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Metastatic Colorectal CancerPhase 3NCT00457691

Study Of FOLFIRI Chemotherapy With Or Without Sunitinib In Patients With Metastatic Colorectal Cancer

A Phase 3 study testing 5 fluorouracil, irinotecan and levo- leucovorin in people with Metastatic Colorectal Cancer, run by Pfizer at 132 sites in 34 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of the study is to evaluate the safety and efficacy of FOLFIRI (Irinotecan, Leucovorin and 5 Fluorouracil) chemotherapy when combined with sunitinib or FOLFIRI chemotherapy without adding sunitinib as the first line treatment of patients with metastatic colorectal cancer. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Metastatic Colorectal Cancer
What is being tested?
5 fluorouracil, irinotecan and levo- leucovorin
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
768 participants
Where
132 sitesin 34 countries
Study dates
Jun 2007to Mar 2010
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

  • Confirmed (histologically or cytologically) colorectal adenocarcinoma with metastatic disease.
  • Not received previous therapy for metastatic colorectal disease but for whom FOLFIRI treatment is clinically indicated.
  • Adequate organ function defined by blood test.

Who cannot join

  • History of another primary cancer in the last 3 years.
  • Previous full field radiotherapy within the last 4 weeks or limited field radiotherapy within 2 weeks of enrolling into the study. Or previous radiation treatment of more that 30% of the bone marrow.
  • History of presence of brain metastasis, spinal cord compression carcinomatous meningitis or leptomeningeal disease.

Trial locations and contacts

132 sites in 34 countries.

