Median of the progression-free survival of patients with mCRC who maintains the treatment in conventional 1st line, QT + anti-EFGR, versus patients who withdraw anti-EGFR therapy after detection of mutations of the RAS gene / BRAF through the OncoBEAM ™ test. MedDRA version: 20.0 Level: PT Classification code 10061451 Term: Colorectal cancer System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ? Patients older than or equal to 18 years old. ? Informed consent. ? Karnofsky index =70% at the time of inclusion of the trial. ? Patients with unresectable CCRm. ? Location of the primary tumor in the left colon or rectum. ? Genotype RAS / BRAF WT by OncoBEAM ™ before starting the 1st line treatment. ? There is no contraindication or QT in Oxaliplatin / Irinotecan and anti-EGFR 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 80 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: ? History of a primary cancer other than CRC in the last five years (with the exception of non-melanoma skin cancer and carcinoma in situ of the cervix). ? Any type of previous treatment for your metastatic disease. ? Patients with resectable disease and / or who receive surgical treatment of the tumors. ? Analytical alterations that avoid inclusion in Clinical Trial o Hemoglobin <9 g / dL o Platelets <100x109 / L or Neutrophils <1.5x109L o Total bilirubin ?1.5 x ULN or ALAT and ASAT ?2.5 x ULN (?5x ULN in case of liver metastases) o Creatinine ?1.5 x ULN or Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Median of the progression-free survival of patients with mCRC who maintains the treatment in conventional 1st line, QT + anti-EFGR, versus patients who withdraw anti-EGFR therapy after detection of mutations of the RAS gene / BRAF through the OncoBEAM test.; Secondary Objective: ? Evaluate the progression-free survival rate at 12 months from the start of the 1st line of treatment, performing the Kaplan-Mayer analysis. ? Cost analysis of the implementation of the OncoBEAM test and variations in the treatment of 1st line, in addition to the current diagnosis disease progression (TAC) diagnosis technique, for the control and follow-up of patients with CCRm. ;Primary end point(s): Median of the progression-free survival of patients with mCRC who maintains the treatment in conventional 1st line, QT + anti-EFGR, versus patients who withdraw anti-EGFR therapy after detection of mutations of the RAS gene / BRAF through the OncoBEAM test.;Timepoint(s) of evaluation of this end point: Every two weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): ? Evaluate the progression-free survival rate at 12 months from the start of the 1st line of treatment, performing the Kaplan-Mayer analysis. ? Cost analysis of the implementation of the OncoBEAM test and variations in the treatment of 1st line, in addition to the current diagnosis disease progression (TAC) diagnosis technique, for the control and follow-up of patients with CCRm. ;Timepoint(s) of evaluation of this end point: Every two weeks | — |
Countries
Spain
Contacts
FIMABIS