Colorectal Cancer
Conditions
Keywords
colorectal cancer, camptothecin
Brief summary
CT-2106, a camptothecin (CPT) conjugate, is a new generation of topoisomerase I inhibitors designed to deliver higher, more effective chemotherapy to tumor tissue with less toxicity to normal tissues. The objective of this study is to determine the dose limiting toxicities, safety profile and antitumor activity of CT-2016 in combination with 5-FU and folic acid for the treatment of colorectal cancer.
Interventions
CT-2106 as 10 minute infusion on days 1, 15 & 29 of each 42-day cycle
Folinic acid 200 mg IV 1 hour after CT-2106 infusion on days 1, 2, 15, 16, 29 and 30
5-FU following CT-2106 and folinic acid infusions @ 400 mg/m² IV bolus then 5-FU 600 mg/m² as a 22 hour IV infusion on Days 1, 2, 15, 16, 29, and 30.
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically proven metastatic colorectal adenocarcinoma, failing one prior treatment containing oxaliplatin plus 5-FU/FA * At least one measurable lesion according to RECIST criteria for both Phase I and II * ECOG performance status 0 or 1 * Adequate hematologic, renal and hepatic function * Wash out period of at least 4 weeks from surgery, 4 weeks from radiotherapy
Exclusion criteria
* Past or concurrent history of neoplasm other than colorectal adenocarcinoma, except curatively treated non melanoma skin cancer or in situ carcinoma of the cervix. * Pregnant or lactating patients * Prior treatment with camptothecins * Presence or history of CNS metastasis or carcinomatous leptomeningitis * Current active infection per investigator assessment * Unresolved bowel obstruction or partial obstruction, uncontrolled Crohn's disease or ulcerative colitis * Current history of chronic diarrhea greater than or equal to grade 1 (CTCAE version 3)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Phase I: determine the Maximum Tolerated Dose, dose limiting toxicities, safety profile and antitumor activity | Each cycle |
Countries
Italy