Colorectal CancerPhase 2NCT00321828
Combination Chemotherapy and Bevacizumab in Treating Patients With Stage IV Colon Cancer That Cannot Be Removed By Surgery
A Phase 2 study testing bevacizumab, fluorouracil and leucovorin in people with Colorectal Cancer, run by NSABP Foundation Inc at 163 sites in United States.
Trial summary
RATIONALE: Drugs used in chemotherapy, such as fluorouracil, leucovorin, and oxaliplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Read more about this study
- Who is it for?
- Ages 18 to 120 years
- Conditions the study is for
- Colorectal Cancer
- What is being tested?
- bevacizumab, fluorouracil and leucovorin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 90 participants
- Where
- 163 sitesUnited States
- Study dates
- Mar 2006to Dec 2012
- Phase
- Phase 2
- 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 to 120 years
- All sexes
- No healthy volunteers
- Adult, Older adult
DISEASE CHARACTERISTICS:
- Histologically or cytologically confirmed adenocarcinoma of the colon
- No histological findings other than adenocarcinoma of the colon
- If the primary colon tumor and the metastatic lesions have been identified at the same time and it is not possible to biopsy the colonic lesion, the patient will be eligible without histologic confirmation of the primary cancer of the colon as long as other radiographic studies or scans document the characteristics of a colon cancer AND the biopsy of a metastatic site confirms diagnosis of adenocarcinoma suggestive of a primary tumor of the colon
- Unresected primary tumor of the colon AND radiographically confirmed metastatic colon cancer (single or multiple sites of metastases) that are not considered surgically resectable for cure by chest imaging and CT scan or MRI of the abdomen within the past 4 weeks and by endoscopy within the past 8 weeks
- Asymptomatic primary tumor
- No obstruction, perforation, or active bleeding requiring transfusion
- Distal extent of the tumor must be ≥ 12 cm from the anal verge on endoscopy
- Not a candidate for curative surgical resection of all metastatic and colon primary tumors
- No evidence of Central Nervous System (CNS) metastases
- No recurrent local or metastatic disease after prior adjuvant therapy
- No diagnosis of rectal carcinoma
PATIENT CHARACTERISTICS:
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Absolute neutrophil count ≥ 1200/mm³
- Platelet count ≥ 100,000/mm³
- Hemoglobin ≥ 9 g/dL
- Aspartate aminotransferase (AST) ≤ 2.5 times upper limit of normal (ULN) (≤ 5.0 times ULN if liver metastases are present)
- Alkaline phosphatase ≤ 3.0 times ULN (≤ 5.0 times ULN if liver metastases are present)
- Bilirubin ≤ 1.5 times ULN (≤ 2.0 times ULN if liver metastases are present)
- Creatinine < 1.8 mg/dL
- Urine dipstick indicating 0-1+ protein
- If dipstick reading is ≥ 2+, a 24-hour urine collection must demonstrate < 1 g of protein
- Prothrombin Time and International Normalized Ratio (PT/INR) ≤ 1.5 unless the patient is on therapeutic doses of warfarin, in which case the following criteria must be met:
- Patient must have an in-range INR (between 2 and 3) on a stable dose of warfarin
- Patient must not have active bleeding or a pathologic condition that is associated with a high risk of bleeding
- Patients with a history of non-colorectal malignancies must be disease free for ≥ 5 years prior to study entry and be deemed at low risk for recurrence
- Patients with the following cancers are eligible if diagnosed and treated within the past 5 years:
- Carcinoma in situ of the colon
- Melanoma in situ
- Basal cell or squamous cell carcinoma of the skin
- Carcinoma in situ of the cervix
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 3 months after the completion of study therapy
- No uncontrolled blood pressure (BP), defined as BP > 150/100 mm Hg
