Randomized Phase II Study Evaluating Three Chemotherapies: [Irinotecan + Oxaliplatin (Irinox)], [Irinotecan + LV5FU2] and [Oxaliplatin + LV5FU2] as First Intention Treatment in Subjects With Metastatic Colorectal Cancer
18 Years
75 Years
Both
Colorectal Cancer
Trial Information
Randomized Phase II Study Evaluating Three Chemotherapies: [Irinotecan + Oxaliplatin (Irinox)], [Irinotecan + LV5FU2] and [Oxaliplatin + LV5FU2] as First Intention Treatment in Subjects With Metastatic Colorectal Cancer
OBJECTIVES:
- Compare the efficacy, in terms of response rate (partial response and complete
response), of irinotecan and oxaliplatin vs irinotecan, fluorouracil, and leucovorin
calcium vs oxaliplatin, fluorouracil, and leucovorin calcium in patients with
metastatic colorectal cancer.
- Compare the progression-free survival of patients treated with these regimens.
- Compare the tolerability of these regimens in these patients.
- Compare the quality of life of patients treated with these regimens.
OUTLINE: This is a randomized, multicenter study. Patients are randomized to 1 of 3
treatment arms.
- Arm I: Patients receive irinotecan IV over 90 minutes and oxaliplatin IV over 2 hours
on day 1.
- Arm II: Patients receive irinotecan IV over 90 minutes and leucovorin calcium IV over 2
hours on day 1 and fluorouracil IV over 46 hours on days 1-2.
- Arm III: Patients receive oxaliplatin IV over 2 hours and leucovorin calcium IV over 2
hours on day 1 and fluorouracil IV over 46 hours on days 1-2.
In all arms, treatment repeats every 2 weeks for 26 courses in the absence of disease
progression or unacceptable toxicity.
Quality of life is assessed at baseline and then every 3 months for 1 year.
Patients are followed at 2 months.
PROJECTED ACCRUAL: A total of 80 patients will be accrued for this study within 1 year.
Inclusion Criteria
DISEASE CHARACTERISTICS:
- Histologically confirmed colorectal carcinoma
- Metastatic disease
- Not amenable to surgery
- Unidimensionally measurable disease
- No bone metastases
- No brain metastases
PATIENT CHARACTERISTICS:
Age
- 18 to 75
Performance status
- WHO 0-2
Life expectancy
- At least 12 weeks
Hematopoietic
- Neutrophil count at least 2,000/mm^3
- Platelet count at least 100,000/mm^3
- Hemoglobin at least 10 g/dL
Hepatic
- Bilirubin no greater than 1.25 times upper limit of normal (ULN) (1.5 times ULN if
hepatic metastases are present)
- SGPT and SGOT no greater than 3 times ULN (5 times ULN if hepatic metastases are
present)
Renal
- Creatinine no greater than 1.25 times ULN
Cardiac
- No concurrent cardiac abnormalities that would preclude study therapy
Pulmonary
- No concurrent pulmonary abnormalities that would preclude study therapy
Other
- Not pregnant or nursing
- Fertile patients must use effective contraception
- No chronic enteropathy
- No other prior cancer within the past 5 years except carcinoma in situ of the cervix
or curatively treated basal cell skin cancer
- No concurrent severe uncontrolled infection
- No obstruction or partial obstruction that would interfere with study therapy
- No psychological, social, familial, or geographical situation that would preclude
study participation
PRIOR CONCURRENT THERAPY:
Biologic therapy
- No concurrent anticancer biological response modifiers
Chemotherapy
- No prior chemotherapy (except adjuvant chemotherapy completed more than 6 months ago)
- No prior irinotecan
- No prior oxaliplatin
- No other concurrent chemotherapy
Endocrine therapy
- No concurrent anticancer hormonal therapy
Radiotherapy
- At least 4 weeks since prior pelvic radiotherapy
- No prior abdominopelvic radiotherapy
Surgery
- At least 4 weeks since prior surgery
- No prior extensive intestinal resection (i.e., more than 1 prior hemicolectomy or
extensive resection of the small intestines)
Other
- No other concurrent experimental medication
- No other concurrent anticancer therapy
Type of Study:
Interventional
Study Design:
Allocation: Randomized, Primary Purpose: Treatment
Principal Investigator
Yves Becouarn, MD
Investigator Role:
Study Chair
Investigator Affiliation:
Institut Bergonié
Authority:
United States: Federal Government
Study ID:
CDR0000315384
NCT ID:
NCT00066274
Start Date:
May 2002
Completion Date:
Related Keywords:
- Colorectal Cancer
- stage IV colon cancer
- stage IV rectal cancer
- Colorectal Neoplasms
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