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Colorectal NeoplasmsPhase 1NCT00599924

Study Of Sunitinib Plus FOLFOX In Patients With Solid Tumors

A Phase 1 study testing sunitinib + FOLFOX in people with Colorectal Neoplasms and Neoplasms, run by Pfizer at 3 sites in United States.

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

This study determined the maximum tolerated dose and safety of SU011248 (sunitinib malate, SUTENT) in combination with FOLFOX [Leucovorin + Fluorouracil (5-FU) + Oxaliplatin]. Three different dosing regimens with starting doses of sunitinib at 37.5 mg/day (Schedule 2/2, Schedule 4/2, and Continuous Dosing) were tested… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Colorectal Neoplasms, Neoplasms
What is being tested?
sunitinib + FOLFOX
Could I receive a placebo?
No, everyone receives an active treatment
How many people
53 participants
Where
3 sitesUnited States
Study dates
Sep 2005to Nov 2008
Phase
Phase 1
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

  • Advanced solid tumor malignancy (during expansion at the maximum tolerated dose, entry will be limited to patients wtih adenocarcinoma of the colon or rectum)
  • Eastern Cooperative Oncology Group (ECOG) 0 or 1

Who cannot join

  • Prior treatment with more than 6 cycles of traditional alkylating agent-based chemotherapy regimens
  • Prior treatment with more than 2 cycles of carboplating-based chemotherapy regimens
  • For colorectal cancer patients in the expanded cohorts, prior treatment with more than 2 systemic chemotherapy regimens in the metastatic setting

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Pfizer Investigational Site

    Aurora, Colorado, 80045

  • Pfizer Investigational Site

    Dallas, Texas, 75246

  • Pfizer Investigational Site

    Nashville, Tennessee, 37232

Other trials in United States

About this study

Official title: Phase I Study Of SU011248 In Combination With Oxaliplatin, Leucovorin, And 5-Fluorouracil In Patients With Advanced Solid Malignancies

This study determined the maximum tolerated dose and safety of SU011248 (sunitinib malate, SUTENT) in combination with FOLFOX [Leucovorin + Fluorouracil (5-FU) + Oxaliplatin]. Three different dosing regimens with starting doses of sunitinib at 37.5 mg/day (Schedule 2/2, Schedule 4/2, and Continuous Dosing) were tested in patients with advanced solid tumors, including colorectal cancer.

Read the detailed description

Study Design: Treatment, Single Group Assignment (7 cohorts), Open Label, Non-Randomized, Safety Study.

Being tested
sunitinib + FOLFOX
Keywords
advanced solid tumors,, colorectal cancer,, sunitinib (SUTENT),, FOLFOX
Medical subject headings
Colorectal Neoplasms, Neoplasms

What participants receive

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

  • sunitinib + FOLFOXDrug

    Also called Sunitinib malate, SUTENT, mFOLFOX6

    37.5 mg sunitinib + modified FOLFOX6 (Schedule 2/2)

  • sunitinib + FOLFOXDrug

    Also called Sunitinib malate, SUTENT, mFOLFOX6

    50 mg sunitinib + modified FOLFOX6 (Schedule 2/2)

  • sunitinib + FOLFOXDrug

    Also called Sunitinib malate, SUTENT, mFOLFOX6

    50 mg sunitinib + modified FOLFOX6 ( CRC, only Schedule 2/2)

  • sunitinib + FOLFOXDrug

    Also called Sunitinib malate, SUTENT, mFOLFOX6

    37.5 mg sunitinib + modified FOLFOX6 (Schedule 4/2)

  • sunitinib + FOLFOXDrug

    Also called Sunitinib malate, SUTENT, mFOLFOX6

    50 mg sunitinib + modified FOLFOX6 (Schedule 4/2)

  • sunitinib + FOLFOXDrug

    Also called Sunitinib malate, SUTENT, mFOLFOX6

    37.5 mg sunitinib + modified FOLFOX6 (Continuous Dosing)

  • sunitinib + FOLFOXDrug

    Also called Sunitinib malate, SUTENT, mFOLFOX6

    25 mg sunitinib + modified FOLFOX6 (Continuous Dosing)

