Status:

COMPLETED

Combination Chemotherapy and Bevacizumab With or Without Bevacizumab Maintenance Therapy in Treating Patients With Metastatic Colorectal Cancer

Lead Sponsor:

Federation Francophone de Cancerologie Digestive

Conditions:

Colorectal Cancer

Eligibility:

All Genders

18-120 years

Phase:

PHASE2

PHASE3

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as irinotecan hydrochloride, leucovorin calcium, and fluorouracil, work in different ways to stop the growth of tumor cells, either by killing the cells or ...

Detailed Description

OBJECTIVES: Primary * Compare disease-control duration in patients with metastatic colorectal cancer receiving FOLFIRI chemotherapy in combination with bevacizumab with or without bevacizumab mainte...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed colorectal cancer
  • Metastatic disease
  • Not a candidate for curative surgery
  • At least 1 tumor target measurable by RECIST criteria
  • No metastasis potentially resectable after receiving chemotherapy
  • No occlusive tumors
  • No macronodular peritoneal carcinomatosis
  • No known or suspected CNS metastases
  • PATIENT CHARACTERISTICS:
  • OMS status 0-2
  • Life expectancy ≥ 3 months
  • ANC ≥ 1,500/mm\^3
  • Platelet count ≥ 100,000/mm\^3
  • Hemoglobin ≥ 9 g/dL
  • Total bilirubin ≤ 1.5 times upper limit of normal (ULN)
  • Alkaline phosphatase ≤ 2.5 times ULN (≤ 5 times ULN in the presence of hepatic metastases)
  • Creatinine ≤ 1.5 times ULN
  • Proteinuria ≤1 g
  • Not pregnant or nursing
  • No gastroduodenal ulcer, wound, or fractured bone
  • No acute or subacute intestinal occlusion or history of inflammatory bowel disease or large resection of small bowel
  • No clinically relevant coronary artery disease or a history of a myocardial infarction within the last 6 months
  • No uncontrolled hypertension while receiving chronic medication
  • No other malignancy within the past 5 years except for basal cell carcinoma of the skin or pre-invasive carcinoma of the cervix
  • No medical or psychological condition which, in the opinion of the investigator, would not permit the patient to complete the study
  • PRIOR CONCURRENT THERAPY:
  • See Patient Characteristics
  • No prior chemotherapy for metastatic disease
  • Adjuvant chemotherapy allowed provided it was completed \> 6 months ago
  • No prior irinotecan or other antiangiogenic therapy
  • At least 4 weeks since surgery (except for diagnostic biopsy) or irradiation
  • No other drugs not allowed for medical reasons
  • Concurrent oral anticoagulants (e.g., coumadin, warfarin) allowed provided the INR is closely monitored
  • A change of anticoagulants to low-molecular weight heparin is preferred

Exclusion

    Key Trial Info

    Start Date :

    March 1 2010

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    January 1 2018

    Estimated Enrollment :

    492 Patients enrolled

    Trial Details

    Trial ID

    NCT00952029

    Start Date

    March 1 2010

    End Date

    January 1 2018

    Last Update

    March 30 2020

    Active Locations (102)

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    Page 1 of 26 (102 locations)

    1

    CH

    Abbeville, France

    2

    Centre Radiothérapie et Oncologie de Moyenne Garonne

    Agen, France

    3

    CHU

    Amiens, France

    4

    Centre Paul Papin

    Angers, France