132 sites in 34 countries

Germany9 sites
  • Pfizer Investigational Site

    Berlin, 12203

  • Pfizer Investigational Site

    Bochum, 44892

  • Pfizer Investigational Site

    Esslingen am Neckar, 73730

  • Pfizer Investigational Site

    Frankfurt, 60590

  • Pfizer Investigational Site

    Halle, 06120

  • Pfizer Investigational Site

    Hanover, 30625

  • Pfizer Investigational Site

    Mönchengladbach, 41063

  • Pfizer Investigational Site

    Oldenburg, 26133

  • Pfizer Investigational Site

    Regensburg, 93049

Other trials in Germany

Taiwan9 sites
  • Pfizer Investigational Site

    Changhua, 500

  • Pfizer Investigational Site

    Chiayi County, 613

  • Pfizer Investigational Site

    Kaohsiang Hsien, Taiwan, 833

  • Pfizer Investigational Site

    Kaohsiung City, 813

  • Pfizer Investigational Site

    Kwei-Shan, Taoyuan

  • Pfizer Investigational Site

    Taichung, 40705

  • Pfizer Investigational Site

    Tainan, 736

  • Pfizer Investigational Site

    Taipei, 112

  • Pfizer Investigational Site

    Taipei

Other trials in Taiwan

Spain8 sites
  • Pfizer Investigational Site

    Alicante, Alicante, 03010

  • Pfizer Investigational Site

    Barcelona, Barcelona, 08035

  • Pfizer Investigational Site

    Elche, Alicante, 03202

  • Pfizer Investigational Site

    Madrid, Madrid, 28041

  • Pfizer Investigational Site

    Móstoles, Madrid, 28935

  • Pfizer Investigational Site

    Santander, Cantabria, 39008

  • Pfizer Investigational Site

    Seville, Sevilla, 41013

  • Pfizer Investigational Site

    Zaragoza, Zaragoza, 50009

Other trials in Spain

South Korea7 sites
  • Pfizer Investigational Site

    Daegu, 700-712

  • Pfizer Investigational Site

    Goyang-si, Gyeonggi-do, 410-769

  • Pfizer Investigational Site

    Incheon, 405-760

  • Pfizer Investigational Site

    Seoul, 110-744

  • Pfizer Investigational Site

    Seoul, 120-752

  • Pfizer Investigational Site

    Seoul, 135-710

  • Pfizer Investigational Site

    Seoul, 138-736

Other trials in South Korea

Bulgaria6 sites
  • Pfizer Investigational Site

    Rousse, 7002

  • Pfizer Investigational Site

    Sofia, Bulgaria, 1504

  • Pfizer Investigational Site

    Sofia, 1233

  • Pfizer Investigational Site

    Sofia, 1756

  • Pfizer Investigational Site

    Stara Zagora, 6003

  • Pfizer Investigational Site

    Varna, 9000

Other trials in Bulgaria

India6 sites
  • Pfizer Investigational Site

    Bangalore, Karnataka, 560 078

  • Pfizer Investigational Site

    Mumbai, Maharashtra, 400 012

  • Pfizer Investigational Site

    Mumbai, Maharashtra, 400026

  • Pfizer Investigational Site

    Pune, Maharashtra, 411 001

  • Pfizer Investigational Site

    Pune, Maharashtra, 411 016

  • Pfizer Investigational Site

    Vellore, Tamil Nadu, 632 004

Other trials in India

Belgium5 sites
  • Pfizer Investigational Site

    Brussels, 1070

  • Pfizer Investigational Site

    Brussels, 1200

  • Pfizer Investigational Site

    Ghent, 9000

  • Pfizer Investigational Site

    Leuven, 3000

  • Pfizer Investigational Site

    Liège, 4000

Other trials in Belgium

Brazil5 sites
  • Pfizer Investigational Site

    Curitiba, Paraná, 80530-010

  • Pfizer Investigational Site

    Goiânia, Goiás, 74075-040

  • Pfizer Investigational Site

    Rio de Janeiro, Rio de Janeiro, 20230-130

  • Pfizer Investigational Site

    Rio de Janeiro, Rio de Janeiro, 20231 -050

  • Pfizer Investigational Site

    Santo André, São Paulo, 09060-650

Other trials in Brazil

Hungary5 sites
  • Pfizer Investigational Site

    Budapest, 1106

  • Pfizer Investigational Site

    Budapest, 1115

  • Pfizer Investigational Site

    Budapest, 1122

  • Pfizer Investigational Site

    Debrecen, 4032

  • Pfizer Investigational Site

    Debrecen, 4043

Other trials in Hungary

Russia5 sites
  • Pfizer Investigational Site

    Moscow, 115478

  • Pfizer Investigational Site

    Moscow, 123423

  • Pfizer Investigational Site

    Saint Petersburg, 191104

  • Pfizer Investigational Site

    Saint Petersburg, 195067

  • Pfizer Investigational Site

    Saint Petersburg, 197758

Other trials in Russia

South Africa5 sites
  • Pfizer Investigational Site

    Observatory, 7925

  • Pfizer Investigational Site