Study groups in NCT00599924
Study groupRoleWhat they receive
Single armExperimentalSU011248 [sunitinib] in combination with FOLFOX; FOLFOX is a chemotherapy regimen that combines oxaliplatin and leucovorin with bolus and infusion 5-FU. The modified FOLFOX 6 (mFOLFOX6) regimen is one of several different regimens of FOLFOX used in clinic, according to different dosages of the 4 drugs. mFOLFOX6 was administered every 2 weeks on Days 1 and 2 of each cycle. 25, 37.5 and 50 mg/day, oral, administered on an outpatient basis in three different dosing regimens: schedule 2/2 (2 weeks on, 2 weeks off), schedule 4/2 (4 weeks on, 2 weeks off), and continuous daily dosing (every day); FOLFOX will be administered every 2 weeks, using the modified FOLFOX 6 (mFOLFOX6) regimen, consisting of: oxaliplatin 85 mg/m2 + leucovorin 400 mg/m2 as a 2-hr IV infusion; 5-FU 400 mg/m2 IV bolus, followed by - 5-FU 2400 mg/m2 as a 46-hr IV infusion
Receives: Drug: sunitinib + FOLFOX

What is being measured

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

  1. Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    All observed or volunteered AEs and SAEs regardless of treatment group or suspected causal relationship to the investigational product(s) were reported.

    Measured: up to 20 weeks

Secondary outcomes (29)
  1. Objective Response (OR)

    From the start of treatment until disease progression/recurrence. OR=confirmed Complete Response (CR) or confirmed Partial Response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). CR = disappearance of all target lesions. CR was confirmed if it persisted on repeat imaging study ≥ 4 weeks after initial documentation of response. PR = ≥ 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions. PR was confirmed if it persisted on repeat imaging study ≥ 4 weeks after initial documentation of response.

    Measured: From start of treatment until Day 8 of Cycles 4 and 8 (2/2 Schedule), Day 8 of Cycles 3 and 6 (4/2 Schedule), and Day 1 of Cycles 3 and 7 (Continuous Dosing)

  2. Maximum Plasma Concentration (Cmax) of Sunitinib

    Measured: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose

  3. Time to Cmax (Tmax) of Sunitinib

    Measured: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose

  4. Minimum Plasma Concentration (Cmin) of Sunitinib

    Measured: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose

  5. Clearance (CL/F) of Sunitinib

    Drug clearance (CL/F) = dose divided by area under the plasma concentration-time profile from time zero to twenty-four hours.

    Measured: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose

  6. Area Under Plasma Concentration-Time Profile From Time Zero to Twenty-Four Hours Postdose (AUC24) of Sunitinib

    AUC24 = Area under the plasma concentration-time profile from time zero (pre-dose) to twenty-four hours. AUC24 was obtained by the Linear/Log trapezoidal method.

    Measured: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose

  7. Terminal Phase Half-Life (t1/2) of Sunitinib

    t1/2 = terminal phase half-life. t1/2 was obtained by natural log of 2 (ln2) divided by the rate constant for terminal phase (kel).

    Measured: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose

  8. Cmax of SU-012662 (Sunitinib's Metabolite)

    Measured: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose

  9. Tmax of SU-012662 (Sunitinib's Metabolite)

    Measured: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose

  10. Cmin of SU-012662 (Sunitinib's Metabolite)

    Measured: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose

  11. AUC24 for SU-012662 (Sunitinib's Metabolite)

    AUC24 = Area under the plasma concentration-time profile from time zero (pre-dose) to twenty-four hours. AUC24 was obtained by the Linear/Log trapezoidal method.

    Measured: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose.

  12. CL/F of SU-012662 (Sunitinib's Metabolite)

    CL/F = dose divided by area under the plasma concentration-time profile from time zero to twenty-four hours.

    Measured: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose

  13. T1/2 of SU-012662 (Sunitinib's Metabolite)

    t1/2 = terminal phase half-life. t1/2 was obtained by ln2 divided by kel.

    Measured: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose

  14. Cmax of Free Platinum

    Oxaliplatin was metabolized to platinum and free platinum was measured.

