Evaluation of the Efficacy of Xaliproden (SR57746A) in Preventing the Neurotoxicity of Oxaliplatin / 5FU/LV Chemotherapy. - Full Text View

Purpose

Primary Objective : Compare the risk of occurrence of Grade3-4 cumulative peripheral sensory neuropathy (PSN) relative to cumulative dose of oxaliplatin between treatment group and placebo group.

Main Secondary Objective : Compare the response rate (RR) between treatment group and placebo group in order to ensure that the efficacy of the chemotherapy is not compromised by the addition of xaliproden to the chemotherapeutic regimen.

Other Secondary Objectives : study of the neurotoxicity parameters (Duration of oxaliplatin-induced PSN (G2,3,4); overall incidence of PSN during treatment; dose of onset of PSN ; incidence of dose-reduction and dose delay due to PSN; incidence of oxaliplatin treatment discontinuation due to PSN; change in Nerve Conduction Studies (NCS)) ; study of the safety profile (other than PSN) ; study of the chemotherapy efficacy (progression free survival, overall survival).

Condition	Intervention	Phase
Metastases Colorectal Neoplasms Colorectal Carcinoma	Drug: Xaliproden (SR57746A) Drug: Placebo Drug: Oxaliplatin Drug: 5-Fluorouracil Drug: Leucovorin	Phase 3


Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Prevention
Official Title:	A Multicenter, Randomized Double-blind Placebo Controlled Phase III Study of the Efficacy of Xaliproden in Preventing the Neurotoxicity of Oxaliplatin in First-line Treatment of Patients With Metastatic Colorectal Cancer Treated With Oxaliplatin / 5-FU/LV

Resource links provided by NLM:

MedlinePlus related topics: Colorectal Cancer

Drug Information available for: Fluorouracil Oxaliplatin

Genetic and Rare Diseases Information Center resources: Neurotoxicity Syndromes

U.S. FDA Resources

Further study details as provided by Sanofi:

Primary Outcome Measures:

Clinical evaluation of peripheral sensory neuropathy using the Oxaliplatin specific scale for dose adjustment [ Time Frame: Q2W during treatment, Q4W to Q12W during post-treatment follow-up ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Main: response rate using RECIST criteria [ Time Frame: Q8W ] [ Designated as safety issue: No ]
Other: nerve conduction studies [ Time Frame: baseline, end of treatment with oxaliplatin, end of treatment with study drug ] [ Designated as safety issue: No ]
Other: progression free survival and survival [ Time Frame: Q8W and study period ] [ Designated as safety issue: No ]


Enrollment:	879
Study Start Date:	December 2005
Study Completion Date:	October 2009
Primary Completion Date:	October 2009 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Xaliproden (SR57746A)	Drug: Xaliproden (SR57746A) oral administration Drug: Oxaliplatin IV administration Drug: 5-Fluorouracil IV administration Other Name: 5-FU Drug: Leucovorin IV administration Other Name: LV
Placebo Comparator: Placebo	Drug: Placebo oral administration Drug: Oxaliplatin IV administration Drug: 5-Fluorouracil IV administration Other Name: 5-FU Drug: Leucovorin IV administration Other Name: LV

Eligibility


Ages Eligible for Study:	18 Years and older (Adult, Senior)
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Main inclusion criteria :

Histologically or cytologically-proven metastatic cancer of the colon or rectum.
Metastatic disease not amenable to potentially curative treatment (eg: inoperable metastatic disease).
Male or female aged >18 years.
WHO Performance Status (PS) : 0 or 1.
Measurable disease.
No prior chemotherapeutic regimen for metastatic disease.
Disease-free interval from end of adjuvant therapy of at least 6 months (1 year if oxaliplatin was part of the adjuvant therapy).
Prior radiotherapy is permitted if it was not administered to target lesions identified for this study - unless progression within the radiation portal is documented - and provided it has been completed at least 3 weeks before randomization.
Signed written informed consent prior to study entry.

Exclusion Criteria:

Main exclusion criteria :

Any condition or past medical history that contra-indicates treatment with oxaliplatin and 5-FU, as reported in approved labeling information.
Received chemotherapeutic agents other than 5-FU, LV, Levamisole, irinotecan, capecitabine, oxaliplatin as part of adjuvant therapy.
Peripheral neuropathy >Grade 1.
Concomitant treatments with drugs/ingredients reported to have a potential activity in preventing peripheral sensory neuropathy.
Concurrent active cancer originating from a primary site other than colon or rectum.
Presence of any symptom suggesting brain metastasis.

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00305188

Locations


United States, New Jersey
Sanofi-Aventis Administrative Office
Bridgewater, New Jersey, United States, 08807
Argentina
Sanofi-Aventis Administrative Office
Buenos Aires, Argentina
Australia
Sanofi-Aventis Administrative Office
Macquarie Park, Australia
Brazil
Sanofi-Aventis Administrative Office
Sao Paulo, Brazil
Canada
Sanofi-Aventis Administrative Office
Laval, Canada
Chile
Sanofi-Aventis Administrative Office
Santiago, Chile
Germany
Sanofi-Aventis Administrative Office
Berlin, Germany
Hungary
Sanofi-Aventis Administrative Office
Budapest, Hungary
Italy
Sanofi-Aventis Administrative Office
Milano, Italy
Poland
Sanofi-Aventis Administrative Office
Warszawa, Poland
Portugal
Sanofi-Aventis Administrative Office
Porto Salvo, Portugal
Spain
Sanofi-Aventis Administrative Office
Barcelona, Spain
United Kingdom
Sanofi-Aventis Administrative Office
Guildford Surrey, United Kingdom

Sponsors and Collaborators

Sanofi

Investigators


Study Director:	Clinical Sciences & Operations	Sanofi

More Information


Responsible Party:	Sanofi
ClinicalTrials.gov Identifier:	NCT00305188 History of Changes
Other Study ID Numbers:	EFC5505 EUDRACT : 2005-002570-30
Study First Received:	March 20, 2006
Last Updated:	April 6, 2016
Health Authority:	United States: Food and Drug Administration United Kingdom: National Health Service

Keywords provided by Sanofi:


Neurotoxicity syndromes Paresthesia Oxaliplatin Xaliproden

Additional relevant MeSH terms:


Colorectal Neoplasms Neurotoxicity Syndromes Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Neoplasms Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Rectal Diseases	Nervous System Diseases Poisoning Chemically-Induced Disorders Oxaliplatin Fluorouracil Antineoplastic Agents Antimetabolites Molecular Mechanisms of Pharmacological Action Antimetabolites, Antineoplastic Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs

ClinicalTrials.gov processed this record on September 30, 2016