    Panorama, 7500

  • Pfizer Investigational Site

    Parktown, 2193

  • Pfizer Investigational Site

    Port Elizabeth, 6045

  • Pfizer Investigational Site

    Sandton, 2199

Other trials in South Africa

Ukraine5 sites
  • Pfizer Investigational Site

    Cherkasy, 18009

  • Pfizer Investigational Site

    Dnipropetrovsk, 49102

  • Pfizer Investigational Site

    Kyiv, 03022

  • Pfizer Investigational Site

    Lviv, 79031

  • Pfizer Investigational Site

    Uzhhorod, 88014

Other trials in Ukraine

Australia4 sites
  • Pfizer Investigational Site

    East Bentleigh, Victoria, 3165

  • Pfizer Investigational Site

    Frankston, Victoria, 3199

  • Pfizer Investigational Site

    Fremantle, Western Australia, 6160

  • Pfizer Investigational Site

    Wollongong, New South Wales, 2500

Other trials in Australia

Ireland4 sites
  • Pfizer Investigational Site

    Dublin, 8

  • Pfizer Investigational Site

    Dublin, 9

  • Pfizer Investigational Site

    Dublin

  • Pfizer Investigational Site

    Galway

Other trials in Ireland

Portugal4 sites
  • Pfizer Investigational Site

    Evora, 7000-811

  • Pfizer Investigational Site

    Porto, 4099-001

  • Pfizer Investigational Site

    Porto, 4200-072

  • Pfizer Investigational Site

    Santa Maria da Feira, 4520-211

Other trials in Portugal

Serbia4 sites
  • Pfizer Investigational Site

    Belgrade, Serbia, 11000

  • Pfizer Investigational Site

    Belgrade, 11000

  • Pfizer Investigational Site

    Kamenitz, Serbia, 21204

  • Pfizer Investigational Site

    Kamenitz, 21204

Other trials in Serbia

Thailand4 sites
  • Pfizer Investigational Site

    Bangkok, 10700

  • Pfizer Investigational Site

    Muang, Changwat Khon Kaen, 40002

  • Pfizer Investigational Site

    Muang, Chiang Mai, 50200

  • Pfizer Investigational Site

    Rachathevee, Bangkok, 10400

Other trials in Thailand

Czechia3 sites
  • Pfizer Investigational Site

    Brno, 65653

  • Pfizer Investigational Site

    Nová Ves pod Pleší, 26204

  • Pfizer Investigational Site

    Příbram, 26105

Other trials in Czechia

Hong Kong3 sites
  • Pfizer Investigational Site

    Hong Kong

  • Pfizer Investigational Site

    Kowloon

  • Pfizer Investigational Site

    Tuen Mun, New Territories, 0

Other trials in Hong Kong

Mexico3 sites
  • Pfizer Investigational Site

    Acapulco de Juárez, Guerrero, 39670

  • Pfizer Investigational Site

    Ciudad Obregón, Sonora, 85000

  • Pfizer Investigational Site

    Mexico City, Mexico City, 14080

Other trials in Mexico

Poland3 sites
  • Pfizer Investigational Site

    Warsaw, 00-909

  • Pfizer Investigational Site

    Warsaw, 02-097

  • Pfizer Investigational Site

    Warsaw, 02-781

Other trials in Poland

Sweden3 sites
  • Pfizer Investigational Site

    Gothenburg, 416 85

  • Pfizer Investigational Site

    Stockholm, 171 76

  • Pfizer Investigational Site

    Uppsala, 751 85

Other trials in Sweden

United Kingdom3 sites
  • Pfizer Investigational Site

    London, NW1 2PQ

  • Pfizer Investigational Site

    Manchester, M20 4BX

  • Pfizer Investigational Site

    Northwood, Middlesex, HA6 2RN

Other trials in United Kingdom

Argentina2 sites
  • Pfizer Investigational Site

    La Plata, Buenos Aires, B1902AVQ

  • Pfizer Investigational Site

    Santa Fe, Santa Fe Province, S3000FFU

Other trials in Argentina

Austria2 sites
  • Pfizer Investigational Site

    Sankt Pölten, 3100

  • Pfizer Investigational Site

    Vienna, 1020

Other trials in Austria

Canada2 sites
  • Pfizer Investigational Site

    Oshawa, Ontario, L1G 2B9

  • Pfizer Investigational Site

    Ottawa, Ontario, K1H 8L6

Other trials in Canada

Chile2 sites
  • Pfizer Investigational Site

    Santiago, RM, 7510032

  • Pfizer Investigational Site

    Santiago, RM

Other trials in Chile

Colombia2 sites
  • Pfizer Investigational Site

    Medellín, Antioquia, 0

  • Pfizer Investigational Site

    Pasto, Departamento de Nariño, 0

Other trials in Colombia

Norway2 sites
  • Pfizer Investigational Site

    Førde, 6807

  • Pfizer Investigational Site

    Tønsberg, 3103

Other trials in Norway

Singapore2 sites
  • Pfizer Investigational Site

    Singapore, Singapore, 119074

  • Pfizer Investigational Site

    Singapore, Singapore, 169610

