Status:

UNKNOWN

Intraperitoneal Irinotecan With Concomitant FOLFOX and Bevacizumab

Lead Sponsor:

Catharina Ziekenhuis Eindhoven

Conditions:

Colorectal Cancer

Peritoneal Metastases

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The rationale of the current study is that the addition of intraperitoneal irinotecan (75 mg) to palliative systemic therapy is feasible and safe, and might result in an increased overall and progress...

Eligibility Criteria

Inclusion

  • Histologically confirmed colorectal cancer;
  • Radiologically and clinically or pathologically confirmed unresectable colorectal peritoneal metastases (e.g. PCI \>20, extensive small bowel involvement, unresectable disease due to anatomical location);
  • WHO performance score of 0-1 with a life expectancy of \>3 months;
  • Aged 18 years or older;
  • Written informed consent;

Exclusion

  • Presence of extensive systemic metastases that are deemed to be the dominant factor determining prognosis in terms of life expectancy and performance status \[e.g. no imminent threat of impaired organ functioning due to the presence of systemic metastases\]);
  • Prior cytoreductive surgery;
  • Prior palliative systemic therapy for colorectal cancer;
  • Prior neo-adjuvant/adjuvant systemic therapy for colorectal cancer within the last 6 months;
  • Homozygous UGT1A1\*28 genotype;
  • Homozygous dihydropyrimidine dehydrogenase (DPD) deficiency
  • Microsatellite instable (MSI) primary tumor
  • Any contra-indication for the planned chemotherapy (e.g. active infection, serious concomitant disease, severe allergy), as determined by the medical oncologist;
  • Inadequate organ functions, defined as an haemoglobin of \<5 mmol/L, an absolute neutrophil count of \<1.5 x 109/L, platelet count of \<100 x 109/L, serum creatinine of \>1.5 x ULN, creatinine clearance of \<30 ml/min, Bilirubin \> 2x ULN and liver transaminases of \>5 x ULN.

Key Trial Info

Start Date :

December 27 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2025

Estimated Enrollment :

85 Patients enrolled

Trial Details

Trial ID

NCT06003998

Start Date

December 27 2022

End Date

January 1 2025

Last Update

August 22 2023

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Catharina Hospital

Eindhoven, Netherlands

2

Erasmus Medical Centre

Rotterdam, Netherlands