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Phase II Trial Assessing the Impact on the Activity of Daily Living of an Oral Chemotherapy by Capecitabine Associated With an Intravenous Chemotherapy by Oxaliplatin as First Line Treatment of Metastatic Colorectal Adenocarcinoma of Patients Aged Over 70


Phase 2
70 Years
N/A
Open (Enrolling)
Both
Colorectal Cancer

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Trial Information

Phase II Trial Assessing the Impact on the Activity of Daily Living of an Oral Chemotherapy by Capecitabine Associated With an Intravenous Chemotherapy by Oxaliplatin as First Line Treatment of Metastatic Colorectal Adenocarcinoma of Patients Aged Over 70


OBJECTIVES:

Primary

- Determine the efficacy of capecitabine and oxaliplatin as first-line treatment, as
defined by stabilization or improvement by 1 point on Katz's Activities of Daily Living
scale, in older patients with metastatic colorectal adenocarcinoma.

Secondary

- Determine the toxicity of this regimen in these patients.

- Determine the percentage of patients who receive the first 3 courses of this regimen
(at lower doses) and the percentage of patients who receive all 6 courses of this
regimen (at both lower and higher doses).

- Determine efficacy of this regimen, as defined by RECIST criteria, in these patients.

- Determine the pharmacokinetics of this regimen in these patients.

OUTLINE: This is a multicenter, open-label, nonrandomized study.

Patients receive oral capecitabine* once daily on days 1-14 and oxaliplatin* IV on day 1.
Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or
unacceptable toxicity.

NOTE: *The doses of both capecitabine and oxaliplatin are increased in courses 4-6 in the
absence of unacceptable toxicity

PROJECTED ACCRUAL: A total of 60 patients will be accrued for this study.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Diagnosis of colorectal adenocarcinoma

- Metastatic disease

- Requires first-line therapy for metastatic disease

PATIENT CHARACTERISTICS:

Age

- Over 70

Performance status

- Katz's Activities of Daily Living scale < 6 (≤ 6 for patients ≥ 80 years of age)

Life expectancy

- More than 3 months

Hematopoietic

- Absolute neutrophil count > 1,500/mm^3

- Platelet count > 100,000/mm^3

Hepatic

- AST and ALT < 2 times normal (5 times normal if due to hepatic metastases)

- Bilirubin < 2 times normal (5 times normal if due to hepatic metastases)

Renal

- Creatinine clearance > 30 mL/min

Other

- No clinical neuropathy

PRIOR CONCURRENT THERAPY:

Biologic therapy

- Not specified

Chemotherapy

- More than 6 months since prior adjuvant chemotherapy

- No prior chemotherapy for metastatic disease

Endocrine therapy

- Not specified

Radiotherapy

- Not specified

Surgery

- Not specified

Type of Study:

Interventional

Study Design:

Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Efficacy in terms of stabilization or improvement by 1 point on Katz's Activities of Daily Living scale

Safety Issue:

No

Principal Investigator

Frederic Viret, MD

Investigator Affiliation:

Institut Paoli-Calmettes

Authority:

United States: Federal Government

Study ID:

CDR0000416120

NCT ID:

NCT00104689

Start Date:

July 2003

Completion Date:

Related Keywords:

  • Colorectal Cancer
  • stage IV colon cancer
  • stage IV rectal cancer
  • adenocarcinoma of the colon
  • adenocarcinoma of the rectum
  • Adenocarcinoma
  • Colorectal Neoplasms

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