Other trials in Singapore

Slovakia2 sites
  • Pfizer Investigational Site

    Bratislava, 81250

  • Pfizer Investigational Site

    Bratislava, 833 10

Other trials in Slovakia

Bosnia and Herzegovina1 site
  • Pfizer Investigational Site

    Sarajevo, 71000

Other trials in Bosnia and Herzegovina

Cyprus1 site
  • Pfizer Investigational Site

    Nicosia, 2006

Other trials in Cyprus

Romania1 site
  • Pfizer Investigational Site

    Cluj-Napoca, Cluj, 400015

Other trials in Romania

About this study

Official title: A Multicenter, Randomised, Double-Blind, Phase 3 Study Of Sunitinib In Metastatic Colorectal Cancer Patients Receiving Irinotecan, 5-Fluorouracil And Leucovorin (FOLFIRI) As First Line Treatment

The purpose of the study is to evaluate the safety and efficacy of FOLFIRI (Irinotecan, Leucovorin and 5 Fluorouracil) chemotherapy when combined with sunitinib or FOLFIRI chemotherapy without adding sunitinib as the first line treatment of patients with metastatic colorectal cancer.

Read the detailed description

On June 25, 2009, the independent Data Monitoring Committee (DMC) reviewed the progress of Study A6181122. The DMC determined Study A6181122 had met pre-specified futility criteria and was unlikely to meet its primary endpoint to demonstrate a statistically significant improvement in progression-free survival (PFS) in patients treated with sunitinib plus FOLFIRI versus placebo plus FOLFIRI. No new safety findings were noted. Pfizer notified clinical trial investigators involved in the study and regulatory agencies of these findings. Patients receiving benefit on treatment as determined by the investigator may remain on study.

Being tested
5 fluorouracil, irinotecan, levo- leucovorin, sunitinib, placebo
Keywords
colorectal neoplasms
Medical subject headings
Colorectal Neoplasms

What participants receive

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

  • 5 fluorouracilDrug

    400mg/m2 bolus injection day 1 followed by 2400mg/m2 continuous infusion for 46 hours every 14 days

  • irinotecanDrug

    180mg/m2 iv day 1 every 14 days

  • levo- leucovorinDrug

    200mg/m2 iv; day 1 every 14 days

  • sunitinibDrug

    37.5mg of blinded therapy every day for 28 days followed by 14 days of blinded therapy free period

  • 5 fluorouracilDrug

    400mg/m2 bolus injection day 1 followed by 2400mg/m2 continuous infusion for 46 hours every 14 days

  • irinotecanDrug

    180mg/m2 iv day 1 every 14 days

  • levo- leucovorinDrug

    200mg/m2 iv; day 1 every 14 days

  • placeboDrug

    37.5mg of blinded placebo therapy every day for 28 days followed by 14 days of blinded therapy free period

Study groups in NCT00457691
Study groupRoleWhat they receive
1ExperimentalNot described
Receives: Drug: 5 fluorouracil; Drug: irinotecan; Drug: levo- leucovorin; Drug: sunitinib
2Placebo comparatorNot described
Receives: Drug: 5 fluorouracil; Drug: irinotecan; Drug: levo- leucovorin; Drug: placebo

What is being measured

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

  1. Progression-free Survival (PFS)

    PFS defined as time from date of randomization to date of first documentation of objective tumour progression or death due to any cause, whichever occurred first.

    Measured: First dose of study treatment up to 30 months

Secondary outcomes (7)
  1. Overall Survival (OS)

    OS was defined as the time from randomization to the date of death due to any cause. OS data were censored on the day following the date of the last contact at which the patient was known to be alive.

    Measured: Baseline up to 30 months

  2. Number of Participants With Overall Confirmed Objective Response

    Objective disease response: participants with a confirmed complete response (CR) or partial response (PR) according to the Response Evaluation Criteria in Solid Tumors (RECIST). CR was defined as the disappearance of all target lesions. PR was defined as a greater than or equal to 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.

    Measured: Day 28 of Cycle 1 up to 30 months

  3. Duration of Response (DR)

    DR was defined as the time from the first objective documentation of CR or PR that was subsequently confirmed to the first documentation of disease progression or to death due to any cause, whichever occurred first.

