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A Study of Xeloda (Capecitabine) in Combination With Oxaliplatin in Patients With Metastatic Colorectal Cancer.

An Open-label Study to Assess the Pharmacokinetic Interaction Between Xeloda and Oxaliplatin in Patients With Metastatic Colorectal Cancer.

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00353262
Enrollment
36
Registered
2006-07-18
Start date
2005-07-31
Completion date
2008-04-30
Last updated
2016-03-04

For informational purposes only โ€” not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Colorectal Cancer

Brief summary

This single arm study will investigate possible pharmacokinetic interactions between Xeloda and oxaliplatin, and assess whether the pharmacokinetics of Xeloda and/or oxaliplatin is influenced by the addition of Avastin. All subjects will provide samples for pharmacokinetic analysis during the first 3 cycles of treatment. In cycles 1 and 2 patients will receive a treatment regimen containing Xeloda (1000mg/m2 bid) and oxaliplatin (130mg/m2 iv) and in cycle 3 Avastin (7.5mg/kg iv) will be added to the regimen. The anticipated time on study treatment is 3-12 months, and the target sample size is \<100 individuals.

Interventions

DRUGAvastin

7.5mg/kg iv (cycle 3 only)

DRUGOxaliplatin

130mg/m2 iv (cycles 1, 2 and 3)

DRUGcapecitabine [Xeloda]

1000mg/m2 po bid (cycles 1, 2 and 3)

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* adult patients, \>=18 years of age; * adenocarcinoma of colon or rectum, with metastatic or locally advanced disease.

Exclusion criteria

* previous systemic treatment for advanced or metastatic disease; * previous treatment with oxaliplatin or Avastin.

Design outcomes

Primary

MeasureTime frameDescription
Area Under The Plasma Concentration-Time Curve From Zero To Infinity (AUC0-Inf) of 5'-Deoxy-5-fluorouridine 5'-(DFUR)Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post the dose.AUC0-infinity represents the area under the concentration-time curve of the analyte (5'-DFUR) in plasma over the time interval from 0 extrapolated to infinity. The analyte 5'-DFUR, the direct precursor of 5-fluorouracil (5-FU), is considered to be the most important metabolite of capecitabine in plasma. The unit of measure was nanograms per millilitre per hour (ng/mL \* hr).
AUC0-inf for Free PlatinumPredose , 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the 2 hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3.AUC0-infinity represents the area under the concentration-time curve of the analyte (free platinum) in plasma over the time interval from 0 extrapolated to infinity. AUC0-inf for free platinum was calculated for each participant from the concentration-data obtained on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3. Free platinum is not bound to plasma proteins and is considered to be the most clinically significant measure of pharmacological and toxicological activity.

Secondary

MeasureTime frameDescription
Maximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post the doseCmax is defined as maximum observed analyte concentration of capecitabine and its metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)
Elimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post the doset1/2 Beta is the time measured for the plasma concentration to decrease by 1 half to its original concentration of capecitabine and its metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)
AUC0-infinity for Total PlatinumPre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3AUC0-infinity represents the area under the concentration-time curve of the analyte (total platinum) in plasma over the time interval from 0 extrapolated to infinity.
AUC0-last of Total And Free Platinumpre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3.Area under the plasma concentration-time curve from time zero to the time of the last measurable plasma concentration time point of Total And Free Platinum.
Cmax of Total And Free PlatinumPre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3.Cmax is defined as maximum observed analyte concentration of Total And Free Platinum.
AUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL)Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post the doseAUC0-infinity represents the area under the concentration-time curve of the analytes (5'-DFCR, 5-FU, and FBAL) in plasma over the time interval from 0 extrapolated to infinity. After oral administration, capecitabine is first metabolized in the liver to 5'-deoxy-5-fluorocytidine (5'-DFCR), which is then converted to 5'-DFUR, and then catalytically activated to 5-FU.
Volume of Distribution at Steady State (VSS) of Total And Free PlatinumPre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hoursVSS is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Steady state volume of distribution (Vss) is the apparent volume of distribution at steady-state.
Clearance of Total And Free PlatinumPre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3CL is a calculation of the rate at which a drug is removed from the body via renal, hepatic and other clearance pathways, expressed as volume (milliliters) per unit of time (hour).
Number Of Participants With Adverse Events (AEs)Approximately 3 Years (up to 28 days after the last intake of study medication)An adverse event is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product. This includes any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Pre-existing conditions which worsened during the study were also to be reported as AEs.
Marked Laboratory AbnormalitiesUp to 28 days after last chemotherapy administrationNumber of participants with marked laboratory abnormalities (hematology, coagulation, liver function, renal function, protein, electrolytes, miscellaneous).
T1/2 Beta of Total And Free PlatinumPre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3T1/2 beta is the time measured for the plasma concentration to decrease by 1 half to its original concentration of total and free platinum.
AUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post the doseArea under the plasma concentration-time curve from time zero to the time of the last measurable plasma concentration time point of capecitabine and its metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL).

