Colonic AdenocarcinomaPhase 3ADAGENCT02355379
Randomised Study Evaluating Adjuvant Chemotherapy After Resection of Stage III Colonic Adenocarcinoma in Patients of 70 and Over
A Phase 3 study testing LV5FU2 or capectitabine, FOLFOX4 or XELOX and Observation in people with Colonic Adenocarcinoma, run by Federation Francophone de Cancerologie Digestive at 140 sites in France.
Trial summary
Colorectal cancer occurs mainly in elderly patients. Recent estimation showed that in France more than 50% of the patients diagnosed with a colorectal cancer are 70 years old or more. Read more about this study
- Who is it for?
- Ages 75 years and older
- Conditions the study is for
- Colonic Adenocarcinoma
- What is being tested?
- LV5FU2 or capectitabine, FOLFOX4 or XELOX and Observation
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 774 participants
- Where
- 140 sitesFrance
- Study dates
- Jan 2015to Aug 2025
- Phase
- Phase 3
- 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 75 years and older
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
- Age ≥ 70 years
- Patient considered able to receive chemotherapy
- Lee score detailed faxed to CRGA
- Stage III colon adenocarcinoma
- R0 resection of the primary tumor
- Start of the potential adjuvant chemotherapy within 12 weeks after surgery
Show all 11Show fewer
- No prior chemotherapy for colon cancer
- Geriatric Self-administered questionnaire completed faxed to CRGA
- Geriatric Questionnaire completed by the team faxed to CRGA
- Effective contraception for men patients throughout treatment and for at least 6 months after discontinuation of oxaliplatin
- Consent signed
Who cannot join
- Other progressive disease (cancer uncontrolled for less than 2 years)
- Rectal Cancer (located less than 15 cm from the anal verge endoscopy or sub-peritoneal)
- ANC <2000 / mm3 for group 1 and ANC <1500 / mm3 for group 2 and platelets <100,000 / mm3 or hemoglobin <9 g / dL
- Neuropathy for patients in group 1
- Known deficit of dihydropyrimidine dehydrogenase (DPD)
- Patients with severe hepatic insufficiency
- Any contrindication to the drugs used in the study
- Inability to submit to medical follow-up for geographical, social or psychological reasons.
Trial locations and contacts
140 sites in 1 country.
140 sites in 1 country
France140 sites, 140 recruiting
- Recruiting
CH d'Abbeville
Abbeville, 80142
Mathieu PAUWELS, Dr, pauwels.mathieu@ch-abbeville.fr; pauwels.gastro@wanadoo.fr
- Recruiting
CROMG
Agen
Adela CAUCHOIS, 05 53 69 12 00
Adela CAUCHOIS
- Recruiting
Centre hospitalier du Pays d'Aix
Aix-en-Provence, 13616
Sophie NAHON BRISSONNEAU, Dr, arc.emrc13@gmail.com
- Recruiting
Centre hospitalier d'Albi
Albi, 81000
Nadia MUNSCH, Dr, nadia.munsch@ch-albi.rss.fr
- Recruiting
Clinique Claude Bernard
Albi, 81030
Yann BERGE, Dr, berge@claude-bernard-albi.com
- Recruiting
Clinique Claude Bernard
Albi
Yann BERGE, berge@claude-bernard-albi.com
Yann BERGE
- Recruiting
Centre Oncogard
Alès, 30103
Jacques CRETIN, Dr, cretinjacques@yahoo.fr
- Recruiting
Hôpital Sud
Amiens, 80054
Vincent HAUTEFEUILLE, Dr, hautefeuille.vincent@chu-amiens.fr
- Recruiting
ICO Site Paul Papin
Angers, 49055
Sandrine HIRET, Dr, Sandrine.hiret@ico.unicancer.fr
- Recruiting
CHU d'Angers
Angers, 49933
Nathalie BAIZE, Dr, nabaize@chu-angers.fr
- Recruiting
HOP Privé
Annemasse
Oxana SHESTAEVA, o.shestaeva@ramsaygds.fr
Oxana SHESTAEVA
- Recruiting
CH Victor Dupouy
Argenteuil, 95107
Arnaud BOUTAN-LAROZE, Dr, arnaud.boutan-laroze@ch-argenteuil.fr