    Measured: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose

  15. Tmax of Free Platinum

    Oxaliplatin was metabolized to platinum and free platinum was measured.

    Measured: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose

  16. Area Under the Plasma Concentration-Time Profile From Time Zero to Infinity (AUCinf) for Free Platinum

    Oxaliplatin was metabolized to platinum and free platinum was measured. AUCinf = Area under the plasma concentration-time profile from time zero (pre-dose) to infinity. AUCinf was obtained by the Linear/Log trapezoidal method.

    Measured: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose

  17. T1/2 for Free Platinum

    t1/2 = terminal phase half-life. t1/2 was obtained by ln2 divided by kel. Oxaliplatin was metabolized to platinum and free platinum was measured.

    Measured: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose

  18. Cmax of Total Platinum

    Oxaliplatin was metabolized to platinum and total platinum was measured.

    Measured: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose

  19. Tmax of Total Platinum

    Oxaliplatin was metabolized to platinum and total platinum was measured.

    Measured: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose

  20. Area Under the Plasma Concentration-Time Profile From Time Zero to Forty-Eight Hours (AUC48) for Total Platinum

    Oxaliplatin was metabolized to platinum and total platinum was measured. AUC48 = Area under the plasma concentration-time profile from time zero (pre-dose) to forty-eight hours. AUC48 was obtained by the Linear/Log trapezoidal method.

    Measured: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose

  21. Steady State Concentration (Css) of Fluorouracil (5-FU)

    Steady state is reached when the amount of drug getting into the system per unit time is equal to the amount of drug cleared from the system.

    Measured: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose

  22. Steady State Clearance (CLss) of 5-FU

    CLss was determined by total amount of drug received during infusion or duration of infusion (Ki) divided by Css.

    Measured: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose

  23. Area Under the Curve (AUC) of 5-FU

    Measured: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose

  24. Cmax of 5-FU

    Measured: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose

  25. T1/2 of Free Platinum, Total Platinum, and 5-FU

    t1/2 = terminal phase half-life. t1/2 was obtained by ln2 divided by kel. Oxaliplatin was metabolized to platinum and free and total platinum were measured.

    Measured: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose

  26. CL/F of Free Platinum, Total Platinum, and 5-FU

    CL/F = dose divided by area under the plasma concentration-time profile from time zero to twenty-four hours.

    Measured: pre-dose, 1h, 2h, 2 h 5 min, 2h 15 min, 2h 30 min, 2h 45 min, 4h, 6h, 8h, 10h, 24h, and 48h post-dose

  27. Cmin of Free Platinum, Total Platinum, and 5-FU

    Measured: pre-dose, 1, 2, 4, 6, 8, 10, and 24 hours post-dose

  28. Volume Endothelial Transfer Constant (Ktrans) of Tumors in a Selected Group of Subjects Assessed by Dynamic Contrast-Enhanced Magnetic Resonance Imaging (DCE-MRI)

    Volume endothelial Ktrans was estimated by fitting the tissue contrast agent time course to the Kety equation (Tofts model for analysis of DCE-MRI data).

    Measured: Cycle 3 (Day 1), Cycle 3 (Day 8)

  29. Initial Area Dnder the Contrast Agent Concentration-Time Curve (IAUC) of Tumors in a Selected Group of Subjects Assessed by DCE-MRI

    IAUC: The initial area under the curve was estimated by integrating the area under the contrast agent concentration time course for the first 90 seconds after bolus arrival in the tumor.

    Measured: Cycle 3 (Day 1) and Cycle 3 (Day 8)

Timeline

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

  1. First posted24 Jan 2008 (estimated)
  2. Study startSep 2005
  3. Primary completionNov 2008
  4. Study completionNov 2008

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 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
53 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00599924
Sponsor's protocol ID
A6181048
Status last verified
Jun 2015
First submitted
11 Jan 2008
Last updated
15 Jul 2015
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing sunitinib + FOLFOX in people with Colorectal Neoplasms and Neoplasms, run by Pfizer at 3 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?

The sponsor lists 2 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 15 Jul 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 9 Dec 2009). 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?

Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) (time frame: up to 20 weeks). 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 15 Jul 2015.

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