AzTrials
AzTrials

Colorectal CancerPhase 2CELIM2NCT01802645

Cetuximab/FOLFIRI With or Without Oxaliplatin and FOLFOXIRI With or Without Bevacizumab in Neoadjuvant Treatment of Non-resectable Colorectal Liver Metastases

A Phase 2 study testing Cetuximab, Bevacizumab and Irinotecan in people with Colorectal Cancer, run by Technische Universität Dresden at 15 sites in Germany.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

The aim of this study is to investigate the following schedules for efficacy with regard to response rate in neoadjuvant treatment of patients with non-resectable liver metastases: Cetuximab/FOLFOXIRI and cetuximab/FOLFIRI in patients with ras wild type tumours and Bevacizumab/FOLFOXIRI and FOLFOXIRI in patients with… 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?
Cetuximab, Bevacizumab and Irinotecan
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
91 participants
Where
15 sitesGermany
Study dates
Mar 2013to Dec 2020
Phase
Phase 2
Are there results?
None posted in the registry

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

None listed.

Who cannot join

  • Any evidence of extrahepatic metastases, distant lymph node metastases and primary tumour recurrence
  • (deleted)
  • Prior systemic anti-tumour therapy with anti- EGFR-, anti-angiogenetic drugs or with chemotherapy (except adjuvant chemotherapy with an interval of ≥ 6 months or in combination with radiation as radio sensitizer)
  • Radiotherapy or major abdominal or thoracic surgery (excluding diagnostic interventions or venous port implantation) ≤ 4 weeks before study entry
  • Renal insufficiency with serum creatinine ≥ 1.5 x UNL. If serum creatinine is between 1.0 and 1.5 x UNL, the creatinine clearance according to the Cockroft-Gault formula should be ≥ 60 ml/min
  • Hypertension with an arterial blood pressure > 150/90 mmHg
Show all 24Show fewer
  • Severe or uncontrolled cardiovascular disease (congestive heart failure NYHA III or IV, unstable angina pectoris, history of myocardial infarction within the last 12 months, significant arrhythmias)
  • Known proteinuria > 1 g/day (to be tested if proteinuria more than 1+ in the urinary dipstick analysis)
  • Peripheral neuropathy > CTC grade I
  • Concurrent systemic immune therapy, chemotherapy, hormone therapy, or patients receiving immune suppressive treatment (i.e. for transplantation, severe rheumatologic disease)
  • Participation in clinical trials with investigational agents within 30 days before start of the treatment in study
  • Active treatment of
  • peptic ulcers or bleeding erosive esophagitis / gastritis within 3 months before study
  • pulmonary embolism, severe or unstable angina pectoris or myocardial infarction, stroke or transient ischemic attack within 12 months before study
  • deep vein thrombosis within 4 weeks before study
  • Inflammatory bowel disease
  • History of other malignancies, from which the patient is not 5 years disease free, with the exception of colorectal cancer, or adequately treated basal cell or squamous cell carcinoma of skin or in-situ cervical cancer within 5 years before study
  • History of brain metastases
  • History of severe psychiatric illness
  • Active drug- or alcohol abuse
  • Known hepatitis B or C or HIV infection
  • Breast- feeding or pregnant women
  • Lack of effective contraception (for male and female patients)
  • Known intolerance to one of the following drugs: cetuximab, bevacizumab, oxaliplatin, irinotecan, 5-FU, folinic acid

Trial locations and contacts

15 sites in 1 country.