- Recruiting
Hôpital Les Bonnettes
Arras, 62012
Bruno HUGUENIN, Dr, drbhuguenin@orange.fr
- Recruiting
Hôpital Privé Bonnettes
Arras
Bruno HUGUENIN, drbhuguenin@orange.fr
Bruno HUGUENIN
- Recruiting
Centre Hospitalier Ardèche Méridionale
Aubenas, 07205
Brigitte VELAY, Dr, brigitte.velay@ch-ardeche-meridionale.fr
- Recruiting
CH D'Auxerre
Auxerre, 89000
Anne-Laure VILLING, Dr, alvilling@ch-auxerre.fr
- Recruiting
Hôpital Henri Duffaut
Avignon, 84902
Olivier BOULAT, Dr, OBoulat@ch-avignon.fr
- Recruiting
Institut Sainte Catherine
Avignon, 84918
Laurent MINEUR, Dr, l.mineur@isc84.org
- Recruiting
Hôpital de Bayeux
Bayeux, 14401
Annie PEYTIER, Dr, a.peytier@sih-bessin.fr
- Recruiting
Centre d'Oncologie et de Radiothérapie du Pays-Basque
Bayonne, 64100
Stéphane REMY, Dr, stephane.remy@oncologie-pays-basque.org
- Recruiting
CH Côte Basque
Bayonne, 64109
Franck AUDEMAR, Dr, faudemar@ch-cotebasque.fr
- Recruiting
CH de Beauvais
Beauvais, 60021
Fayçal HOCINE, Dr, f.hocine@ch-beauvais.fr ; fayoncologie@yahoo.fr
- Recruiting
CH de Béziers
Béziers, 34525
Mohamed RAMDANI, Dr, mohamed.ramdani@ch-beziers.fr
- Recruiting
CH de Blois
Blois, 41000
Dany GARGOT, Dr, dgargot@ch-blois.fr
- Recruiting
CHU Avicenne
Bobigny, 93009
Thomas APARICIO, Pr, 01 48 95 54 31, thomas.aparicio@avc.aphp.fr
Mourad BENALLAOUA, 01 48 95 54 31, thomas.aparicio@avc.aphp.fr
- Recruiting
Polyclinique Bordeaux Nord
Bordeaux, 33077
Cédric LECAILLE, Dr, lecail@hotmail.com; m.balhadere@hotmail.fr
- Recruiting
Hôpital Duchenne
Boulogne-sur-Mer, 62321
Vincent BOURGEOIS, Dr, vincebourgeois@hotmail.com
- Recruiting
Hôpital Pierre Oudot
Bourgoin, 38300
Benoit AVISSE, Dr, benoit.avisse@club-internet.fr;bavisse@ch-bourgoin.fr
- Recruiting
Clinique Pasteur Saint Esprit
Brest, 29200
Véronique JESTIN LE TALLEC, Dr, veronique.jestin-letallec@orange.fr
- Recruiting
CHU Côte de Nacre
Caen, 14033
Karine BOUHIER LEPORRIER, Dr, bouhierleporrier-k@chu-caen.fr
- Recruiting
CH
Cahors
Nadia LEVASSEUR, nadia.levasseur@ch-cahors.fr
Nadia LEVASSEUR
- Recruiting
Infirmerie Protestante de Lyon
Caluire-et-Cuire, 69300
Johannes HARTWIG, Dr, johannes.hartwig@infirmerie-protestante.com
- Recruiting
CH William Morey
Chalon-sur-Saône, 71100
Laurie RAMBACH, Dr, laurie.rambach@ch-chalon71.fr
- Recruiting
Hôpital Privé Sainte Marie
Chalon-sur-Saône, 71100
Adrien MELIS, Dr, melisadrien@yahoo.fr
- Recruiting
Centre Hospitalier Général
Châlons-en-Champagne, 51005
Naceur ABDELLI, Dr, nabdelli@ch-chalonsenchampagne.fr; docteurnaceurabdelli@gmail.com
- Recruiting
Centre Hospitalier Métropole Savoie
Chambéry, 73011
Jocelyne PROVENCAL, Dr, jocelyne.provencal@ch-metropole-savoie.fr
- Recruiting
Centre Hospitalier Public du Cotentin
Cherbourg, 50102
Laure KALUZINSKI, Dr, recherche-clinique@ch-cotentin.fr
- Recruiting
CH
Cherbourg
Laure KALUZINSKI, l.kaluzinski@ch-cherbourg.fr
Laure KALUZINSKI
- Recruiting
CHU Estaing
Clermont-Ferrand, 63003
Caroline PETORIN, Dr, cpetorin@chu-clermontferrand.fr
- Recruiting
Hopitaux Civils de Colmar
Colmar, 68024
Gilles BREYSACHER, Dr, gilles.breysacher@ch-colmar.fr
- Recruiting
Centre Hospitalier
Compiègne, 60321
Jean-Christophe DUCHMANN, Dr, jc.duchmann@ch-compiegnenoyon.fr
- Recruiting
CH
Contamine-sur-Arve
Carol ALLIOT, calliot@ch-alpes-leman.fr
Carol ALLIOT
- Recruiting
Centre Hospitalier Sud Francilien
Corbeil-Essonnes, 91106
Samy LOUAFI, Dr, samy.louafi@gmail.com; samy.louafi@chsf.fr
- Recruiting
Clinique des Cèdres
Cornebarrieu, 31700
Isabelle ROQUE, Dr, isa.roque@wanadoo.fr
- Recruiting
