic enteropathy - No other prior cancer within the past 5 years except carcinoma in situ of the cervix or curatively treated basal cell skin cancer - No concurrent severe uncontrolled infection - No obstruction or partial obstruction that would interfere with study therapy - No psychological, social, familial, or geographical situation that would preclude study participation PRIOR CONCURRENT THERAPY: Biologic therapy - No concurrent anticancer biological response modifiers Chemotherapy - No prior chemotherapy (except adjuvant chemotherapy completed more than 6 months ago) - No prior irinotecan - No prior oxaliplatin - No other concurrent chemotherapy Endocrine therapy - No concurrent anticancer hormonal therapy Radiotherapy - At least 4 weeks since prior pelvic radiotherapy - No prior abdominopelvic radiotherapy Surgery - At least 4 weeks since prior surgery - No prior extensive intestinal resection (i.e., more than 1 prior hemicolectomy or extensive resection of the small intestines) Other - No other concurrent experimental medication - No other concurrent anticancer therapy
|Official title||Randomized Phase II Study Evaluating Three Chemotherapies: [Irinotecan + Oxaliplatin (Irinox)], [Irinotecan + LV5FU2] and [Oxaliplatin + LV5FU2] as First Intention Treatment in Subjects With Metastatic Colorectal Cancer|
|Description||OBJECTIVES: - Compare the efficacy, in terms of response rate (partial response and complete response), of irinotecan and oxaliplatin vs irinotecan, fluorouracil, and leucovorin calcium vs oxaliplatin, fluorouracil, and leucovorin calcium in patients with metastatic colorectal cancer. - Compare the progression-free survival of patients treated with these regimens. - Compare the tolerability of these regimens in these patients. - Compare the quality of life of patients treated with these regimens. OUTLINE: This is a randomized, multicenter study. Patients are randomized to 1 of 3 treatment arms. - Arm I: Patients receive irinotecan IV over 90 minutes and oxaliplatin IV over 2 hours on day 1. - Arm II: Patients receive irinotecan IV over 90 minutes and leucovorin calcium IV over 2 hours on day 1 and fluorouracil IV over 46 hours on days 1-2. - Arm III: Patients receive oxaliplatin IV over 2 hours and leucovorin calcium IV over 2 hours on day 1 and fluorouracil IV over 46 hours on days 1-2. In all arms, treatment repeats every 2 weeks for 26 courses in the absence of disease progression or unacceptable toxicity. Quality of life is assessed at baseline and then every 3 months for 1 year. Patients are followed at 2 months. PROJECTED ACCRUAL: A total of 80 patients will be accrued for this study within 1 year.|
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