- No nonmalignant systemic disease that would preclude any of the study therapy drugs, compromise the safety of the patient, or inhibit the patient's ability to participate in the study, including any of the following:
- New York Heart Association class III or IV cardiac disease
- Myocardial infarction within the past 6 months
- Unstable angina within the past 6 months
- Symptomatic arrhythmia
- No transient ischemic attack or cerebrovascular accident within the past 6 months
- No symptomatic peripheral vascular ischemia within the past 6 months
- No arterial thrombotic event within the past 6 months
- No gastroduodenal ulcer(s) determined by endoscopy to be active
- No gastrointestinal perforation within the past 12 months
- No serious or nonhealing wound, skin ulcer, or bone fracture
- No significant traumatic injury within the past 28 days
- No significant episodes of acute bleeding requiring blood transfusion within the past 6 months
- No clinically significant (≥ grade 2) peripheral neuropathy (neurosensory or neuromotor toxicity)
- No pulmonary fibrosis or interstitial pneumonitis by chest x-ray
- No psychiatric or addictive disorders or other conditions that would preclude the patient from meeting study requirements
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- No prior systemic chemotherapy, radiation therapy, or surgery for this malignancy
- No prior endoscopic management of this malignancy other than biopsy, including endoscopic stent placement, fulguration, or laser treatment
- More than 30 days since prior investigational drugs
- More than 28 days since prior major surgical procedure or open biopsy
- More than 7 days since prior core biopsy or other minor procedure, excluding placement of a vascular access device
- No concurrent major surgery unrelated to intact primary colon cancer
- No concurrent radiotherapy
- No concurrent filgrastim (G-CSF) or pegfilgrastim as primary prophylaxis for neutropenia
- No concurrent halogenated antiviral agents
- No other concurrent investigational drugs
- No other concurrent antineoplastic agents
Trial locations and contacts
163 sites in 1 country.
163 sites in 1 country
United States163 sites
McDowell Cancer Center at Akron General Medical Center
Akron, Ohio, 44307
McFarland Clinic, PC
Ames, Iowa, 50010
Harry & Jeanette Weinberg Cancer Institute at Franklin Square Hospital Center
Baltimore, Maryland, 21237
St. Francis Hospital and Health Centers - Beech Grove Campus
Beech Grove, Indiana, 46107
Mary Rutan Hospital
Bellefontaine, Ohio, 43311
CCOP - Montana Cancer Consortium
Billings, Montana, 59101
Hematology-Oncology Centers of the Northern Rockies - Billings
Billings, Montana, 59101
Northern Rockies Radiation Oncology Center
Billings, Montana, 59101
St. Vincent Healthcare Cancer Care Services
Billings, Montana, 59101
Bryn Mawr Hospital
Bryn Mawr, Pennsylvania, 19010
Fletcher Allen Health Care - University Health Center Campus
Burlington, Vermont, 05401
Fairview Ridges Hospital
Burnsville, Minnesota, 55337
St. James Healthcare Cancer Care
Butte, Montana, 59701
Aultman Cancer Center at Aultman Hospital
Canton, Ohio, 44710-1799
Cancer Center of Kansas, PA - Chanute
Chanute, Kansas, 66720
West Virginia University Health Sciences Center - Charleston
Charleston, West Virginia, 25304
John H. Stroger, Jr. Hospital of Cook County
Chicago, Illinois, 60612-3785
Adena Regional Medical Center
Chillicothe, Ohio, 45601
Oncology Hematology Care, Incorporated - Blue Ash
Cincinnati, Ohio, 45242
Riverside Methodist Hospital Cancer Care
Columbus, Ohio, 43214-3998
CCOP - Columbus
Columbus, Ohio, 43215
Grant Medical Center Cancer Care
Columbus, Ohio, 43215
Mount Carmel Health - West Hospital
Columbus, Ohio, 43222
Doctors Hospital at Ohio Health
Columbus, Ohio, 43228