Clinique des Cèdres
Cornebarrieu
Isabelle ROQUE, isa.roque@wanadoo.fr
Isabelle ROQUE
- Recruiting
Centre Hospitalier de Dax
Dax, 40107
Laure GAUTIER FELIZOT, Dr, gautier-felizot@ch-dax.fr
- Recruiting
Service de médecine
Digne-les-Bains, 04000
Gilbert BORDES, Dr, gbordes@ch-digne.fr
- Recruiting
Institut de Cancérologie de Bourgogne - GRRECC
Dijon, 21000
Geneviève BOILLEAU-JOLIMOY, Dr, gjolimoy@icb-cancer.fr; gjolimoy@yahoo.fr
- Recruiting
Centre Goerges François Leclerc
Dijon, 21079
Leila BENGRINE LEFEVRE, Dr, lbengrine@cgfl.fr
- Recruiting
Hôpital François Mitterand
Dijon, 21079
Côme LEPAGE, Pr, come.lepage@u-bourgogne.fr
- Recruiting
CHI Elbeuf-Louviers-Val de Reuil
Elbeuf, 76503
Anne-Marie QUENIET, Dr, anne-marie.queuniet@chi-elbeuf-louviers.fr
- Recruiting
Centre médical des Forcilles
Férolles-Attilly, 77150
Hélène DALL OSTO, Dr, hdallosto@cognacq-jay.fr
- Recruiting
CH
Flers
Pierre-Emmanuel HENNERESSE, pierre-emmanuel.henneresse@ch-flers.fr ; netpeh@orange.fr
Pierre-Emmanuel HENNERESSE
- Recruiting
CHU de Fort de France
Fort de France, Guadeloupe, 97261
Nathalie GROSSAT BERNADOU, Dr, nathalie.grossat-bernadou@chu-martinique.fr
- Recruiting
CHI de Fréjus Saint-Raphaël
Fréjus, 83600
Bruno VALENZA, Dr, valenza-b@chi-frejus-saint-raphael.fr;oncologie-sec@chi-fsr.fr; brunovalenza@msn.com
- Recruiting
Centre Hospitalier
Gap, 05007
Olivier GUILLEM, Dr, olivier.guillem@chicas-gap.fr; olivier.guillem@gmail.com
- Recruiting
Centre Hospitalier
Gonesse, 95500
Yacine HADJARAB, Mr, yacine.hadjarab@wanadoo.fr
- Recruiting
CH
Gonesse
Sabri AHMED
- Recruiting
CHU de Grenoble - Hôpital A. Michallon
Grenoble, 38043
Jean-Luc FAUCHERON, Pr, jlfaucheron@chu-grenoble.fr
- Recruiting
CH Marne La Vallée-Jossigny
Jossigny, 77600
Christine LE FOLL, Dr, clefoll@ch-marnelavallee.fr
- Recruiting
CHD Vendée
La Roche-sur-Yon, 85925
Roger FAROUX, Dr, roger.faroux@chd-vendee.fr
- Recruiting
Groupe Hospitalier de la Rochelle Ré-Aunis
La Rochelle, 17019
Marie BRECHON, Dr, marie.brechon@ch-larochelle.fr
- Recruiting
CH
Le Coudray
Gabriela TOSSEN, gtossen@hotmail.com
Gabriela TOSSEN
- Recruiting
CH du Mans
Le Mans, 72037
Oana COJOCARASU, Dr, ocojocarasu@ch-lemans.fr; oanaalexa@hotmail.com
- Recruiting
Centre Oscar Lambret
Lille, 59037
Farid EL HAJBI, Dr, f-elhajbi@o-lambret.fr
- Recruiting
CHRU Hôpital Claude Huriez 4eme EST
Lille, 59037
Anthony TURPIN, Dr, turpin.anth@yahoo.fr; anthony.turpin@chru-lille.fr
- Recruiting
Clinique François Chénieux
Limoges, 87000
Jean MARTIN, Dr, jm@imagemed-87.com
- Recruiting
CHU Dupuytren
Limoges, 87042
Valérie LE BRUN LY, Dr, valerie.lebrun@chu-limoges.fr
- Recruiting
CH
Longjumeau, 91164
Joël EZENFIS, Dr, joel.ezenfis@ch-longjumeau.fr
- Recruiting
CHBS - Hôpital du Scorff
Lorient, 56322
Joëlle EGRETEAU, Dr, j.egreteau@ch-bretagne-sud.fr
- Recruiting
Clinique Mutualiste Eugène André
Lyon, 69003
Cécile FOURNEL, Dr, cecile.fournel@icloire.fr
- Recruiting
Hôpital Privé Jean Mermoz
Lyon, 69008
Jérôme DESRAME, Pr, jerome.desrame@orange.fr
- Recruiting
Clinique de la Sauvegarde
Lyon, 69009
Isabelle MOULLET, Dr, i.moullet@wanadoo.fr
- Recruiting
CHU de Lyon - Croix Rousse
Lyon, 69317
Marielle GUILLET, Dr, marielle.guillet@chu-lyon.fr; marielguillet@hotmail.fr; celine.leclercq@chu-lyon.fr
- Recruiting
CH ST Joseph-ST Luc
Lyon, 69365
Denis PERE VERGE, Dr, dpereverge@ch-stjoseph-stluc-lyon.fr; fannydenis@sfr.fr
- Recruiting
Hôpital Edouard Herriot
Lyon, 69437
Julien FORESTIER, Dr, julien.forestier@chu-lyon.fr
- Recruiting
Centre Radiologie
Mâcon
