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| Sponsor: | European Organization for Research and Treatment of Cancer |
|---|---|
| Information provided by: | National Cancer Institute (NCI) |
| ClinicalTrials.gov Identifier: | NCT00004885 |
Purpose
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known whether fluorouracil and leucovorin plus irinotecan is more effective than fluorouracil and leucovorin alone for colorectal cancer.
PURPOSE: Randomized phase III trial to compare the effectiveness of fluorouracil and leucovorin with or without irinotecan in treating patients who have metastatic colorectal cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Colorectal Cancer |
Drug: FOLFIRI regimen Drug: fluorouracil Drug: irinotecan hydrochloride Drug: leucovorin calcium |
Phase III |
| Study Type: | Interventional |
| Study Design: | Treatment, Randomized |
| Official Title: | CPT-11 in Combination With Weekly 24 Hour Infusion 5-FU Plus Folinic Acid Relative to Weekly 24 Hour Infusion 5-FU Plus Folinic Acid Alone in Patients With Advanced Colorectal Cancer |
| Study Start Date: | July 1999 |
OBJECTIVES: I. Compare the efficacy and toxicity of high-dose fluorouracil and leucovorin calcium with or without irinotecan in patients with metastatic adenocarcinoma of the colon or rectum. II. Compare progression-free survival, overall survival, response rate, and duration of response in patients treated with these 2 regimens. III. Compare quality of life of patients treated with these 2 regimens.
OUTLINE: This is a randomized, multicenter study. Patients are randomized to one of two treatment arms. Arm I: Patients receive leucovorin calcium IV over 2 hours followed by fluorouracil IV over 24 hours on days 1, 8, 15, 22, 29, and 36. Arm II: Patients receive irinotecan IV over 30 minutes followed by leucovorin calcium IV over 2 hours and fluorouracil IV over 24 hours on days 1, 8, 15, 22, 29, and 36. Treatment in both arms repeats every 7 weeks in the absence of disease progression or unacceptable toxicity. Patients in arm I who develop disease progression begin second-line therapy comprising irinotecan, fluorouracil, and leucovorin calcium within 2 months of progression. Patients with complete response are taken off study after receiving treatment for one year. Quality of life is assessed before beginning study, after completion of each course, at 4 weeks after completion of study, and then every 2 months until disease progression or death. Patients are followed every 2 months until disease progression or death.
PROJECTED ACCRUAL: A total of 430 patients (215 per arm) will be accrued for this study within 2 years.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS: Histologically proven metastatic adenocarcinoma of the colon or rectum Measurable or evaluable disease outside of any prior radiation port No CNS metastases
PATIENT CHARACTERISTICS: Age: 18 and over Performance status: WHO 0-2 Life expectancy: Not specified Hematopoietic: WBC at least 3,000/mm3 Platelet count at least 100,000/mm3 Hepatic: Bilirubin no greater than 1.25 times upper limit of normal (ULN) (1.5 times ULN if liver metastasis present) AST and ALT no greater than 3 times ULN (5 times ULN if liver metastasis present) Renal: Creatinine no greater than 1.25 times ULN Cardiovascular: No severe cardiac disease No uncontrolled angina pectoris No myocardial infarction within the past 6 months Gastrointestinal: No unresolved bowel obstruction or subobstruction No uncontrolled Crohn's disease or ulcerative colitis No history of chronic diarrhea Other: No second malignancy except carcinoma in situ of the cervix or nonmelanomatous skin cancer No other uncontrolled severe medical condition Not pregnant or nursing Fertile patients must use effective contraception
PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior chemotherapy for metastatic disease No prior adjuvant chemotherapy containing topoisomerase I inhibitors At least 6 months since other prior adjuvant chemotherapy Endocrine therapy: Concurrent corticosteroids allowed Radiotherapy: See Disease Characteristics Surgery: Not specified Other: At least 4 weeks since other prior investigational drugs No other concurrent anticancer therapy
Contacts and Locations
Hide Study Locations| Austria | |
| Allgemeines Krankenhaus der Stadt Wien | |
| Vienna, Austria, A-1090 | |
| Belgium | |
| U.Z. Gasthuisberg | |
| Leuven, Belgium, B-3000 | |
| Egypt | |
| National Cancer Institute of Egypt | |
| Cairo, Egypt | |
| France | |
| Institut Gustave Roussy | |
| Villejuif, France, F-94805 | |
| Germany | |
| Allgemeines Krankenhaus Hagen | |
| Hagen, Germany, D-58095 | |
| Eberhard Karls Universitaet | |
| Tuebingen, Germany, D-72076 | |
| Evangelische Krankenhaus Hamm | |
| Hamm, Germany, DOH-5-9063 | |
