First-line FOLFOXIRI Plus Bevacizumab in BRAF Mutant Metastatic Colorectal Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01437618
Recruitment Status : Completed
First Posted : September 21, 2011
Last Update Posted : September 21, 2011
Information provided by (Responsible Party):
Alfredo Falcone, Azienda Ospedaliero, Universitaria Pisana

July 12, 2011
September 21, 2011
September 21, 2011
June 2009
Not Provided
Progression-Free Survival [ Time Frame: About 24-30 months (From treatment initiation to evidence of progression or death from any cause) ]
Same as current
No Changes Posted
Not Provided
Not Provided
Not Provided
Not Provided
First-line FOLFOXIRI Plus Bevacizumab in BRAF Mutant Metastatic Colorectal Cancer
FOLFOXIRI Plus Bevacizumab as First-line Treatment for BRAF V600E Mutant Metastatic Colorectal Cancer: a Prospective Evaluation
The purpose of this study is to prospectively verify if FOLFOXIRI plus bevacizumab as first-line treatment could be considered a promising approach to improve the outcome of BRAF mutant metastatic colorectal cancer patients
Not Provided
Observational Model: Cohort
Time Perspective: Prospective
Not Provided
Not Provided
Probability Sample
BRAF mutant mCRC
Metastatic Colorectal Cancer
Drug: FOLFOXIRI plus bevacizumab
  • BEVACIZUMAB 5 mg/Kg i.v. over 30', day 1 followed by
  • IRINOTECAN 165 mg/sqm i.v. over 1-h, day 1 followed by
  • OXALIPLATIN 85 mg/sqm i.v. over 2-h, day 1 concomitantly with
  • l-LV 200 mg/sqm i.v. over 2-h, day 1 followed by
  • 5-FLUOROURACIL 3200 mg/sqm i.v. 48-h continuous infusion, starting on day 1 Cycles repeated every 2 weeks
BRAF mutant mCRC
Intervention: Drug: FOLFOXIRI plus bevacizumab
Loupakis F, Cremolini C, Salvatore L, Masi G, Sensi E, Schirripa M, Michelucci A, Pfanner E, Brunetti I, Lupi C, Antoniotti C, Bergamo F, Lonardi S, Zagonel V, Simi P, Fontanini G, Falcone A. FOLFOXIRI plus bevacizumab as first-line treatment in BRAF mutant metastatic colorectal cancer. Eur J Cancer. 2014 Jan;50(1):57-63. doi: 10.1016/j.ejca.2013.08.024. Epub 2013 Oct 15.

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Same as current
May 2011
Not Provided

Inclusion Criteria:

  • Histologically confirmed colorectal adenocarcinoma;
  • Availability of formalin-fixed paraffin embedded tumor block from primary and/or metastasis;
  • BRAF V600E mutant status of primary colorectal cancer and/or related metastasis;
  • Unresectable and measurable metastatic disease according to RECIST criteria;
  • Male or female, aged > 18 years and < 75 years;
  • ECOG PS < 2 if aged < 71 years;
  • ECOG PS = 0 if aged 71-75 years;
  • Life expectancy of more than 3 months;
  • Adequate haematological function: ANC ≥ 1.5 x 10^9/L; platelets ≥ 100 x 10^9/L, Hb ≥ 9 g/dL;
  • Adequate liver function: serum bilirubin ≤ 1.5 x ULN; alkaline phosphatase and transaminases ≤ 2.5 x ULN (in case of liver metastases ≤ 5 x ULN);
  • Serum creatinine ≤ 1.5 x ULN;
  • Previous adjuvant chemotherapy is allowed if more than 12 months have elapsed between the end of adjuvant therapy and first relapse;
  • At least 6 weeks from prior extended radiotherapy and 4 weeks from surgery;
  • Written informed consent to experimental treatment and molecular analyses.

Exclusion Criteria:

  • Presence or history of CNS metastasis;
  • Serious, non-healing wound, ulcer, or bone fracture;
  • Evidence of bleeding diathesis or coagulopathy;
  • Uncontrolled hypertension;
  • Clinically significant (i.e. active) cardiovascular disease for example cerebrovascular accidents (CVA) (≤6 months before treatment start), myocardial infarction (≤ 6 months before treatment start), unstable angina, NYHA ≥ grade 2 chronic heart failure (CHF), uncontrolled arrhythmia;
  • Current or recent (within 10 days prior to study treatment start) ongoing treatment with anticoagulants for therapeutic purposes;
  • Chronic, daily treatment with high-dose aspirin (>325 mg/day);
  • Symptomatic peripheral neuropathy ≥ 2 grade NCIC-CTG criteria;
  • Active uncontrolled infections;
  • Treatment with any investigational drug within 30 days prior to enrolment;
  • Other co-existing malignancies or malignancies diagnosed within the last 5 years with the exception of curatively treated basal and squamous cell carcinoma of the skin or in situ cancer of the cervix;
  • Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to study treatment start;
  • Lack of physical integrity of the upper gastrointestinal tract or malabsorption syndrome;
  • Fertile women (< 2 years after last menstruation) and men of childbearing potential not willing to use effective means of contraception.
Sexes Eligible for Study: All
18 Years to 75 Years   (Adult, Older Adult)
Contact information is only displayed when the study is recruiting subjects
Not Provided
Not Provided
Not Provided
Alfredo Falcone, Azienda Ospedaliero, Universitaria Pisana
Azienda Ospedaliero, Universitaria Pisana
Not Provided
Not Provided
Azienda Ospedaliero, Universitaria Pisana
September 2011