Isabelle POUCHARD, rthmacon@orange.fr; iporlem@orange.fr
Isabelle POUCHARD
- Recruiting
Hôpital Européen Marseille
Marseille, 13331
Yves RINALDI, Dr, y.rinaldi@hopital-europeen.fr; yrinaldi@wanadoo.fr
- Recruiting
CHU La Timone
Marseille, 13385
Laétitia DAHAN, Pr, laetitia.dahan@ap-hm.fr
- Recruiting
Hopital Nord
Marseille, 13915
Mohamed GASMI, Dr, mohamed.gasmi@ap-hm.fr
- Recruiting
CH de Meaux
Meaux, 77100
Christophe LOCHER, Dr, c-locher@ch-meaux.fr
- Recruiting
Hôpital Layne
Mont-de-Marsan, 40024
Jérôme DAUBA, Dr, jerome.dauba@ch-mt-marsan.fr
- Recruiting
Centre Hospitalier
Montélimar, 26216
Agnès PELAQUIER, Dr, agnes.pelaquier@ch-montelimar.fr; agnes.pelaquier@free.fr
- Recruiting
Hôpital Monod
Montivilliers, 76290
Charline MARRE, Dr, charline.marre@ch-havre.fr; charlinemarre@gmail.com
- Recruiting
Centre Hospitalier
Morlaix, 29672
Marc FEREC, Dr, mferec@ch-morlaix.fr; marc_ferec@hotmail.com
- Recruiting
Centre Azuréen de Cancérologie
Mougins, 06250
Benjamin HOCH, Dr, dr.bhoch@gmail.com
- Recruiting
Hôpital Privé du Confluent SAS
Nantes, 44277
Hélène CASTANIE, Dr, helene.castanie@groupeconfluent.fr
- Recruiting
Hôpital Américain de Paris
Neuilly-sur-Seine, 92200
Lionel VEDRINE, Pr, lionelvedrine@orange.fr
- Recruiting
Hôpital Pierre Bérégovoy
Nevers, 58033
Abdelkader OUAZIR, Dr, abdelkader.ouazir@ch-nevers.fr
- Recruiting
Centre Antoine Lacassagne
Nice, 06189
Eric FRANCOIS, Dr, eric.francois@nice.unicancer.fr
- Recruiting
Centre Oncogard
Nîmes, 30029
Jacques CRETIN, Dr, cretinjacques@yahoo.fr
- Recruiting
CHU Carémeau
Nîmes, 30029
Valérie PHOUTTHASANG, Dr, Valivalo@hotmail.com
- Recruiting
Hôpital de la Source
Orléans, 45067
Jean-Paul LAGASSE, Dr, jean-paul.lagasse@chr-orleans.fr
- Recruiting
Hôpital Privé des Peupliers
Paris, 75013
Mustapha ZOUBIR, Dr, m.zoubir@gsante.fr
- Recruiting
Hôpital Saint Antoine
Paris, 75571
Daniel LOPEZ-TRABADA, Dr, daniel.lopez-trabada-ataz@aphp.fr
- Recruiting
HEGP
Paris
Julien TAIEB, julien.taieb@egp.aphp.fr; jtaieb75@gmail.com
Julien TAIEB
- Recruiting
Hôpital Cochin
Paris
Romain CORIAT, romain.coriat@cch.aphp.fr
Romain CORIAT
- Recruiting
Hôpital Saint Louis
Paris
Jean-Marc GORNET, jean-marc.gornet@sls.aphp.fr
Jean-Marc GORNET
- Recruiting
Institut Montsouris
Paris
Christophe LOUVET, christophe.louvet@imm.fr
Christophe LOUVET
- Recruiting
Pitié Salpêtière
Paris
Olivier DUBREUIL, olivier.dubreuil@aphp.fr
Olivier DUBREUIL
- Recruiting
Centre Hospitalier
Pau, 64046
Juliette THAURY, Dr, juliette.thaury@ch-pau.fr; jthaury@yahoo.fr
- Recruiting
Polyclinique Francheville
Périgueux, 24004
Laurent CANY, Dr, l.cany@oncoradio24.com
- Recruiting
Hôpital Haut Leveque
Pessac, 33604
Eric TERREBONNE, Dr, eric.terrebonne@chu-bordeaux.fr
- Recruiting
CHU Lyon Sud
Pierre-Bénite, 64495
Claire FALANDRY, Dr, claire.falandry@chu-lyon.fr
- Recruiting
Centre CARIO - HCPA
Plérin, 22190
Pierre-Luc ETIENNE, Dr, pl.etienne@cario-sante.fr ; pl.etienne@wanadoo.fr
- Recruiting
Hôpital de la Milétrie
Poitiers, 86021
David TOUGERON, Pr, david.tougeron@chu-poitiers.fr
- Recruiting
CH Annecy Genevois
Pringy, 74374
Emmanuel MAILLARD, Dr, emaillard@ch-annecygenevois.fr
- Recruiting
CHU Robert Debré
Reims, 51092
Olivier BOUCHE, Pr, obouche@chu-reims.fr
- Recruiting
CHU de Pontchaillou
Rennes, 35033
Astrid LIEVRE, Pr, astrid.lievre@chu-rennes.fr
- Recruiting
Centre Eugène Marquis
Rennes, 35042
Astrid LIEVRE, Dr, astrid.lievre@chu-rennes.fr
- Recruiting
CH
Rodez
Laurent MOSSER, l.mosser@ch-rodez.fr
Laurent MOSSER
- Recruiting
Hôpital Drome Nord