    Measured: Day 28 of Cycle 1 up to 30 months

  4. Change From Baseline in Monroe Dunaway (MD) Anderson Symptom Assessment Inventory of Gastrointestinal Symptoms (MDASI-GI) Symptom Intensity Score

    Symptom Intensity score is comprised of the sum of 13 MDASI core items (ie, pain, fatigue, nausea, disturbed sleep, distress, shortness of breath, remembering things, lack of appetite, drowsiness, dry mouth, sadness, vomiting, numbness or tingling). Participant asked to rate severity of each symptom at their worst in past 24 hours; each item rated from 0 to 10, with 0=symptom not present and 10=as bad as you can imagine; lower scores indicated better outcome (range: 0 to 130).

    Measured: Day 1 of Cycles 1-3 and Day 1 of every odd-numbered cycle thereafter until end of treatment (EOT)/withdrawal

  5. Change From Baseline in MDASI-GI Symptom Interference Score

    Symptom Interference score is comprised of the sum 6 function items from MDASI core (general activity, walking, work, mood, relations with other people, and enjoyment of life). Participant asked to rate how much symptoms have interfered in past 24 hours; each item rated from 0 to 10, with 0=did not interfere and 10=interfered completely; lower scores indicated better outcome (range: 0 to 60).

    Measured: Day 1 of Cycles 1-3 and Day 1 of every odd-numbered cycle thereafter until EOT/withdrawal

  6. Change From Baseline in European Quality of Life (EuroQol) EQ-5D Self-Report Questionnaire

    EQ-5D: participant-rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problem); 3 indicates worst health state (eg, "confined to bed"). Scoring formula developed by EuroQol Group assigns a utility value for each domain. Score is transformed and results in total score range -1.11 to 1.000; higher score indicates better health state.

    Measured: Day 1 of Cycles 1-3 and Day 1 of every odd-numbered cycle thereafter until EOT/withdrawal

  7. Change From Baseline in EuroQol (EQ) Visual Analog Scale (VAS) (EQ-VAS)

    EQ-5D: participant-rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state); higher scores indicate a better health state.

    Measured: Day 1 of Cycles 1-3 and Day 1 of every odd-numbered cycle thereafter until EOT/withdrawal

Timeline

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

  1. First posted6 Apr 2007 (estimated)
  2. Study startJun 2007
  3. Primary completionMar 2010
  4. Study completionMar 2010

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
Double blind
Who is masked
Participant, Investigator
Enrolment
768 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00457691
Sponsor's protocol ID
A6181122
Status last verified
Mar 2015
First submitted
4 Apr 2007
Last updated
30 Mar 2015
Data monitoring committee
Yes

Publications

  • Carrato A, Swieboda-Sadlej A, Staszewska-Skurczynska M, Lim R, Roman L, Shparyk Y, Bondarenko I, Jonker DJ, Sun Y, De la Cruz JA, Williams JA, Korytowsky B, Christensen JG, Lin X, Tursi JM, Lechuga MJ, Van Cutsem E. Fluorouracil, leucovorin, and irinotecan plus either sunitinib or placebo in metastatic colorectal cancer: a randomized, phase III trial. J Clin Oncol. 2013 Apr 1;31(10):1341-7. doi: 10.1200/JCO.2012.45.1930. Epub 2013 Jan 28.

    PubMed 23358972

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing 5 fluorouracil, irinotecan and levo- leucovorin in people with Metastatic Colorectal Cancer, run by Pfizer at 132 sites in 34 countries.

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 3 inclusion and 3 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 30 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 132 sites in Germany, Taiwan, Spain, South Korea, Bulgaria and 29 more countries. 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. Some participants in this study may receive a placebo. 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 3 Jun 2011). 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 (PFS) (time frame: First dose of study treatment up to 30 months). 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 NCT00457691, which also lists 1 linked publication.

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 30 Mar 2015; AzTrials last refreshed its copy on 8 Nov 2026.

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