Countries

Canada

Participant flow

Recruitment details

A total of 36 participants were enrolled in this study at three sites in Canada between 8 August 2005 and 24 April 2008.

Participants by arm

ArmCount
Capecitabine+ Oxaliplatin+ Bevacizumab
In Cycle 1, participants received a single oral dose of capecitabine 1000 milligrams per meter square (mg/m\^2 on Day 1 followed by 2-hour intravenous (IV) infusion of oxaliplatin 130 mg/m\^2 on Day 2 followed by oral dosing of capecitabine 1000 mg/m\^2 twice-daily (BID) from Day 5 to Day 14 . In Cycle 2, participants received IV infusion of oxaliplatin 130 mg//m\^2 over 2 hours on Day 1 along with capecitabine 1000 mg/m\^2 orally BID until Day 14. In Cycle 3, participants received IV infusion of bevacizumab 7.5 mg/kg over 90 minutes on Day 1 at the same time as oxaliplatin 130 mg//m\^2 was administered as an IV infusion over 2 hours (Day 1 every 3 weeks) along with capecitabine1000 mg//m\^2 orally BID until Day 14. Treatment with the Cycle 3 dosing regimen continued for a further 13 cycles (i.e. Cycle 16) or until progressive disease or unacceptable toxicity or until the participant withdrew consent
36
Total36

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event8
Overall StudyBreak from Chemotherapy1
Overall StudyInsufficient Therapeutic Response13
Overall StudyProgression1
Overall StudySurgery4
Overall StudyWithdrawal by Subject2

Baseline characteristics

CharacteristicCapecitabine+ Oxaliplatin+ Bevacizumab
Age, Continuous57.3 Years
STANDARD_DEVIATION 13.03
Sex: Female, Male
Female
21 Participants
Sex: Female, Male
Male
15 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
โ€” / โ€”
other
Total, other adverse events
36 / 36
serious
Total, serious adverse events
16 / 36

Outcome results

Primary

Area Under The Plasma Concentration-Time Curve From Zero To Infinity (AUC0-Inf) of 5'-Deoxy-5-fluorouridine 5'-(DFUR)

AUC0-infinity represents the area under the concentration-time curve of the analyte (5'-DFUR) in plasma over the time interval from 0 extrapolated to infinity. The analyte 5'-DFUR, the direct precursor of 5-fluorouracil (5-FU), is considered to be the most important metabolite of capecitabine in plasma. The unit of measure was nanograms per millilitre per hour (ng/mL \* hr).

Time frame: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post the dose.

Population: All patients for whom observations contributing to the relevant assessments were available, who did not experience dose reductions, and for whom dosing was as required by the protocol were included in the corresponding analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Capecitabine+ Oxaliplatin+ BevacizumabArea Under The Plasma Concentration-Time Curve From Zero To Infinity (AUC0-Inf) of 5'-Deoxy-5-fluorouridine 5'-(DFUR)Cycle 1, Day 113605 ng/mL*hrGeometric Coefficient of Variation 33
Capecitabine+ Oxaliplatin+ BevacizumabArea Under The Plasma Concentration-Time Curve From Zero To Infinity (AUC0-Inf) of 5'-Deoxy-5-fluorouridine 5'-(DFUR)Cycle 2, Day 112177 ng/mL*hrGeometric Coefficient of Variation 27
Capecitabine+ Oxaliplatin+ BevacizumabArea Under The Plasma Concentration-Time Curve From Zero To Infinity (AUC0-Inf) of 5'-Deoxy-5-fluorouridine 5'-(DFUR)Cycle 3, Day 111817 ng/mL*hrGeometric Coefficient of Variation 38
Comparison: Cycle 2, Day 1 versus Cycle 1, Day 190% CI: [0.79, 1.02]
Comparison: Cycle 3, Day 1 versus Cycle 1, Day 190% CI: [0.76, 0.99]
Comparison: Cycle 3, Day 1 to Cycle 2, Day 190% CI: [0.85, 1.1]
Primary

AUC0-inf for Free Platinum

AUC0-infinity represents the area under the concentration-time curve of the analyte (free platinum) in plasma over the time interval from 0 extrapolated to infinity. AUC0-inf for free platinum was calculated for each participant from the concentration-data obtained on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3. Free platinum is not bound to plasma proteins and is considered to be the most clinically significant measure of pharmacological and toxicological activity.

Time frame: Predose , 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the 2 hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3.