Romans-sur-Isère, 26100
Marie-Claude GOUTTEBEL, Dr, mc.gouttebel@hopitaux-drome-nord.fr
- Recruiting
CHU Charles Nicolle
Rouen, 76031
David SEFRIOUI, Dr, david.sefrioui@chu-rouen.fr
- Recruiting
Clinique Mathilde
Rouen, 76175
Sakher ALADEN, Dr
- Recruiting
Institut Curie
Saint-Cloud, 92210
Amani ASNACIOS-LECERF, Dr, amaniasnacios@yahoo.fr; amani.asnacioslecerf@curie.fr
- Recruiting
Hôpital Privé Saint Grégoire
Saint-Grégoire, 35768
Anne MERCIER BLAS, Dr, amercierblas@vivalto-sante.com
- Recruiting
ICO - Site René Gauducheau
Saint-Herblain, 44805
Sandrine HIRET, Dr, Sandrine.hiret@ico.unicancer.fr
- Recruiting
Polyclinique Côte Basque Sud
Saint-Jean-de-Luz, 64500
Etienne MAURIAC, Dr, etiennemauriac@gmail.com
- Recruiting
Hôpital d'Instruction des Armées Begin
Saint-Mandé, 94163
Serge CREMADES, Pr, cremades.sa@club-internet.fr
- Recruiting
CH Région Saint Omer
Saint-Omer, 62505
Claire CAPELLE, Dr, c.capelle@ch-boulogne.fr; claire.capelle@gmx.fr
- Recruiting
Institut de Cancérologie Lucien Neuwirth
Saint-Priest-en-Jarez, 42271
Jean-Marc PHELIP, Pr, j.marc.phelip@chu-st-etienne.fr
- Recruiting
Polyclinique Saint Claude
Saint-Quentin, 02100
Pierre VANELSLANDER, Dr, vanelspi@gmail.com
- Recruiting
CH
Saint-Quentin
Innocenti DADAMESSI, I.dadamessi@ch-stquentin.fr;dadamessi@gmail.com
Innocenti DADAMESSI
- Recruiting
CH Saintonge
Saintes, 17108
Florence BORDE-MOUGENOT, Dr, 3C@ch-saintonge.fr; f.borde@ch-saintonge.fr
- Recruiting
CH Morlevat
Semur-en-Auxois, 21140
Arnaud PATENOTTE, Dr, arnaud.patenotte@ch-semur-en-auxois.fr
- Recruiting
CH
Senlis, 60309
Elisabeth CAROLA, Dr, elisabeth.carola@ghpso.fr
- Recruiting
Centre Hospitalier
Sens, 89108
Hélène COSME GASSMANN, Dr, hcosme@ch-sens.fr
- Recruiting
Centre Hospitalier de Saint-Malo
St-Malo, 35403
Romain DESGRIPPES, Dr, r.desgrippes@ch-stmalo.fr
- Recruiting
Clinique Sainte Anne
Strasbourg, 67000
Louis-Marie DOURTHE, Dr, lm.dourthe@solcrr.org
- Recruiting
Centre Paul Strauss
Strasbourg, 67065
Meher BEN ABDELGHANI, Dr, mbenabdelghani@strasbourg.unicancer.fr
- Recruiting
Hôpitaux du Leman
Thonon-les-Bains, 74203
Ahmed BEDJAOUI, Dr, a-bedjaoui@ch-hopitauxduleman.fr
- Recruiting
Hôpital Sainte Musse
Toulon, 83000
Frédéric VIRET, Dr, frederic.viret@ch-toulon.fr
- Recruiting
Hôpital Sainte Musse
Toulon, 83000
Camille SIBERTIN-BLANC, Dr, camille.sibertin-blanc@ch-toulon.fr
- Recruiting
Clinique Saint Jean du Languedoc
Toulouse, 31077
Etienne Suc, Dr, esucsjl@club-internet.fr
- Recruiting
Hôpitaux Trousseau
Tours, 37044
Thierry LECOMTE, Pr, thierry.lecomte@med.univ-tours.fr
- Recruiting
Centre Hospitalier
Valenciennes, 59322
Isabelle BONNET, Dr, bonnet-i@ch-valenciennes.fr
- Recruiting
CHU de Nancy-Bradois
Vandœuvre-lès-Nancy, 54511
Anthony LOPEZ, Dr, anthony-lopez@hotmail.fr; a.lopez@chru-nancy.fr
- Recruiting
Institut de Cancérologie de Lorraine
Vandœuvre-lès-Nancy, 54519
Marie-Christine KAMINSKY, Dr, mc.kaminsky@nancy.unicancer.fr
- Recruiting
Paul Brousse
Villejuif
Anne THIROT-BIDAULT, anne.bidault@bct.aphp.fr
Anne THIROT-BIDAULT
- Recruiting
Centre Hospitalier
Villeneuve-Saint-Georges, 94195
Linda BOUAITA, Dr, lindabouaita@yahoo.fr
About this study
Official title: Randomised Phase III Study Evaluating Adjuvant Chemotherapy After Resection of Stage III Colonic Adenocarcinoma in Patients of 70 and Over Intergroup Trial: Ffcd, Gercor, Gerico, Unicancer-gi