Mercy and Unity Cancer Center at Mercy Hospital
Coon Rapids, Minnesota, 55433
Danville Regional Medical Center
Danville, Virginia, 24541
Grandview Hospital
Dayton, Ohio, 45405
Good Samaritan Hospital
Dayton, Ohio, 45406
David L. Rike Cancer Center at Miami Valley Hospital
Dayton, Ohio, 45409
Samaritan North Cancer Care Center
Dayton, Ohio, 45415
Veterans Affairs Medical Center - Dayton
Dayton, Ohio, 45428
CCOP - Dayton
Dayton, Ohio, 45429
Decatur Memorial Hospital Cancer Care Institute
Decatur, Illinois, 62526
Grady Memorial Hospital
Delaware, Ohio, 43015
Josephine Ford Cancer Center at Henry Ford Hospital
Detroit, Michigan, 48202
Cancer Center of Kansas, PA - Dodge City
Dodge City, Kansas, 67801
City of Hope Comprehensive Cancer Center
Duarte, California, 91010-3000
CCOP - Hematology-Oncology Associates of Central New York
East Syracuse, New York, 13057
Fairview Southdale Hospital
Edina, Minnesota, 55435
Cancer Center of Kansas, PA - El Dorado
El Dorado, Kansas, 67042
Elkhart General Hospital
Elkhart, Indiana, 46515
Union Hospital Cancer Program at Union Hospital
Elkton, Maryland, 21921
Hudner Oncology Center at Saint Anne's Hospital - Fall River
Fall River, Massachusetts, 02721
Blanchard Valley Medical Associates
Findlay, Ohio, 45840
Middletown Regional Hospital
Franklin, Ohio, 45005-1066
Kaiser Permanente - Fremont
Fremont, California, 94538
Mercy and Unity Cancer Center at Unity Hospital
Fridley, Minnesota, 55432
Charles R. Wood Cancer Center at Glens Falls Hospital
Glens Falls, New York, 12801
Wayne Memorial Hospital, Incorporated
Goldsboro, North Carolina, 27534
Great Falls Clinic - Main Facility
Great Falls, Montana, 59405
Study site
Great Falls, Montana, 59405
Wayne Hospital
Greenville, Ohio, 45331
CCOP - Greenville
Greenville, South Carolina, 29615
Kaiser Permanente Medical Center - Hayward
Hayward, California, 94545
Hutchinson Area Health Care
Hutchinson, Minnesota, 55350
Holden Comprehensive Cancer Center at University of Iowa
Iowa City, Iowa, 52242-1002
Borgess Medical Center
Kalamazoo, Michigan, 49001
West Michigan Cancer Center
Kalamazoo, Michigan, 49007-3731
Bronson Methodist Hospital
Kalamazoo, Michigan, 49007
Glacier Oncology, PLLC
Kalispell, Montana, 59901
Kalispell Medical Oncology at KRMC
Kalispell, Montana, 59901
Kalispell Regional Medical Center
Kalispell, Montana, 59901
Charles F. Kettering Memorial Hospital
Kettering, Ohio, 45429
Cancer Center of Kansas, PA - Kingman
Kingman, Kansas, 67068
Howard Community Hospital
Kokomo, Indiana, 46904
Scripps Cancer Center - San Diego
La Jolla, California, 92037
Center for Cancer Therapy at LaPorte Hospital and Health Services
La Porte, Indiana, 46350
Lakeland Regional Cancer Center at Lakeland Regional Medical Center
Lakeland, Florida, 33805
Fairfield Medical Center
Lancaster, Ohio, 43130
Lawrence Memorial Hospital
Lawrence, Kansas, 66044
Tunnell Cancer Center at Beebe Medical Center
Lewes, Delaware, 19958
Southwest Medical Center
Liberal, Kansas, 67901
Meeker County Memorial Hospital
Litchfield, Minnesota, 55355
Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
St. Barnabas Medical Center Cancer Center
Livingston, New Jersey, 07039
Louisville Oncology at Norton Cancer Institute - Louisville
Louisville, Kentucky, 40202
Joe Arrington Cancer Research and Treatment Center
Lubbock, Texas, 79410-1894
HealthEast Cancer Care at St. John's Hospital
Maplewood, Minnesota, 55109
Minnesota Oncology Hematology, PA - Maplewood
Maplewood, Minnesota, 55109
Strecker Cancer Center at Marietta Memorial Hospital
Marietta, Ohio, 45750
Marshfield Clinic - Marshfield Center
Marshfield, Wisconsin, 54449
Riddle Memorial Hospital Cancer Center
Media, Pennsylvania, 19063
Virginia Piper Cancer Institute at Abbott - Northwestern Hospital
Minneapolis, Minnesota, 55407
Hennepin County Medical Center - Minneapolis
