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Evaluation of Contrast-Enhanced Ultrasound Imaging for the Early Estimate of Bevacizumab Effect on Colorectal Cancer Liver Metastases

The recruitment status of this study is unknown because the information has not been verified recently.
Verified February 2009 by University Hospital, Tours.
Recruitment status was  Recruiting
Information provided by:
University Hospital, Tours Identifier:
First received: June 20, 2007
Last updated: February 19, 2009
Last verified: February 2009
Bevacizumab, an anti-angiogenic agent, plus fluorouracil based chemotherapy is considered a new standard for the treatment of metastatic colorectal cancer. Contrast-enhanced ultrasound with gas-encapsulated microbubbles can be used to assess tumour vascularity, particularly hepatic metastases, and may become a useful tool for monitoring anti-angiogenic therapies. The aim of this prospective, multicenter, non-randomized study is to evaluate the usefulness of hepatic contrast-enhanced ultrasound to predict response to bevacizumab based chemotherapy in patient with metastatic colorectal cancer. The primary objective of this study is to compare the functional vascular changes related to bevacizumab based chemotherapy and evaluated by hepatic contrast-enhanced ultrasound with classic RECIST criteria. The secondary objectives are to do a characterization of the pharmacokinetic of bevacizumab, to explore the pharmacodynamic effects of bevacizumab on functional vascular changes of hepatic metastases evaluated by hepatic contrast-enhanced ultrasound and to analyze the possible relationships between treatment efficacy or toxicity and constitutional gene polymorphisms linked to the bevacizumab.

Condition Intervention
Metastatic Colorectal Cancer
Device: real-time contrast-enhanced ultrasound imaging (CEUS)

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Pharmacodynamics Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Diagnostic
Official Title: Medical and Economical Evaluation of Contrast-Enhanced Ultrasound Imaging for the Early Estimate of Bevacizumab Effect on Colorectal Cancer Liver Metastases

Resource links provided by NLM:

Further study details as provided by University Hospital, Tours:

Primary Outcome Measures:
  • functional vascular changes in tumour vascularity of hepatic metastases [ Time Frame: 2 months ] [ Designated as safety issue: No ]
  • Pharmacokinetic of bevacizumab between each cure of bevacizumab based chemotherapy [ Time Frame: 2 months ] [ Designated as safety issue: No ]
  • ratio cost/benefit of a strategy of therapeutic monitoring by contrast-enhanced ultrasound [ Time Frame: 2 months ] [ Designated as safety issue: No ]
  • evaluation of the response to bevacizumab based chemotherapy by RECIST criteria [ Time Frame: 2 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • bevacizumab-related toxicity [ Time Frame: 2 months ] [ Designated as safety issue: Yes ]
  • response duration [ Time Frame: 2 years ] [ Designated as safety issue: No ]
  • time to disease progression [ Time Frame: 2 years ] [ Designated as safety issue: No ]
  • survival time [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Estimated Enrollment: 200
Study Start Date: January 2007
Estimated Study Completion Date: March 2010
Estimated Primary Completion Date: March 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1 (single arm)
patient with histologically confirmed colorectal tumor treated in first line by a bevacizumab based chemotherapy
Device: real-time contrast-enhanced ultrasound imaging (CEUS)
Real time contrast enhanced sonography was performed using an ultrasound dedicated system after bolus injection of 1.2 and 2x2.4 ml Sonovue ® (Bracco, Milan, Italy)


Ages Eligible for Study:   18 Years to 80 Years   (Adult, Senior)
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Histologically confirmed colorectal tumor
  • first line treatment by a bevacizumab based chemotherapy
  • Target hepatic metastases of size lower than 5 cm and higher than 5 mm detected by conventional ultrasonography and CT or MRI
  • Life expectancy > 2 months
  • OMS status =< 2
  • Major surgery, open biopsy, or significant traumatic injury within 28 days prior to Day 0
  • informed consent signed

Exclusion Criteria:

  • no target hepatic lesion detected by conventional ultrasonography
  • Prior bevacizumab treatment
  • Prior chemotherapy treatment for advanced disease
  • Clinically significant cardiac disease (e.g. myocardial infarction or stroke within 12 months, unstable angina, New York Heart Association (NYHA) Grade II or greater congestive heart failure not well controlled with medication, endocarditis and prosthetic valve) and any contraindications in sulphur hexafluoride administration
  • Blood pressure >= 180/110 mmHg
  • Daily and chronic treatment by aspirin or AINS
  • Anticipation of need for major surgical procedure within 7 days prior day 0
  • Urine protein > 1g/24 Hours
  • Any contraindication in enhancing bevacizumab treatment
  • Serious, uncontrolled, concurrent infection(s) or illness(es)
  • pregnant and lactating woman
  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 identifier: NCT00489697

Contact: François TRANQUART, Professor 33 2 47 47 38 48
Contact: Thierry LECOMTE, Doctor 33 2 47 47 47 47 ext 71730

