A Study of Avastin (Bevacizumab) With XELOX or FOLFOX in Patients With Metastatic Colorectal Cancer and Disease Progression Under First-line FOLFIRI and Avastin

This study has been completed.
Information provided by (Responsible Party):
Hoffmann-La Roche
ClinicalTrials.gov Identifier:
First received: February 26, 2010
Last updated: February 10, 2014
Last verified: February 2014

This open-label single arm study will evaluate the efficacy and safety of Avastin added to XELOX or FOLFOX in patients with metastatic colorectal cancer and disease progression on 1st line therapy with FOLFIRI plus Avastin. Patients will receive either Avastin (7.5mg/kg iv infusion every 3 weeks) and standard XELOX (Xeloda [capecitabine] plus oxaliplatin) chemotherapy or Avastin (5 mg/kg iv infusion every 2 weeks) and standard FOLFOX (5-FU and leucovorin plus oxaliplatin) chemotherapy. The anticipated time on study treatment is until disease progression, and the target sample size is 100 individuals.

Condition Intervention Phase
Colorectal Cancer
Drug: fluorouracil (5FU)
Drug: leucovorin
Drug: bevacizumab [Avastin]
Drug: capecitabine [Xeloda]
Drug: oxaliplatin
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Single-arm Open-label Phase II Study: Treatment Beyond Progression by Adding Bevacizumab to XELOX or FOLFOX Chemotherapy in Patients With Metastatic Colorectal Cancer and Disease Progression Under First-line FOLFIRI + Bevacizumab Combination

Resource links provided by NLM:

Further study details as provided by Hoffmann-La Roche:

Primary Outcome Measures:
  • Progression-free Survival [ Time Frame: tumour assessment every 9 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Overall Response Rate [ Time Frame: tumour assessment every 9 weeks ] [ Designated as safety issue: No ]
  • Safety and tolerability: AEs, laboratory parameters [ Time Frame: throughout study, laboratory parameters assessed every 3 weeks ] [ Designated as safety issue: No ]

Enrollment: 76
Study Start Date: July 2009
Study Completion Date: January 2012
Primary Completion Date: January 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Avastin (bevacizumab) + standard of care Drug: fluorouracil (5FU)
standard FOLFOX regimen
Drug: leucovorin
standard FOLFOX regimen
Drug: bevacizumab [Avastin]
7.5 mg/kg iv infusion every 3 weeks OR 5 mg/kg iv infusion every 2 weeks
Drug: capecitabine [Xeloda]
standard XELOX regimen
Drug: oxaliplatin
standard XELOX or FOLFOX regimen


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

Inclusion Criteria:

  • adult patients >/=18 years of age
  • metastatic colorectal cancer
  • at least 1 measurable lesion according to RECIST v. 1.1
  • patients with disease progression with prior FOLFIRI + Avastin therapy who are not candidates for primary metastasectomy
  • disease progression </= 8 weeks after last dose of Avastin
  • ECOG </=2
  • No more than 8 weeks between 1st-line treatment with FOLFIRI + Avastin and 2nd-line treatment with XELOX or FOLFOX + Avastin

Exclusion Criteria:

  • disease progression > 8 weeks after last Avastin administration
  • clinically significant cardiovascular disease
  • CNS disease except for treated brain metastasis
  • history of other malignancies within 2 years prior to start of study treatment (with the exception of curatively treated basal and squamous cell carcinoma of the skin or in situ carcinoma of the cervix)
  • major surgery, open biopsy, or significant traumatic injury within 28 days prior to start of study treatment
  Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01077739

Aalst, Belgium, 9300
Arlon, Belgium, 6700
Assebroek, Belgium, 8310
AYE, Belgium, 6900
Bonheiden, Belgium, 2820
Brasschaat, Belgium, 2930
Brugge, Belgium, 8000
Bruxelles, Belgium, 1180
Bruxelles, Belgium, 1020
Bruxelles, Belgium, 1200
Charleroi, Belgium, 6000
Dendermonde, Belgium, 9200
Edegem, Belgium, 2650
Genk, Belgium, 3600
Gent, Belgium, 9000
Hasselt, Belgium, 3500
Kortrijk, Belgium, 8500
Mechelen, Belgium, 2800
Merksem, Belgium, 2170
Mont-godinne, Belgium, 5530
Montigny-le-Tilleul, Belgium, 6110
Namur, Belgium, 5000
Oostende, Belgium, 8400
Sint-Niklaas, Belgium, 9100
Tournai, Belgium, 7500
Turnhout, Belgium, 2300
Verviers, Belgium, 4800
Wilrijk, Belgium, 2610
Sponsors and Collaborators
Hoffmann-La Roche
Study Director: Clinical Trials Hoffmann-La Roche
  More Information

No publications provided

Responsible Party: Hoffmann-La Roche
ClinicalTrials.gov Identifier: NCT01077739     History of Changes
Obsolete Identifiers: NCT01069679
Other Study ID Numbers: ML22519, 2009-012090-36
Study First Received: February 26, 2010
Last Updated: February 10, 2014
Health Authority: Belgium: Federal Agency for Medicines and Health Products, FAMHP

Additional relevant MeSH terms:
Colorectal Neoplasms
Disease Progression
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Disease Attributes
Pathologic Processes
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Antimetabolites, Antineoplastic
Antineoplastic Agents
Therapeutic Uses
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs
Vitamin B Complex

ClinicalTrials.gov processed this record on July 24, 2014