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Colorectal CancerPhase 3NCT00115765

PACCE: Panitumumab Advanced Colorectal Cancer Evaluation Study

A Phase 3 study testing Oxaliplatin Based Chemotherapy, Panitumumab and Irinotecan Based Chemotherapy in people with Colorectal Cancer, run by Amgen.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess whether treatment with the study drug, panitumumab given concomitantly with every 2 (Q2) week oxaliplatin-based chemotherapy and bevacizumab improves progression-free survival (PFS) compared to treatment Q2-week with oxaliplatin-based chemotherapy and bevacizumab alone. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Colorectal Cancer
What is being tested?
Oxaliplatin Based Chemotherapy, Panitumumab and Irinotecan Based Chemotherapy
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,053 participants
Where
No sites listed yet
Study dates
1 Jun 2005to 1 May 2009
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adenocarcinoma of the colon or rectum
  • Metastatic colorectal cancer (mCRC)
  • Measurable disease per modified response evaluation criteria in solid tumors (RECIST) criteria
  • ECOG performance status of 0 or 1
  • Available paraffin-embedded tumor tissue (from primary tumor or metastasis) or unstained slides of paraffin-embedded tissue
  • If history of other primary cancer, subject will be eligible only if she or he has:
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  • Curatively resected non-melanomatous skin cancer;
  • Curatively treated cervical carcinoma in situ;
  • Other primary solid tumor curatively treated with no known active disease present and no treatment administered for the last 5 years.
  • Adequate hematologic data as follows:
  • Absolute neutrophil count (ANC) greater than or equal to 1.5 x 10^9 cells/L;
  • Platelet count greater than or equal to 100 x 10^9/L;
  • Hemoglobin greater than or equal to 9.0 g/dL. - Adequate renal function:
  • Serum creatinine less than or equal to 1.5 x upper limit of normal (ULN);
  • Urinary protein dipstick of less than 2+ (if urinary dipstick 2+ or greater, then excretion of less than or equal to 1000 mg of protein per day as determined by 24-hour urine collection).
  • Adequate hepatic function:
  • Alkaline phosphatase less than or equal to 3 x ULN (if liver metastases, less than or equal to 5 x ULN);
  • Aspartate aminotransferase (serum glutamic-oxaloacetic transaminase)(AST) less than or equal to 3 x ULN (if liver metastases, less than or equal to 5 x ULN);
  • Alanine aminotransferase (serum glutamic-pyruvic transaminase) (ALT) less than or equal to 3 x ULN (if liver metastases, less than or equal to 5 x ULN);
  • Bilirubin less than or equal to 2 x ULN. - Competent to comprehend, sign, and date an IRB-approved informed consent form
  • Before any study-specific procedure, the appropriate written informed consent must be obtained.

Who cannot join

  • Prior chemotherapy or biologic (i.e., antibody or vaccine) treatment for mCRC disease - Last dose of adjuvant or radiosensitizing chemotherapy less than 6 months before randomization - Radiotherapy within 14 days before randomization
  • Elective and/or planned major surgical procedure to be performed during the course of this trial (surgery that arises as needed or necessary during the course of the study, not agreed a priori, will not make the subject ineligible)
  • Major surgery within 28 days before randomization
  • Central nervous system metastases
  • History of interstitial pneumonitis or pulmonary fibrosis or evidence of interstitial pneumonitis or pulmonary fibrosis on baseline chest X-ray or CT-scan
  • Clinically significant ascites
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  • Preexisting bleeding diathesis or coagulopathy or the need for full-dose anticoagulation
  • Any of the following within 1 year before randomization:
  • Myocardial infarction;
  • Unstable angina;
  • Symptomatic congestive heart failure;
  • Serious uncontrolled cardiac arrhythmia;
  • Cerebrovascular accident or transient ischemic attack;
  • Gastrointestinal ulcer or hemorrhage;
  • Hemoptysis;
  • Pulmonary embolism;
  • Deep vein thrombosis, or other significant thromboembolic event.
  • Regular use of non-steroidal anti-inflammatory agents
  • Female subject of childbearing potential, not abstinent, and not willing to use contraceptives during the course of the study and for 6 months following the last dose of first-line treatment
  • Female subject who is breast-feeding or who has positive serum pregnancy test 72 hours prior to randomization
  • Male subject, not abstinent, and not willing to use adequate contraception upon enrollment into this study and for 6 months following the last dose of first-line treatment
  • Subject known to be human immunodeficiency virus (HIV) positive
  • Subject allergic to panitumumab or any components of panitumumab formulation
  • History of any medical or psychiatric condition or laboratory abnormality that, in the opinion of the investigator, may increase the risks associated with study participation or study drug administration or may interfere with the conduct of the study or interpretation of study results
  • Subject unwilling or unable to comply with study requirements
  • Any kind of disorder that compromises the ability of the subject to give written informed consent and/or comply with the study procedures

