Know Cancer

forgot password

A Phase I/II Study Of OSI-774 In Combination With Oxaliplatin, And 5-Fluourouracil In Patients With Metastatic Colorectal Carcinoma

Phase 1/Phase 2
18 Years
Not Enrolling
Colorectal Cancer

Thank you

Trial Information

A Phase I/II Study Of OSI-774 In Combination With Oxaliplatin, And 5-Fluourouracil In Patients With Metastatic Colorectal Carcinoma


- Determine the maximum tolerated dose of erlotinib when administered with oxaliplatin,
leucovorin calcium, and fluorouracil in patients with metastatic colorectal cancer.

- Determine the pharmacokinetics of this regimen in these patients.

- Determine any antitumor activity of this regimen in these patients.

- Determine the time to progression in patients treated with this regimen.

- Determine the objective response rate and response duration in patients treated with
this regimen.

- Determine the safety and tolerability of this regimen in these patients.

OUTLINE: This is a dose-escalation study of erlotinib.

- Phase I: During the first week of the first course only, patients receive oral
erlotinib daily alone. Patients then begin the regular schedule comprising oral
erlotinib daily, oxaliplatin IV over 2 hours on day 1, and leucovorin calcium IV over 2
hours and fluorouracil IV over 22 hours on days 1 and 2. Treatment repeats every 2
weeks for at least 6 courses in the absence of disease progression or unacceptable

Cohorts of 3-6 patients receive escalating doses of erlotinib until the maximum tolerated
dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2
of 3 or 2 of 6 patients experience dose-limiting toxicity.

- Phase II: Patients receive erlotinib at the MTD plus oxaliplatin, leucovorin calcium,
and fluorouracil as in phase I. Erlotinib may be administered alone if toxicity is
caused by oxaliplatin, leucovorin calcium, and fluorouracil.

Patients are followed for at least 6 months or until disease progression.

PROJECTED ACCRUAL: A total of 4-18 patients will be accrued for phase I of this study within
1-4 months. A total of 50 patients will be accrued for phase II of this study within 10

Inclusion Criteria


- Histologically confirmed colon or rectal cancer

- Metastatic or unresectable disease

- Unidimensionally measurable disease required for phase II only

- At least 20 mm by x-ray, CT scan, MRI, or photography

- The following are not considered measurable:

- Pleural effusion or ascites

- Osteoblastic lesions

- Evidence of disease on bone scan alone

- Progressive irradiated lesions alone

- Bone marrow involvement

- Brain metastases

- Malignant hepatomegaly by physical exam alone

- Chemical markers (e.g., carcinoembryonic antigen)

- Recurrent disease after surgery or radiotherapy is considered measurable as long
as the following criteria are met:

- At least 4 weeks since prior surgery or radiotherapy

- Measurable disease exists outside the radiation port or clear progression
exists within the radiation port

- Tissue accessible for immunohistochemical evidence of epidermal growth factor
receptor expression from a metastatic site (phase II only)

- No known brain metastases



- 18 and over

Performance status

- ECOG 0-2 OR

- Karnofsky 60-100%

Life expectancy

- More than 3 months


- WBC at least 3,000/mm^3

- Absolute neutrophil count at least 1,500/mm^3

- Platelet count at least 100,000/mm^3


- Bilirubin normal

- AST/ALT no greater than 2.5 times upper limit of normal


- Creatinine normal OR

- Creatinine clearance at least 60 mL/min


- No unstable angina pectoris

- No symptomatic congestive heart failure

- No cardiac arrhythmia

- No uncontrolled hypertension (systolic blood pressure greater than 150 mm Hg)


- No abnormalities of the cornea (e.g., severe dry eye syndrome or Sjogren's syndrome)

- No congenital abnormality (e.g., Fuch's dystrophy)

- No abnormal slit-lamp examination using vital dye (e.g., fluorescein or Bengal-Rose)

- No abnormal corneal sensitivity test (e.g., Schirmer test or similar tear-production

- Mild dry eye syndrome allowed if patient can use artificial tears and ophthalmologist


- No gastrointestinal tract disease resulting in an inability to take oral medication
or a requirement for IV alimentation

- No active peptic ulcer disease


- Must be able and willing to undergo a mediport insertion

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- No other malignancy within the past 5 years except previously excised and inactive
basal cell or squamous cell skin cancer

- No prior allergic reactions attributed to compounds of similar chemical or biological
composition to erlotinib or other study drugs (e.g., epidermal growth factor
inhibitors like cetuximab)

- No significant traumatic injury within the past 3 weeks

- No peripheral neuropathy grade 2 or greater

- No ongoing or active infection

- No other uncontrolled concurrent illness that would preclude study entry

- No psychiatric illness or social situation that would preclude study compliance


Biologic therapy

- Not specified


- More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin)
and recovered

- Phase I:

- Prior chemotherapy allowed

- Phase II:

- No prior chemotherapy for metastatic disease

- Prior adjuvant therapy allowed if disease progresses during adjuvant therapy

- No prior oxaliplatin

Endocrine therapy

- Not specified


- See Disease Characteristics

- More than 4 weeks since prior radiotherapy and recovered


- See Disease Characteristics

- More than 3 weeks since prior major surgery and recovered

- No prior surgical procedures affecting absorption


- No other concurrent investigational agents

- No other concurrent anticancer agents or therapies (commercial or investigational)

- No concurrent combination antiretroviral therapy for HIV-positive patients

Type of Study:


Study Design:

Masking: Open Label, Primary Purpose: Treatment

Principal Investigator

Leonard B. Saltz, MD

Investigator Role:

Study Chair

Investigator Affiliation:

Memorial Sloan-Kettering Cancer Center


United States: Federal Government

Study ID:




Start Date:

August 2002

Completion Date:

August 2004

Related Keywords:

  • Colorectal Cancer
  • recurrent colon cancer
  • stage IV colon cancer
  • recurrent rectal cancer
  • stage IV rectal cancer
  • Colorectal Neoplasms



Memorial Sloan-Kettering Cancer Center New York, New York  10021