colorectal cancer MedDRA version: 9.1 Level: LLT Classification code 10001167 Term: Adenocarcinoma of colon
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria:  Histologically confirmed colorectal adenocarcinoma (on primary and/or metastases).  Availability of paraffin-embedded samples of primary and/or metastases.  EGFR-positive tumor at immunohistochemistry.  Progression after a prior irinotecan-based regimen.  Measurable metastatic disease (RECIST criteria).  Age >18. Life expectancy >3 months. Subscription of informed consent to genetic analyses and to periodical blood sampling Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: &#61607; Presence or history of CNS metastasis. &#61607; Not measurable metastatic disease (RECIST criteria). &#61607; Age <18. &#61607; Life expectancy <3 months. &#61607; Refusal of genetic analyses execution and to periodical blood sampling
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: to prospectively verify if the activity of cetuximab plus irinotecan combination treatment in metastatic colorectal cancer patients could be significantly improved selecting those bearing KRAS wild-type tumors and with EGFR intron 1 CA tandem repeats S/S or S/L germline genetic variants;Secondary Objective: : retrospective evaluation of the potential role of candidate molecular markers (i.e. intratumoral NF-kB activation, PTEN expression, BRAF mutation, EGFR gene copy number and plasma levels variation of TGF&#945;, amphiregulin, EGF, betacellulin and neuregulin-1) in the prediction of benefit from cetuximab plus irinotecan combination treatment in the whole screened population;Primary end point(s): The primary study endpoint is response rate | — |
Countries
Italy