15 sites in 1 country

Germany15 sites
  • Universitätsklinikum der RWTH Aachen

    Aachen, 52074

  • Charité Campus Virchow

    Berlin, 13353

  • Überörtliche Gemeinschaftspraxis Hämatologie/ Onkologie

    Bocholt, 46397

  • Klinikum Coburg GmbH

    Coburg, 96450

  • Onkologie Dülmen GbR

    Coesfeld, 48653

  • Universitätsklinikum Carl Gustav Carus

    Dresden, 01307

  • Klinikum der Johann Wolfgang Goethe Universität Frankfurt am Main

    Frankfurt am Main, 60590

  • Universitätsmedizin Göttingen

    Göttingen, 37075

  • Universitätsklinikum Hamburg-Eppendorf

    Hamburg, 20246

  • Klinikum Landshut gGmbH

    Landshut, 84034

  • University hospital Leipzig

    Leipzig, 04103

  • Johannes-Gutenberg-Universität

    Mainz, 55131

  • Klinikum Oldenburg GmbH

    Oldenburg, 26133

  • Rems-Murr-Klinikum Winnenden

    Winnenden, 71364

  • Universitätsklinikum Würzburg

    Würzburg, 97080

Other trials in Germany

About this study

Official title: Open, Randomized, Multicenter Phase II Trial With Cetuximab /5-FU/FA/Irinotecan or Cetuximab/5-FU/FA /Irinotecan/Oxaliplatin in K-ras/B-raf Wild Type Patients or With Irinotecan/Oxaliplatin/5-FU/FA With or Without Bevacizumab in K-ras Mutant Patients as Neoadjuvant Treatment in Patients With Non- Resectable Colorectal Liver Metastases.

The aim of this study is to investigate the following schedules for efficacy with regard to response rate in neoadjuvant treatment of patients with non-resectable liver metastases:

  • Cetuximab/FOLFOXIRI and cetuximab/FOLFIRI in patients with ras wild type tumours and
  • Bevacizumab/FOLFOXIRI and FOLFOXIRI in patients with ras mutant tumours.
Read the detailed description

Patients with liver metastases from colorectal and without known extrahepatic metastases will be screened for this study including ras status (b-raf status according to local standard).

Patients receive chemotherapy according to the allocation and are re-evaluated for resectability every 8 weeks for a maximum of 6 months. Resectable patients will be resected and receive an adjuvant treatment to complete 12 cycles.

In certain circumstances, a second resection is allowed within the study.

Patients will be randomized using a web-based computer system that allows randomization if the key basic characteristics are entered.

Patients with ras wild-type tumours will be randomized to receive:

  • Cetuximab/FOLFIRI or
  • Cetuximab/FOLFOXIRI

Patients with ras mutations will be randomized to receive:

  • FOLFOXIRI or
  • FOLFOXIRI/bevacizumab

Chemotherapy doses are adjusted to the risk of toxicity in all treatment arms.

Stratification will be performed according to:

  • Number of metastases (< 5 vs. ≥ 5 metastases)
  • Primary tumour in situ
  • Centre

Treatment regimens For dose reductions and conditions to continue please refer to the full protocol.

All drugs are used within the label and approved doses.

B-raf mutations are determined according to local standard. If a b-raf mutation is known before randomization, the investigator can consider the patient as ras wildtype OR as ras mutant patient.

Cetuximab/FOLFIRI :

Cetuximab 400 mg/m² (first dose, 2 h), then 250 mg/m² (1 h) weekly Irinotecan 180 mg/m², d-l Folinic acid 400 mg/m² (2 h), 5-FU 400 mg/m² (Bolus), 5-FU 2400 mg/m² (46 h) every 2 weeks

Cetuximab/FOLFOXIRI:

Cetuximab 400 mg/m² (first dose, 2 h), then 250 mg/m² (1 h) weekly Irinotecan 125 mg/m² , Oxaliplatin 85 mg/m² (2 h), d-l Folinic acid 400 mg/m² (2 h), 5-FU 3200 mg/m² (46 h) every 2 weeks

FOLFOXIRI:

Irinotecan 165 mg/m², Oxaliplatin 85 mg/m² (2 h), d-l Folinic acid 400 mg/m² (2 h), 5-FU 3200 mg/m² (46 h) every 2 weeks

Bevacizumab/FOLFOXIRI:

Bevacizumab 5 mg/kg (90 - 30 min i.v.), Irinotecan 165 mg/m², Oxaliplatin 85 mg/m² (2 h), d-l Folinic acid 400 mg/m² (2 h), 5-FU 3200 mg/m² (46 h) every 2 weeks

Evaluation for response and resections Patients are evaluated for response by the same imaging technique as at baseline every 8 weeks. The findings will be discussed for resectability within two weeks after tumour assessment in a local multidisciplinary team.

Technically resectable patients should be offered liver resection. The treatment will continue until liver resection or for a maximum of six months (12 cycles).