| Fachkrankenhaus Marienstift | |
| Schwarzenberg, Germany, D-08340 | |
| Gemeinschaftspraxis | |
| Worms, Germany, DOH-6-7547 | |
| Haemato-Onkol. Praxis | |
| Essen, Germany, 45127 | |
| Haematologisch-Oncologische Praxis | |
| Koblenz, Germany, D-56068 | |
| Haematologisch-Onkologische Praxis Altona | |
| Hamburg, Germany, D-22765 | |
| Haematology-Oncology | |
| Braunschweig, Germany, D-38100 | |
| Hans-Susemihl-Krankenhaus | |
| Emden, Germany, D-26721 | |
| Klinikum Ernst Von Bergmann | |
| Postdam, Germany, D-14467 | |
| Henriettenstiftung - Chirurgische Klinik | |
| Hannover, Germany, D-30171 | |
| Hermann-Holthusen Institute for Radiotherapy | |
| Hamburg, Germany, D-20099 | |
| Humaine Klinik Dresden GmbH | |
| Dresden, Germany, 01326 | |
| Internistisch - Onkologische Gemeinschaftspraxis | |
| Halle, Germany, D-06110 | |
| Johannes Gutenberg University | |
| Mainz, Germany, D-55131 | |
| Katharinenhospital | |
| Stuttgart, Germany, D-70174 | |
| Klinik Fuer Innere Medizin Hematology/Oncology, Ernst Moritz Armdt Universitaet | |
| Greifswald, Germany, D-17487 | |
| Kliniken Essen-Mitte | |
| Essen, Germany, D-45136 | |
| Klinikum D. Ch. Erxleben | |
| Quedlinburg, Germany, D-06484 | |
| Klinikum der J.W. Goethe Universitaet | |
| Frankfurt, Germany, D-60590 | |
| Klinikum der Stadt Wolfsburg | |
| Wolfsburg, Germany, D-38440 | |
| Klinikum der Universitaet Ulm | |
| Ulm, Germany, D-89081 | |
| Harz-Klinikum Wernigerode GMBH - Medizinische Klinik | |
| Wernigerode, Germany, D-38843 | |
| Klinikum Frankfurt (Oder) | |
| Frankfurt (Oder), Germany, D-15236 | |
| Klinikum Lippe-Lemgo | |
| Lemgo, Germany, D-32657 | |
| Klinikum Nurnberg | |
| Nuremberg (Nurnberg), Germany, D-90419 | |
| Krankenhaus Siloah - Medizinische Klinik II | |
| Hannover, Germany, D-30449 | |
| Kreiskrankenhaus Aurich | |
| Aurich, Germany, D-26603 | |
| Kreiskrankenhaus Neustadt A. Rbge. des Landkreises Hannover | |
| Neustadt, Germany, D-31533 | |
| Kreiskrankenhaus Riesa | |
| Riesa, Germany, D-01589 | |
| Marien Hospital | |
| Hagen, Germany, 58095 | |
| Otto-Von-Guericke-Universitaet Magdeburg | |
| Magdeburg, Germany, D-39120 | |
| Martin Luther Universitaet | |
| Halle Saale, Germany, DOH-0-6112 | |
| Medizinische Hochschule Hannover | |
| Hannover, Germany, D-30625 | |
| Medizinische Klinik I | |
| Dresden, Germany, D-01307 | |
| Medizinische Poliklinik, Universitaet Wuerzburg | |
| Wuerzburg, Germany, D-97070 | |
| Muenchen Onkol. Praxis Elisenhof | |
| Munich, Germany, D-80335 | |
| Marienhospital/Ruhr University Bochum | |
| Herne, Germany, DOH-4-4625 | |
| Praxis Innere Medizin | |
| Neustadt, Germany, D-01844 | |
| PZB - Praxenzentrum | |
| Aachen, Germany, D-52062 | |
| St. Johannes Hospital - Medical Klinik II | |
| Duisburg, Germany, D-47166 | |
| Staedtisches Klinikum Magdeburg | |
| Magdeburg, Germany, D-39002 | |
| Universitaetsklinik und Strahlenklinik - Essen | |
| Essen, Germany, D-45122 | |
| Universitaetsklinik Duesseldorf | |
| Duesseldorf, Germany, D-40225 | |
| Stift Bethlehem | |
| Ludwigslust, Germany, D-19288 | |
| Universitatsklinik, Saarland | |
| Homburg/Saar, Germany, D-66421 | |
| University of Rostock | |
| Rostock, Germany, 18057 | |
| Witten University - Klinikum Wuppertal | |
| Wuppertal, Germany, D-42283 | |
| Italy | |
| Ospedale San Lazzaro | |
| Alba, Italy, 12051 | |
| Netherlands | |
| Saint Laurentius Ziekenhuis | |
| Roermond, Netherlands, 6043 CV | |
| Russian Federation | |
| Russian Academy of Medical Sciences Cancer Research Center | |
| Moscow, Russian Federation, 115478 | |
| South Africa | |
| Medical Oncology Centre of Rosebank | |
| Johannesburg, South Africa, 2193 | |
| Study Chair: | Claus-Henning Koehne, MD | Klinik und Poliklinik fuer Innere Medizin - Universitaet Rostock |
More Information
| Study ID Numbers: | CDR0000067560, EORTC-40986 |
| Study First Received: | March 7, 2000 |
| Last Updated: | January 3, 2009 |
| ClinicalTrials.gov Identifier: | NCT00004885 History of Changes |
| Health Authority: | United States: Federal Government |
|
stage IV colon cancer stage IV rectal cancer recurrent colon cancer |
recurrent rectal cancer adenocarcinoma of the colon adenocarcinoma of the rectum |
|
Antimetabolites Antimetabolites, Antineoplastic Molecular Mechanisms of Pharmacological Action Immunologic Factors Gastrointestinal Diseases Antineoplastic Agents Irinotecan Colonic Diseases Physiological Effects of Drugs Leucovorin Rectal Diseases Neoplasms by Site Vitamins Therapeutic Uses Micronutrients |
Digestive System Neoplasms Vitamin B Complex Growth Substances Enzyme Inhibitors Intestinal Diseases Immunosuppressive Agents Intestinal Neoplasms Camptothecin Pharmacologic Actions Neoplasms Digestive System Diseases Fluorouracil Gastrointestinal Neoplasms Antineoplastic Agents, Phytogenic Colorectal Neoplasms |