Colorectal cancer occurs mainly in elderly patients. Recent estimation showed that in France more than 50% of the patients diagnosed with a colorectal cancer are 70 years old or more. Adjuvant chemotherapy has demonstrated a benefit on disease-free survival and overall survival after a stage III colon cancer resection. Nevertheless adjuvant chemotherapy is poorly used in elderly patients. Prognostic improvement with chemotherapy based on 5FU is suggested by a post-hoc analysis of randomized prospective clinical trial. But elderly patients in this study were highly selected and patients older than 80 represented only 0.7% of the total population. Thus, there is still a concern about the benefit of adjuvant 5FU-based chemotherapy in very elderly unselected patients.
The recommended treatment for stage III adjuvant chemotherapy is a combination of fuoropyrimidine and oxaliplatin. Nevertheless oxaliplatin did not demonstrated survival advantage in elderly patients.
Read more
Altogether there are still two matters of debate:
- First, is there a benefit of fluoropyrimidine-based adjuvant chemotherapy for unfit elderly patients?
- Second, is there a benefit of oxaliplatin-based adjuvant chemotherapy for fit elderly patients? The aim of this randomized phase III study is to evaluate the benefit for disease-free survival of adjuvant chemotherapy in elderly patient and which chemotherapy.
The elderly patient population will be dichotomized into two groups according to physician's choice after a multidisciplinary evaluation involving a geriatrician, with two different randomization assignments. The patients with an expected life-expectancy below 4 years according Lee score are excluded of this study.
Some biological tumour abnormalities are more frequently observed in elderly (i.e. mismatch repair deficiency), therefore an evaluation of specific biological prognostic factors is needed in elderly population.
Read the detailed description
Colorectal cancer occurs mainly in elderly patients. Recent estimation showed that in France more than 50% of the patients diagnosed with a colorectal cancer are 70 years old or more. Adjuvant chemotherapy has demonstrated a benefit on disease-free survival and overall survival after a stage III colon cancer resection. Nevertheless adjuvant chemotherapy is poorly used in elderly patients. Prognostic improvement with chemotherapy based on 5FU is suggested by a post-hoc analysis of randomized prospective clinical trial. But elderly patients in this study were highly selected and patients older than 80 represented only 0.7% of the total population. Thus, there is still a concern about the benefit of adjuvant 5FU-based chemotherapy in very elderly unselected patients.
The recommended treatment for stage III adjuvant chemotherapy is a combination of fuoropyrimidine and oxaliplatin. Nevertheless oxaliplatin did not demonstrated survival advantage in elderly patients.
Altogether there are still two matters of debate:
- First, is there a benefit of fluoropyrimidine-based adjuvant chemotherapy for unfit elderly patients?
- Second, is there a benefit of oxaliplatin-based adjuvant chemotherapy for fit elderly patients? The aim of this randomized phase III study is to evaluate the benefit for disease-free survival of adjuvant chemotherapy in elderly patient and which chemotherapy.
The elderly patient population will be dichotomized into two groups according to physician's choice after a multidisciplinary evaluation involving a geriatrician, with two different randomization assignments. The patients with an expected life-expectancy below 4 years according Lee score are excluded of this study.