About this study

Official title: PACCE: A Randomized, Open-Label, Controlled, Clinical Trial of Chemotherapy and Bevacizumab With and Without Panitumumab in the First-Line Treatment of Subjects With Metastatic Colorectal Cancer

The purpose of this study is to assess whether treatment with the study drug, panitumumab given concomitantly with every 2 (Q2) week oxaliplatin-based chemotherapy and bevacizumab improves progression-free survival (PFS) compared to treatment Q2-week with oxaliplatin-based chemotherapy and bevacizumab alone. All subjects will receive Q2-week oxaliplatin- or irinotecan-based chemotherapy and bevacizumab. Control arm subjects will not receive concomitant panitumumab therapy.

Being tested
Oxaliplatin Based Chemotherapy, Panitumumab, Irinotecan Based Chemotherapy, Bevacizumab
Keywords
Panitumumab Advanced Colorectal Cancer Evaluation Study (PACCE Study), Colorectal, Colon, Rectal Cancer, Metastatic Colorectal, Cancer, EGFr, Clinical Trial, Panitumumab, ABX-EGF, Immunex, Abgenix, Amgen, Metastatic Colorectal Cancer, Oncology
Medical subject headings
Colorectal Neoplasms, Rectal Neoplasms, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Oxaliplatin Based ChemotherapyDrug

    Also called FOLFOX 4, FOLFOX 5, Modified FOLFOX 6, FOLFOX 7

    Oxaliplatin-based Chemotherapy Every 2 Week Regimens (Q2W Cycles) consisting of Oxaliplatin, Leucovorin (LV), 5-Fluorouracil (5-FU) - To be determined by physician. On Day 1 irinotecan and LV are given at the same time using different bags and a Y-line followed by 5-FU administration.

  • PanitumumabDrug

    Also called pmab, Vectibix

    PanitumumabPanitumumab is a high affinity (Kd = 5 x 10-11 M) fully human IgG2 monoclonal antibody that is directed against the human EGFr. Panitumumab will be administered by a 30-60 minute IV infusion at a dose of 6 mg/kg once every 2 weeks on the same day of the oxaliplatin- or irinotecan-based chemotherapy and bevacizumab.

  • Irinotecan Based ChemotherapyDrug

    Also called FOLFIRI, Douillard

    Irinotecan-based Chemotherapy Every 2 Week Regimens (Q2W Cycles) - Irinotecan, Leucovorin (LV), 5-Fluorouracil (5-FU) - To be determined by physician. On Day 1 irinotecan and LV are given at the same time using different bags and a Y-line followed by 5-FU administration.

  • BevacizumabDrug

    Also called Avastin

    Bevacizumab is a vascular endothelial growth factor (VEGF)-targeted antibody therapy that was administered to subjects intravenously Q2 weeks as per usual standard of care on the same day of chemotherapy and panitumumab administration .

Study groups in NCT00115765
Study groupRoleWhat they receive
Oxaliplatin and bevacizumab without panitumumabActive comparatorOxaliplatin-based chemotherapy and Bevacizumab Q2W alone.
Receives: Drug: Oxaliplatin Based Chemotherapy; Drug: Bevacizumab
Irinotecan and bevacizumab plus panitumumabExperimentalIrinotecan-based chemotherapy and Bevacizumab Q2W plus panitumumab 6mg/kg Q2W
Receives: Drug: Panitumumab; Drug: Irinotecan Based Chemotherapy; Drug: Bevacizumab
Irinotecan and bevacizumab without panitumumabActive comparatorIrinotecan-based chemotherapy and Bevacizumab Q2W alone
Receives: Drug: Irinotecan Based Chemotherapy; Drug: Bevacizumab
Oxaliplatin and bevacizumab plus panitumumabExperimentalOxaliplatin-based chemotherapy and Bevacizumab Q2W plus panitumumab 6mg/kg Q2W
Receives: Drug: Oxaliplatin Based Chemotherapy; Drug: Panitumumab; Drug: Bevacizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-Free Survival (Oxaliplatin)