Minneapolis, Minnesota, 55415
Community Medical Center
Missoula, Montana, 59801
Guardian Oncology and Center for Wellness
Missoula, Montana, 59804
Montana Cancer Specialists at Montana Cancer Center
Missoula, Montana, 59807-7877
Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
Missoula, Montana, 59807
CCOP - Christiana Care Health Services
Newark, Delaware, 19713
Licking Memorial Cancer Care Program at Licking Memorial Hospital
Newark, Ohio, 43055
Cancer Center of Kansas, PA - Newton
Newton, Kansas, 67114
Kaiser Permanente Medical Center - Oakland
Oakland, California, 94611
Methodist Estabrook Cancer Center
Omaha, Nebraska, 68114
McCreery Cancer Center at Ottumwa Regional
Ottumwa, Iowa, 52501
Cancer Center of Paoli Memorial Hospital
Paoli, Pennsylvania, 19301-1792
Advocate Lutheran General Cancer Care Center
Park Ridge, Illinois, 60068-1174
Community Comprehensive Cancer Center at Camden-Clark Memorial Hospital
Parkersburg, West Virginia, 26102
Cancer Center of Kansas, PA - Parsons
Parsons, Kansas, 67357
Kimmel Cancer Center at Thomas Jefferson University - Philadelphia
Philadelphia, Pennsylvania, 19107-5541
Allegheny Cancer Center at Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212
Cancer Center of Kansas, PA - Pratt
Pratt, Kansas, 67124
Kaiser Permanente Medical Center - Redwood City
Redwood City, California, 94063
Kaiser Permanente Medical Center - Richmond
Richmond, California, 94801
Reid Hospital & Health Care Services
Richmond, Indiana, 47374
Hubert H. Humphrey Cancer Center at North Memorial Outpatient Center
Robbinsdale, Minnesota, 55422-2900
Kaiser Permanente Medical Center - Roseville
Roseville, California, 95661
South Sacramento Kaiser-Permanente Medical Center
Sacramento, California, 95823
Kaiser Permanente Medical Center - Sacramento
Sacramento, California, 95825
Lakeland Regional Cancer Care Center - St. Joseph
Saint Joseph, Michigan, 49085
CCOP - Metro-Minnesota
Saint Louis Park, Minnesota, 55416
Park Nicollet Cancer Center
Saint Louis Park, Minnesota, 55416
Regions Hospital Cancer Care Center
Saint Paul, Minnesota, 55101
United Hospital
Saint Paul, Minnesota, 55102
Cancer Center of Kansas, PA - Salina
Salina, Kansas, 67042
Kaiser Permanente Medical Office -Vandever Medical Office
San Diego, California, 92120
Kaiser Permanente Medical Center - San Francisco Geary Campus
San Francisco, California, 94115
Kaiser Permanente Medical Center - Santa Teresa
San Jose, California, 95119
Kaiser Foundation Hospital - San Rafael
San Rafael, California, 94903
Kaiser Permanente Medical Center - Santa Clara Kiely Campus
Santa Clara, California, 95051
Kaiser Permanente Medical Center - Santa Rosa
Santa Rosa, California, 95403
Curtis and Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
Savannah, Georgia, 31403-3089
Hematology and Oncology Associates of Northeastern Pennsylvania
Scranton, Pennsylvania, 18508
St. Francis Cancer Center at St. Francis Medical Center
Shakopee, Minnesota, 55379
Avera Cancer Institute
Sioux Falls, South Dakota, 57105
Medical X-Ray Center, PC
Sioux Falls, South Dakota, 57105
Sanford Cancer Center at Sanford USD Medical Center
Sioux Falls, South Dakota, 57117-5039
CCOP - Northern Indiana CR Consortium
South Bend, Indiana, 46601
Memorial Hospital of South Bend
South Bend, Indiana, 46601
Saint Joseph Regional Medical Center
South Bend, Indiana, 46617
Kaiser Permanente Medical Center - South San Francisco
South San Francisco, California, 94080
Regional Cancer Center at Memorial Medical Center
Springfield, Illinois, 62781-0001
CCOP - Cancer Research for the Ozarks
Springfield, Missouri, 65802
St. John's Regional Health Center
Springfield, Missouri, 65804
Hulston Cancer Center at Cox Medical Center South
Springfield, Missouri, 65807
Mercy Medical Center
Springfield, Ohio, 45504
Community Hospital of Springfield and Clark County