CHRU d'ANGERS Recruiting
Angers, France, 49033
Contact: Christophe AUBE, Dr    33 2 41 35 36 60   
Principal Investigator: Christophe AUBE, Pr         
Sub-Investigator: Jérôme LEBIGOT, Dr         
Sub-Investigator: Catherine RIDEREAU ZINS, Dr         
Sub-Investigator: Julien BAUDON, Dr         
Sub-Investigator: Dominique LUET, Dr         
CRLCC, Centre Paul Papin Recruiting
Angers, France, 49033
Contact: Erick GAMELIN, Professor    33 2 41 35 27 08   
Contact: Virginie BERGER, Doctor    33 2 41 35 27 34   
Principal Investigator: Erick GAMELIN, Professor         
Sub-Investigator: Virginie BERGER, Doctor         
Sub-Investigator: Emmanuelle ANGLADE, Doctor         
CHRU Besancon Recruiting
Besançon, France, 25000
Contact: Philippe MANZONI, Dr    33 3 81 21 81 95   
Contact: Christophe BORG, Dr    33 3 81 61 56 15   
Principal Investigator: Philippe MANZONI, Dr         
Sub-Investigator: Christophe BORG, Dr         
Hôpital Saint-André, CHRU Bordeaux Recruiting
Bordeaux, France, 33075
Contact: Hervé TRILLAUD, Pr    05 56 79 58 00 ext 33   
Principal Investigator: Hervé TRILLAUD, Pr         
Sub-Investigator: Hervé LAUMONIER, Dr         
Sub-Investigator: Denis SMITH, Dr         
Sub-Investigator: Jean Frédéric BLANC, Dr         
CRLCC, Centre René Gauducheau Recruiting
Nantes St Herblain, France, 44805
Contact: Catherine LABBE, Dr    33 2 40 67 99 89   
Principal Investigator: Catherine LABBE-DEVILLIERS, Dr         
Sub-Investigator: Philippe MEINGAN, Dr         
Sub-Investigator: Jean Yves DOUILLARD, Pr         
Sub-Investigator: Stéphanie BORDENAVE-CAFFRE, Dr         
Sub-Investigator: Hélène SENELLART, Dr         
Sub-Investigator: Jaafar BENNOUNA, Dr         
Hôpital Pitié Salpétrière, Assistance Publique Hôpitaux de Paris Recruiting
Paris, France, 75651
Contact: Olivier LUCIDARME, Dr    33 1 42 17 63 06   
Principal Investigator: Olivier LUCIDARME, Dr         
Sub-Investigator: Jean Pierre SPANO, Pr         
Sub-Investigator: Julien TAIEB, Dr         
Sub-Investigator: Amani ASNACIOS, Dr         
Sub-Investigator: Samy LOUAFI, Dr         
Hôpital Haut-Lévêque Recruiting
Pessac, France, 33604
Contact: Jacques DROUILLARD, Pr    33   
Principal Investigator: Jacques DROUILLARD, Pr         
Sub-Investigator: Benoit DIRIS, Dr         
Sub-Investigator: Delphine GAYE, Dr         
Hôpital La Milétrie, CHRU Poitiers Recruiting
Poitiers, France, 86000
Contact: Jean-Pierre TASU, Pr    33 5 49 44 44 32   
Contact: Aurélie FERRU, Dr    33 5 49 44 45 38   
Principal Investigator: Jean-Pierre TASU, Pr         
Sub-Investigator: Jérôme ROUMY, Dr         
Sub-Investigator: Aurélie FERRU, Dr         
Sub-Investigator: Frédéric FRUGE, Dr         
Sub-Investigator: Claire CHARPIGNON, Dr         
Hôpital Robert Debré, CHRU Reims Recruiting
Reims, France, 51092
Contact: Claude MARCUS, Pr    33 3 26 78 42 16   
Contact: Viviane LADAM-MARCUS, Dr    33 3 26 78 42 16   
Principal Investigator: Claude MARCUS, Pr         
Sub-Investigator: Viviane LADAM-MARCUS, Dr         
Sub-Investigator: Olivier BOUCHE, Pr         
Sub-Investigator: Stéphanie LAGARDE, Dr         
CHU Pontchaillou Recruiting
Rennes, France, 35033
Contact: Sylvain MANFREDI, Dr    33 2 99 28 43 17   
Principal Investigator: Sylvain MANFREDI, Dr         
Sub-Investigator: Damien OLIVIE, Dr         
CRLCC, Centre Eugène Marquis Not yet recruiting
Rennes, France, 35042
Contact: Jean Luc RAOUL, Pr    33 2 99 25 31 96   
Principal Investigator: Jean Luc RAOUL, Pr         
Sub-Investigator: Evelyne BOUCHER, Dr         
Chru Tours Recruiting
Tours, France, 37044
Contact: Thierry LECOMTE, Doctor    33 2 47 47 59 00   
Contact: , Doctor         
Principal Investigator: Thierry LECOMTE, Doctor         
Sub-Investigator: Aurore BLEUZEN, Doctor         
Sub-Investigator: Etienne DORVAL, Professor         
Sub-Investigator: Jérôme VIGUIER, Doctor         
Sub-Investigator: Sophie CHAPET, Doctor         
Sub-Investigator: Bérengère NARCISO, Doctor         
Sponsors and Collaborators
University Hospital, Tours
Principal Investigator: François TRANQUART, Professor Centre Hospitalier de Tours, France
Principal Investigator: Thierry LECOMTE, Doctor Centre Hospitalier de Tours, France
Study Chair: Bruno GIRAUDEAU, Doctor INSERM CIC 2002, Centre Hospitalier de Tours, France
Study Chair: Emmanuel RUSCH, Professor Centre Hospitalier de Tours, France
  More Information


Responsible Party: Directrice de la Recherche et des Affaires Médicales, University Hospital Tours Identifier: NCT00489697     History of Changes
Other Study ID Numbers: INCA06-FT/STIC-AVASTIN 
Study First Received: June 20, 2007
Last Updated: February 19, 2009
Health Authority: France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)

Keywords provided by University Hospital, Tours:
colorectal cancer
hepatic metastases
anti-angiogenic agent
chemotherapy regimens
tumor vascularity
Contrast-enhanced ultrasound

Additional relevant MeSH terms:
Colorectal Neoplasms
Neoplasm Metastasis
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Neoplastic Processes
Pathologic Processes
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Substances
Physiological Effects of Drugs
Growth Inhibitors
Antineoplastic Agents processed this record on October 25, 2016