Some biological tumour abnormalities are more frequently observed in elderly (i.e. mismatch repair deficiency), therefore an evaluation of specific biological prognostic factors is needed in elderly population.
- Conditions
- Colonic Adenocarcinoma
- Being tested
- LV5FU2 or capectitabine, FOLFOX4 or XELOX, Observation, LV5FU2 or capecitabine
- Keywords
- Adjuvant chemotherapy in colonic adenocarcinoma in elderly
- Medical subject headings
- Colonic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LV5FU2 or capectitabineDrug
FOLFOX4 or XELOXDrug
ObservationOther
LV5FU2 or capecitabineDrug
| Study group | Role | What they receive |
|---|---|---|
| GROUP1 -ARM A | Experimental | LV5FU2 or capecitabine Receives: Drug: LV5FU2 or capectitabine |
| GROUP1-ARMB | Experimental | FOLFOX4 or XELOX Receives: Drug: FOLFOX4 or XELOX |
| GROUP2- ARM C | Experimental | Observation Receives: Other: Observation |
| GROUP2-ARM D | Experimental | LV5FU2 or capecitabine Receives: Drug: LV5FU2 or capecitabine |
What is being measured
The primary outcome is the main question the study is designed to answer.
The 3-year disease-free survival
Measured: 3 years after last patient in
Secondary outcomes (2)
Overal survival
Measured: 5 years after last patient in
Observed toxicities, graded according to NCI-CTC v4
Measured: 3 years after last patient in
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Feb 2015 (estimated)
- Study startJan 2015
- Primary completionDec 2024 (estimated)
- Study completionAug 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Colonic AdenocarcinomaStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 774 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Federation Francophone de Cancerologie Digestive
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Thomas Aparicio, Pr, Principal investigator, FFCD member
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02355379
- Sponsor's protocol ID
- PRODIGE34-ADAGE
- Acronym
- ADAGE
- Status last verified
- Jul 2024
- First submitted
- 26 Jan 2015
- Last updated
- 8 Jul 2024
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Aparicio T, Francois E, Cristol-Dalstein L, Carola E, Maillard E, Paillaud E, Retornaz F, Faroux R, Andre T, Bedenne L, Seitz JF. PRODIGE 34-FFCD 1402-ADAGE: Adjuvant chemotherapy in elderly patients with resected stage III colon cancer: A randomized phase 3 trial. Dig Liver Dis. 2016 Feb;48(2):206-7. doi: 10.1016/j.dld.2015.11.023. Epub 2015 Dec 2. No abstract available.
PubMed 26748426
Study at a glance
From the registry record, last updated by the sponsor on 8 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomised Phase III Study Evaluating Adjuvant Chemotherapy After Resection of Stage III Colonic Adenocarcinoma in Patients of 70 and Over Intergroup Trial: Ffcd, Gercor, Gerico, Unicancer-gi
- ClinicalTrials.gov ID
- NCT02355379
- Acronym / sponsor ID
- ADAGE / PRODIGE34-ADAGE
- Conditions
- Colonic Adenocarcinoma
- Keywords
- Adjuvant chemotherapy in colonic adenocarcinoma in elderly
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 774 participants (estimated)
- Lead sponsor
- Federation Francophone de Cancerologie DigestiveUniversity, hospital or other
- Study start
- Jan 2015
- Primary completion
- Dec 2024 (estimated)
- Study completion
- Aug 2025 (estimated)
- First posted
- 4 Feb 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Colorectal cancer occurs mainly in elderly patients. Recent estimation showed that in France more than 50% of the patients diagnosed with a colorectal cancer are 70 years old or more. Adjuvant chemotherapy has demonstrated a benefit on disease-free survival and overall survival after a stage III colon cancer resection. Nevertheless adjuvant chemotherapy is poorly used in elderly patients. Prognostic improvement with chemotherapy based on 5FU is suggested by a post-hoc analysis of randomized prospective clinical trial. But elderly patients in this study were highly selected and patients older than 80 represented only 0.7% of the total population. Thus, there is still a concern about the benefit of adjuvant 5FU-based chemotherapy in very elderly unselected patients.
The recommended treatment for stage III adjuvant chemotherapy is a combination of fuoropyrimidine and oxaliplatin. Nevertheless oxaliplatin did not demonstrated survival advantage in elderly patients.
Altogether there are still two matters of debate:
- First, is there a benefit of fluoropyrimidine-based adjuvant chemotherapy for unfit elderly patients?
- Second, is there a benefit of oxaliplatin-based adjuvant chemotherapy for fit elderly patients? The aim of this randomized phase III study is to evaluate the benefit for disease-free survival of adjuvant chemotherapy in elderly patient and which chemotherapy.