Springfield, Ohio, 45505
Missouri Baptist Cancer Center
St Louis, Missouri, 63131
Arch Medical Services, Incorporated at Center for Cancer Care and Research
St Louis, Missouri, 63141
Mount Nittany Medical Center
State College, Pennsylvania, 16803
Kaiser Permanente Medical Facility - Stockton
Stockton, California, 95210
Cancer Institute at St. Joseph Medical Center
Towson, Maryland, 21204
UVMC Cancer Care Center at Upper Valley Medical Center
Troy, Ohio, 45373-1300
Associates in Hematology-Oncology, PC at Crozer Regional Cancer Center
Upland, Pennsylvania, 19013
Kaiser Permanente Medical Center - Vallejo
Vallejo, California, 94589
Cancer Institute of New Jersey at Cooper - Voorhees
Voorhees Township, New Jersey, 08043
Ridgeview Medical Center
Waconia, Minnesota, 55387
Kaiser Permanente Medical Center - Walnut Creek
Walnut Creek, California, 94596
Sibley Memorial Hospital
Washington D.C., District of Columbia, 20016
Cancer Center of Kansas, PA - Wellington
Wellington, Kansas, 67152
Mount Carmel St. Ann's Cancer Center
Westerville, Ohio, 43081
Associates in Womens Health, PA - North Review
Wichita, Kansas, 67208
Cancer Center of Kansas, PA - Medical Arts Tower
Wichita, Kansas, 67208
Cancer Center of Kansas, PA - Wichita
Wichita, Kansas, 67214
CCOP - Wichita
Wichita, Kansas, 67214
Via Christi Cancer Center at Via Christi Regional Medical Center
Wichita, Kansas, 67214
Clinton Memorial Hospital
Wilmington, Ohio, 45177
Cancer Center of Kansas, PA - Winfield
Winfield, Kansas, 67156
Wake Forest University Comprehensive Cancer Center
Winston-Salem, North Carolina, 27157-1096
Minnesota Oncology Hematology, PA - Woodbury
Woodbury, Minnesota, 55125
CCOP - Main Line Health
Wynnewood, Pennsylvania, 19096
Lankenau Cancer Center at Lankenau Hospital
Wynnewood, Pennsylvania, 19096
Ruth G. McMillan Cancer Center at Greene Memorial Hospital
Xenia, Ohio, 45385
Genesis - Good Samaritan Hospital
Zanesville, Ohio, 43701
About this study
Official title: A Phase II Trial of 5-Fluorouracil, Leucovorin, and Oxaliplatin (mFOLFOX6) Chemotherapy Plus Bevacizumab for Patients With Unresectable Stage IV Colon Cancer and a Synchronous Asymptomatic Primary Tumor
RATIONALE: Drugs used in chemotherapy, such as fluorouracil, leucovorin, and oxaliplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Bevacizumab may also stop the growth of colon cancer by blocking blood flow to the tumor. Giving combination chemotherapy together with bevacizumab may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving combination chemotherapy together with bevacizumab works in treating patients with stage IV colon cancer that cannot be removed by surgery.
Read the detailed description
OBJECTIVES:
Primary
- Determine the rate of major morbidity in patients with unresectable stage IV colon cancer and a synchronous asymptomatic primary tumor treated with fluorouracil, leucovorin calcium, and oxaliplatin (mFOLFOX6) in combination with bevacizumab without resection of the primary tumor.
Secondary
- Determine the rate of specific events related to the intact primary tumor requiring hospitalization or a major intervention but not requiring surgery.
- Determine the rate of ≥ grade 3 toxicity as defined by the Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0) that is related to study therapy prior to disease progression.
- Determine overall survival of patients treated with this regimen.
OUTLINE: This is a multicenter study.
Patients receive bevacizumab IV over 30-90 minutes, oxaliplatin IV given concurrently with leucovorin calcium IV over 2 hours on day 1 and fluorouracil IV continuously over 46 hours on days 1 and 2. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed periodically for 5 years after study entry.
PROJECTED ACCRUAL: A total of 90 patients will be accrued for this study.