Adjuvant treatment After liver resection, an adjuvant treatment is recommended with the same schedule as preoperatively, for a maximum combined pre- and postoperative treatment of 12 cycles. If less than three postoperative cycles remain, no postoperative treatment will be started (see chapter 9.10).

Follow up After resection, patients will be followed up for 5 years after randomization. This includes

  • imaging and clinical investigation every three months for the first 2 years, then every six months (patients without tumour progression / recurrence)
  • survival status and surgical/medical treatment every three months for the first 2 years and then every six months (all patients)
Keywords
neoadjuvant, cetuximab, irinotecan, bevacizumab, oxaliplatin, 5-FU, Resection, colorectal liver metastases, liver resection, Chemotherapy, k-ras, non-resectable
Medical subject headings
Colorectal Neoplasms

What participants receive

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

Study groups in NCT01802645
Study groupRoleWhat they receive
Cetuximab/FOLFIRIActive comparatorCetuximab 250 mg/m² (1 h) weekly Irinotecan 180 mg/m² (1 h)*, d-l Folinic acid 400 mg/m² (2 h), 5-FU 400 mg/m² (Bolus), 5-FU 2400 mg/m² (46 h) every 2 weeks *reduced in UGT1A1 7/7 patients
Receives: Drug: Cetuximab; Drug: Irinotecan; Drug: 5-FU; Drug: Folinic Acid
Cetuximab/FOLFOXIRIExperimentalCetuximab 250 mg/m² (1 h) weekly Irinotecan 125 mg/m² (1 h),* Oxaliplatin 85 mg/m² (2 h), d-l Folinic acid 400 mg/m² (2 h), 5-FU 3200 mg/m² (46 h) every 2 weeks *reduced in UGT1A1 7/7 patients
Receives: Drug: Cetuximab; Drug: Irinotecan; Drug: Oxaliplatin; Drug: 5-FU; Drug: Folinic Acid
FOLFOXIRIActive comparatorIrinotecan 165 mg/m² (1 h)*, Oxaliplatin 85 mg/m² (2 h), d-l Folinic acid 400 mg/m² (2 h), 5-FU 3200 mg/m² (46 h) every 2 weeks *reduced in UGT1A1 7/7 patients
Receives: Drug: Irinotecan; Drug: Oxaliplatin; Drug: 5-FU; Drug: Folinic Acid
Bevacizumab/FOLFOXIRIExperimentalBevacizumab 5 mg/kg (30-90 min i.v.), Irinotecan 165 mg/m² (1 h),* Oxaliplatin 85 mg/m² (2 h), d-l Folinic acid 400 mg/m² (2 h), 5-FU 3200 mg/m² (46 h) every 2 weeks *reduced in UGT1A1 7/7 patients
Receives: Drug: Bevacizumab; Drug: Irinotecan; Drug: Oxaliplatin; Drug: 5-FU; Drug: Folinic Acid

What is being measured

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

  1. Response rate

    Rate of patients with partial or complete response according to modified RECIST criteria.

    Measured: up to 1 year after randomization

Secondary outcomes (1)
  1. Rate of resected patients without early relaps

    Rate of patients who had a R0 resection of all lesions and are disease free for at least 6 months in the ITT population.

    Measured: 6 months after resection

Timeline

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

  1. First posted1 Mar 2013 (estimated)
  2. Study startMar 2013
  3. Primary completionSep 2019 (estimated)
  4. Study completionDec 2020 (estimated)

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
91 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01802645
Sponsor's protocol ID
TUD-CELIM2-050
Other IDs
2011-003288-31
Acronym
CELIM2
Status last verified
Sep 2019
First submitted
11 Feb 2013
Last updated
11 Sep 2019
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Cetuximab, Bevacizumab and Irinotecan in people with Colorectal Cancer, run by Technische Universität Dresden at 15 sites in Germany.

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 0 inclusion and 24 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: status not confirmed, as of the sponsor's last update on 11 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in Germany. 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?

Results are not available in the source record.

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?

Response rate (time frame: up to 1 year after randomization). 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 11 Sep 2019; AzTrials last refreshed its copy on 8 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in