The elderly patient population will be dichotomized into two groups according to physician's choice after a multidisciplinary evaluation involving a geriatrician, with two different randomization assignments. The patients with an expected life-expectancy below 4 years according Lee score are excluded of this study.
Some biological tumour abnormalities are more frequently observed in elderly (i.e. mismatch repair deficiency), therefore an evaluation of specific biological prognostic factors is needed in elderly population.
Detailed description
Colorectal cancer occurs mainly in elderly patients. Recent estimation showed that in France more than 50% of the patients diagnosed with a colorectal cancer are 70 years old or more. Adjuvant chemotherapy has demonstrated a benefit on disease-free survival and overall survival after a stage III colon cancer resection. Nevertheless adjuvant chemotherapy is poorly used in elderly patients. Prognostic improvement with chemotherapy based on 5FU is suggested by a post-hoc analysis of randomized prospective clinical trial. But elderly patients in this study were highly selected and patients older than 80 represented only 0.7% of the total population. Thus, there is still a concern about the benefit of adjuvant 5FU-based chemotherapy in very elderly unselected patients.
The recommended treatment for stage III adjuvant chemotherapy is a combination of fuoropyrimidine and oxaliplatin. Nevertheless oxaliplatin did not demonstrated survival advantage in elderly patients.
Altogether there are still two matters of debate:
- First, is there a benefit of fluoropyrimidine-based adjuvant chemotherapy for unfit elderly patients?
- Second, is there a benefit of oxaliplatin-based adjuvant chemotherapy for fit elderly patients? The aim of this randomized phase III study is to evaluate the benefit for disease-free survival of adjuvant chemotherapy in elderly patient and which chemotherapy.
The elderly patient population will be dichotomized into two groups according to physician's choice after a multidisciplinary evaluation involving a geriatrician, with two different randomization assignments. The patients with an expected life-expectancy below 4 years according Lee score are excluded of this study.
Some biological tumour abnormalities are more frequently observed in elderly (i.e. mismatch repair deficiency), therefore an evaluation of specific biological prognostic factors is needed in elderly population.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| GROUP1 -ARM A | Experimental | Drug: LV5FU2 or capectitabineLV5FU2 or capecitabine |
| GROUP1-ARMB | Experimental | Drug: FOLFOX4 or XELOXFOLFOX4 or XELOX |
| GROUP2- ARM C | Experimental | Other: ObservationObservation |
| GROUP2-ARM D | Experimental | Drug: LV5FU2 or capecitabineLV5FU2 or capecitabine |
Who may qualify
- Ages
- 75 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (11 listed)
- Age ≥ 70 years
- Patient considered able to receive chemotherapy
- Lee score detailed faxed to CRGA
- Stage III colon adenocarcinoma
- R0 resection of the primary tumor
Key exclusion criteria (8 listed)
- Other progressive disease (cancer uncontrolled for less than 2 years)
- Rectal Cancer (located less than 15 cm from the anal verge endoscopy or sub-peritoneal)
- ANC <2000 / mm3 for group 1 and ANC <1500 / mm3 for group 2 and platelets <100,000 / mm3 or hemoglobin <9 g / dL
- Neuropathy for patients in group 1
- Known deficit of dihydropyrimidine dehydrogenase (DPD)
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 |
|---|---|---|
| LV5FU2 or capectitabine | Drug | GROUP1 -ARM A |
| FOLFOX4 or XELOX | Drug | GROUP1-ARMB |
| Observation | Other | GROUP2- ARM C |
| LV5FU2 or capecitabine | Drug | GROUP2-ARM D |
Primary outcome
The 3-year disease-free survival
Time frame: 3 years after last patient in
2 secondary outcomes
Overal survival
Time frame: 5 years after last patient in
Observed toxicities, graded according to NCI-CTC v4
Time frame: 3 years after last patient in
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jul 2024.
- Background: PubMed 26748426Aparicio T, Francois E, Cristol-Dalstein L, Carola E, Maillard E, Paillaud E, Retornaz F, Faroux R, Andre T, Bedenne L, Seitz JF. PRODIGE 34-FFCD 1402-ADAGE: Adjuvant chemotherapy in elderly patients with resected stage III colon cancer: A randomized phase 3 trial. Dig Liver Dis. 2016 Feb;48(2):206-7. doi: 10.1016/j.dld.2015.11.023. Epub 2015 Dec 2. No abstract available.
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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.
Thomas Aparicio, Pr principal investigator
FFCD member
140 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing LV5FU2 or capectitabine, FOLFOX4 or XELOX and Observation in people with Colonic Adenocarcinoma, run by Federation Francophone de Cancerologie Digestive at 140 sites in France.
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 11 inclusion and 8 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 8 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 140 sites in France. 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 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Martina Schneider (+33 3 80 39 34 83, martina.schneider@u-bourgogne.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The 3-year disease-free survival (time frame: 3 years after last patient in). 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 NCT02355379, 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 8 Jul 2024.