- Conditions
- Colorectal Cancer
- Being tested
- bevacizumab, fluorouracil, leucovorin, oxaliplatin
- Keywords
- adenocarcinoma of the colon, stage IV colon cancer
- Medical subject headings
- Colorectal Neoplasms, Colonic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
bevacizumabBiological
bevacizumab 5 mg/kg IV on day 1 every 14 days until excessive toxicity or disease progression
fluorouracilDrug
Also called 5-FU
5-FU 400 mg/m2 IV bolus over 2-4 minutes then 2400 mg/m2 IV continuous infusion over 46 hours on day 1 every 14 days until excessive toxicity or disease progression
leucovorinDrug
Also called leucovorin calcium
leucovorin 400 mg/m2 IV on day 1 every 14 days until excessive toxicity or disease progression
oxaliplatinDrug
Oxaliplatin 85 mg/m2 IV on day 1 every 14 days until excessive toxicity or disease progression
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: Oxaliplatin + Leucovorin + 5-Fluorouracil + Bevacizumab | Experimental | Oxaliplatin + Leucovorin + 5-Fluorouracil + Bevacizumab Receives: Biological: bevacizumab; Drug: fluorouracil; Drug: leucovorin; Drug: oxaliplatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Major Morbidity Related to the Intact Primary Tumor
Cumulative incidence was used to compute percent probability of morbidity. Cumulative incidence at time t measures the probability of a participant having an event (i.e., Colonic bleeding, perforation, bowel obstruction, or fistula formation requiring surgery or resulting in patient death) over the given duration, t. It involves computing the probability of an event at any observed time (i.e., the number of new cases during a period divided by the number of subjects at risk) and multiplying these successive probabilities by any early computed probability to get the final estimate.
Measured: 24 months
Secondary outcomes (6)
Local Complications as Assessed by Colonic Obstruction Requiring Hospitalization (But Not Surgery) for Medical Management, Stent Placement, Laser Treatment, or Fulguration
Measured: Time from start of study through year 5
Local Complications as Assessed by Gastrointestinal Bleeding Requiring Transfusion But Not Requiring Surgery
Measured: Time from start of study through year 5
Local Complications as Assessed by Fistula Formation (Self-draining Enterocutaneous Fistula and Intra-abdominal Abscess Requiring Percutaneous Drainage) Not Requiring Surgery
Measured: Time from start of study through year 5
Local Complications as Assessed by Other Events Related to the Intact Primary Tumor Which Require Hospitalization But Not Surgery
Measured: Time from start of study through year 5
Serious Adverse Events (Grades 3, 4, and 5) as Defined by CTCAE v3.0
Measured: Time from start of study through year 5
Overall Survival as Measured by Death From Any Cause
Measured: Time from start of study through year 5
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 May 2006 (estimated)
- Study startMar 2006
- Primary completionNov 2009
- Study completionDec 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Colorectal CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 90 participants (actual)
Sponsor and investigators
- Lead sponsor
- NSABP Foundation Inc
- Sponsor type
- Research network
- Collaborators
- National Cancer Institute (NCI)
- Responsible party
- Sponsor
- Investigators
- Norman Wolmark, MD, Principal investigator, NSABP Foundation Inc
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00321828
- Sponsor's protocol ID
- NSABP C-10
- Other IDs
- U10CA012027, CDR0000463513
- Status last verified
- Mar 2024
- First submitted
- 2 May 2006
- Last updated
- 21 Mar 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 21 Mar 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Trial of 5-Fluorouracil, Leucovorin, and Oxaliplatin (mFOLFOX6) Chemotherapy Plus Bevacizumab for Patients With Unresectable Stage IV Colon Cancer and a Synchronous Asymptomatic Primary Tumor
- ClinicalTrials.gov ID
- NCT00321828
- Acronym / sponsor ID
- NSABP C-10
- Conditions
- Colorectal Cancer
- Keywords
- adenocarcinoma of the colon, stage IV colon cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 90 participants (actual)
- Lead sponsor
- NSABP Foundation IncResearch network
- Collaborators
- National Cancer Institute (NCI)
- Study start
- Mar 2006
- Primary completion
- Nov 2009 (actual)
- Study completion
- Dec 2012 (actual)
- First posted
- 4 May 2006 (estimated)
- Results
- Posted 14 Jan 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Drugs used in chemotherapy, such as fluorouracil, leucovorin, and oxaliplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Bevacizumab may also stop the growth of colon cancer by blocking blood flow to the tumor. Giving combination chemotherapy together with bevacizumab may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving combination chemotherapy together with bevacizumab works in treating patients with stage IV colon cancer that cannot be removed by surgery.
