Colorectal Cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) unresectable or recurrent colorectal cancer histlogical proven 2)KRAS wild type in codon 12 and 13 in the primary or metastatic tumor tissue is confirmed 3) disease progression at the irinotecan containing chemotherapy or until 3 months from the last chemotherapy 4) fluorouracil refractory 5) oxaliplatin refractory 6) presence of at least one measurable lesion according to the RECIST 7) ECOG PS 0-2 8) No treatment duration after following treatment a) radiotherapy 2weeks b) organ resection 2weeks c) chemotherapy 2weeks d) hormone therapy 2weeks e) cytokine therapy, BRM 2weeks 9) patients have enough organ function for study treatment 1. neutrophil>=1,000/mm3 2. Platelet>=100,000/mm3 3. AST and ALT<=upper limit of normal (ULN)*3 (<=ULN*5 in case of liver metastasis) 4. Total bilirubin<=upper limit of normal (ULN)*3 5. Creatinin <=2.0mg/dL 10) Life expectancy of 8 weeks 11) written informed consent
Exclusion criteria
Exclusion criteria: 1) symptomatic brain metastasis 2) waterly diarrhea 3) Paralytic or mechanical bowel obstruction 4) severe infectious disease 5) severe plumonary disease (interstitial lung disease or plumonary fibrosis) 6) severe complications (uncontrolable diabetes, heart failure NYHA>=III, renal failure, liver failure) 7) Pregnant or lactating women or women of childbearing potential 8) carcinomatosis meningitis 9) peripheral neuropathy Grade>=3 10)Need to treatment with flucytosine, atazanavir sulfate 11) history of Grade>=3 hypersensitivity due to monoclonal antibody therapy 12) history of Grade>=3 hypersensitivity due to irinotecan 13) history of treatment of anti EGFR pathway 14) patients judged inappropriate for this study by physicians
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| response rate | — |
Secondary
| Measure | Time frame |
|---|---|
| disease control rate, duration of response, progression free survival, overall survival, incidence of adverse events. | — |
Countries
Japan
Contacts
Tochigi Cancer Center Department of medical oncology