    Kaplan-Meier estimate of the median time from randomization to death from any cause or first observed disease progression

    Measured: Overall study

  2. Objective Tumor Response Through Week 12 (Irinotecan)

    Objective tumor response (complete or partial) rate through week 12 based on central review in the Irinotecan stratum

    Measured: Overall Study

Secondary outcomes (9)
  1. Overall Survival (Oxaliplatin)

    Kaplan-Meier estimate of the median time from randomization to death from any cause in groups treated with Oxaliplatin

    Measured: Overall study

  2. Objective Tumor Response Rate (Oxaliplatin)

    Best overall response of complete or partial response within oxaliplatin stratum

    Measured: Overall study

  3. Time to Progression (Oxaliplatin)

    Kaplan-Meier estimate of the median time from randomization to disease progression or death due to disease progression within the oxaliplatin stratum

    Measured: Overall Study

  4. Time to Treatment Failure (Oxaliplatin)

    Kaplan-Meier estimate of the median time from randomization to the date the decision was made to discontinue treatment for a reason other than a complete response to treatment within the oxaliplatin stratum.

    Measured: Overall study

  5. Overall Survival (Irinotecan)

    Incidence of mortality from any cause in groups treated with Irinotecan. Incidence is provided in lieu of the median time to death since the median or its measure of dispersion was not estimable for at least one treatment arm.

    Measured: Overall study

  6. Progression-free Survival (Irinotecan)

    Kaplan-Meier estimate of the median time from randomization to death from any cause or first observed disease progression

    Measured: Overall Study

  7. Objective Tumor Response Rate (Irinotecan)

    Best overall response of complete or partial response within irinotecan stratum

    Measured: Overall Study

  8. Time to Progression (Irinotecan)

    Kaplan-Meier estimate of the median time from randomization to disease progression or death due to disease progression within the irinotecan stratum

    Measured: Overall Study

  9. Time to Treatment Failure (Irinotecan)

    Kaplan-Meier estimate of the median time from randomization to the date the decision was made to discontinue treatment for a reason other than a complete response to treatment within the irinotecan stratum

    Measured: Overall Study

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Jun 2005 (estimated)
  2. Study start1 Jun 2005
  3. Primary completion31 May 2007
  4. Study completion1 May 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,053 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00115765
Sponsor's protocol ID
20040249
Status last verified
Sep 2018
First submitted
26 Jun 2005
Last updated
17 Oct 2018

Publications

  • Hecht JR, Mitchell E, Chidiac T, Scroggin C, Hagenstad C, Spigel D, Marshall J, Cohn A, McCollum D, Stella P, Deeter R, Shahin S, Amado RG. A randomized phase IIIB trial of chemotherapy, bevacizumab, and panitumumab compared with chemotherapy and bevacizumab alone for metastatic colorectal cancer. J Clin Oncol. 2009 Feb 10;27(5):672-80. doi: 10.1200/JCO.2008.19.8135. Epub 2008 Dec 29.

    PubMed 19114685
  • Abdel-Rahman O. Effect of Body Mass Index on 5-FU-Based Chemotherapy Toxicity and Efficacy Among Patients With Metastatic Colorectal Cancer; A Pooled Analysis of 5 Randomized Trials. Clin Colorectal Cancer. 2019 Dec;18(4):e385-e393. doi: 10.1016/j.clcc.2019.07.005. Epub 2019 Jul 15.

    PubMed 31378656
  • Abdel-Rahman O. Impact of Sex on Chemotherapy Toxicity and Efficacy Among Patients With Metastatic Colorectal Cancer: Pooled Analysis of 5 Randomized Trials. Clin Colorectal Cancer. 2019 Jun;18(2):110-115.e2. doi: 10.1016/j.clcc.2018.12.006. Epub 2018 Dec 28.

    PubMed 30679026

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Oxaliplatin Based Chemotherapy, Panitumumab and Irinotecan Based Chemotherapy in people with Colorectal Cancer, run by Amgen.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 21 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 14 Sep 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression-Free Survival (Oxaliplatin) (time frame: Overall study). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00115765, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Oct 2018; AzTrials last refreshed its copy on 3 Nov 2026.

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