Detailed description
OBJECTIVES:
Primary
- Determine the rate of major morbidity in patients with unresectable stage IV colon cancer and a synchronous asymptomatic primary tumor treated with fluorouracil, leucovorin calcium, and oxaliplatin (mFOLFOX6) in combination with bevacizumab without resection of the primary tumor.
Secondary
- Determine the rate of specific events related to the intact primary tumor requiring hospitalization or a major intervention but not requiring surgery.
- Determine the rate of ≥ grade 3 toxicity as defined by the Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0) that is related to study therapy prior to disease progression.
- Determine overall survival of patients treated with this regimen.
OUTLINE: This is a multicenter study.
Patients receive bevacizumab IV over 30-90 minutes, oxaliplatin IV given concurrently with leucovorin calcium IV over 2 hours on day 1 and fluorouracil IV continuously over 46 hours on days 1 and 2. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed periodically for 5 years after study entry.
PROJECTED ACCRUAL: A total of 90 patients will be accrued for this study.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Arm 1: Oxaliplatin + Leucovorin + 5-Fluorouracil + Bevacizumab | Experimental | Biological: bevacizumab, Drug: fluorouracil, Drug: leucovorin, Drug: oxaliplatinOxaliplatin + Leucovorin + 5-Fluorouracil + Bevacizumab |
Who may qualify
- Ages
- 18 to 120 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| bevacizumabbevacizumab 5 mg/kg IV on day 1 every 14 days until excessive toxicity or disease progression | Biological | Arm 1: Oxaliplatin + Leucovorin + 5-Fluorouracil + Bevacizumab |
| fluorouracilAlso: 5-FU5-FU 400 mg/m2 IV bolus over 2-4 minutes then 2400 mg/m2 IV continuous infusion over 46 hours on day 1 every 14 days until excessive toxicity or disease progression | Drug | Arm 1: Oxaliplatin + Leucovorin + 5-Fluorouracil + Bevacizumab |
| leucovorinAlso: leucovorin calciumleucovorin 400 mg/m2 IV on day 1 every 14 days until excessive toxicity or disease progression | Drug | Arm 1: Oxaliplatin + Leucovorin + 5-Fluorouracil + Bevacizumab |
| oxaliplatinOxaliplatin 85 mg/m2 IV on day 1 every 14 days until excessive toxicity or disease progression | Drug | Arm 1: Oxaliplatin + Leucovorin + 5-Fluorouracil + Bevacizumab |
Primary outcome
Major Morbidity Related to the Intact Primary Tumor
Time frame: 24 months
Cumulative incidence was used to compute percent probability of morbidity. Cumulative incidence at time t measures the probability of a participant having an event (i.e., Colonic bleeding, perforation, bowel obstruction, or fistula formation requiring surgery or resulting in patient death) over the given duration, t. It involves computing the probability of an event at any observed time (i.e., the number of new cases during a period divided by the number of subjects at risk) and multiplying these successive probabilities by any early computed probability to get the final estimate.
6 secondary outcomes
Local Complications as Assessed by Colonic Obstruction Requiring Hospitalization (But Not Surgery) for Medical Management, Stent Placement, Laser Treatment, or Fulguration
Time frame: Time from start of study through year 5
Local Complications as Assessed by Gastrointestinal Bleeding Requiring Transfusion But Not Requiring Surgery
Time frame: Time from start of study through year 5
Local Complications as Assessed by Fistula Formation (Self-draining Enterocutaneous Fistula and Intra-abdominal Abscess Requiring Percutaneous Drainage) Not Requiring Surgery
Time frame: Time from start of study through year 5
Local Complications as Assessed by Other Events Related to the Intact Primary Tumor Which Require Hospitalization But Not Surgery
Time frame: Time from start of study through year 5
Serious Adverse Events (Grades 3, 4, and 5) as Defined by CTCAE v3.0
Time frame: Time from start of study through year 5
Overall Survival as Measured by Death From Any Cause
Time frame: Time from start of study through year 5
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Mar 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Norman Wolmark, MD principal investigator
NSABP Foundation Inc
163 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing bevacizumab, fluorouracil and leucovorin in people with Colorectal Cancer, run by NSABP Foundation Inc at 163 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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 21 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 163 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 Jan 2013). 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?
Major Morbidity Related to the Intact Primary Tumor (time frame: 24 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 21 Mar 2024.