Population: All patients for whom observations contributing to the relevant assessments were available, who did not experience dose reductions, and for whom dosing was as required by the protocol were included in the corresponding analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-inf for Free PlatinumCycle 1, Day 210069 ng/mL * hrGeometric Coefficient of Variation 23
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-inf for Free PlatinumCycle 2 , Day 110537 ng/mL * hrGeometric Coefficient of Variation 24
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-inf for Free PlatinumCycle 3, Day 1.10225 ng/mL * hrGeometric Coefficient of Variation 23
Comparison: Cycle 2, Day 1 versus Cycle 1, Day 290% CI: [1.01, 1.08]
Comparison: Cycle 3, Day 1 to Cycle 1, Day 290% CI: [0.98, 1.05]
Comparison: Cycle 3, Day 1 to Cycle 2, Day 190% CI: [0.94, 1]
Secondary

AUC0-infinity for Total Platinum

AUC0-infinity represents the area under the concentration-time curve of the analyte (total platinum) in plasma over the time interval from 0 extrapolated to infinity.

Time frame: Pre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3

Population: All patients for whom observations contributing to the relevant assessments were available, who did not experience dose reductions, and for whom dosing was as required by the protocol were included in the corresponding analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-infinity for Total PlatinumCycle 1, Day 2139329 ng/mL* hrGeometric Coefficient of Variation 24
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-infinity for Total PlatinumCycle 2, Day 1167610 ng/mL* hrGeometric Coefficient of Variation 17
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-infinity for Total PlatinumCycle 3, Day 1186268 ng/mL* hrGeometric Coefficient of Variation 21
Comparison: Total Platinum: Cycle 2, Day 1 versus Cycle 1, Day 290% CI: [1.09, 1.33]
Comparison: Total Platinum: Cycle 3, Day 1 versus Cycle 1, Day 290% CI: [1.21, 1.48]
Comparison: Total Platinum: Cycle 3, Day 1 versus Cycle 2, Day 190% CI: [1.01, 1.23]
Secondary

AUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL)

AUC0-infinity represents the area under the concentration-time curve of the analytes (5'-DFCR, 5-FU, and FBAL) in plasma over the time interval from 0 extrapolated to infinity. After oral administration, capecitabine is first metabolized in the liver to 5'-deoxy-5-fluorocytidine (5'-DFCR), which is then converted to 5'-DFUR, and then catalytically activated to 5-FU.

Time frame: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post the dose

Population: All patients for whom observations contributing to the relevant assessments were available, who did not experience dose reductions, and for whom dosing was as required by the protocol were included in the corresponding analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Capecitabine+ Oxaliplatin+ BevacizumabAUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL)Capcetabine , Cycle 1, Day 15217 ng/mL*hrGeometric Coefficient of Variation 57
Capecitabine+ Oxaliplatin+ BevacizumabAUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL)Capcetabine , Cycle 2, Day 15299 ng/mL*hrGeometric Coefficient of Variation 54
Capecitabine+ Oxaliplatin+ BevacizumabAUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL)Capcetabine , Cycle 3, Day 16130 ng/mL*hrGeometric Coefficient of Variation 68
Capecitabine+ Oxaliplatin+ BevacizumabAUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL)5'-DFCR , Cycle 1, Day 17630 ng/mL*hrGeometric Coefficient of Variation 76
Capecitabine+ Oxaliplatin+ BevacizumabAUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL)5'-DFCR , Cycle 2, Day 16409 ng/mL*hrGeometric Coefficient of Variation 47
Capecitabine+ Oxaliplatin+ BevacizumabAUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL)5'-DFCR, Cylce 3, Day 17989 ng/mL*hrGeometric Coefficient of Variation 52
Capecitabine+ Oxaliplatin+ BevacizumabAUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL)5-FU , Cycle 1, Day 1437 ng/mL*hrGeometric Coefficient of Variation 92
Capecitabine+ Oxaliplatin+ BevacizumabAUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL)5-FU , Cycle 2, Day 1355 ng/mL*hrGeometric Coefficient of Variation 50
Capecitabine+ Oxaliplatin+ BevacizumabAUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL)5-FU , Cycle 3, Day 1343 ng/mL*hrGeometric Coefficient of Variation 86
Capecitabine+ Oxaliplatin+ BevacizumabAUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL)FBAL , Cycle 1, Day 117904 ng/mL*hrGeometric Coefficient of Variation 27
Capecitabine+ Oxaliplatin+ BevacizumabAUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL)FBAL , Cycle 2, Day 117413 ng/mL*hrGeometric Coefficient of Variation 26
Capecitabine+ Oxaliplatin+ BevacizumabAUC (0-infinity) of Capecitabine and Its Metabolites (5'-DFCR, 5-FU, and FBAL)FBAL , Cycle 3, Day 117356 ng/mL*hrGeometric Coefficient of Variation 34
Comparison: Capecitabine: Cycle 2, Day 1 versus Cycle 1, Day 190% CI: [0.83, 1.24]
Comparison: Capecitabine: Cycle 3, Day 1 to Cycle 2, Day 190% CI: [0.94, 1.42]
Comparison: Capecitabine: Cycle 3, Day 1 to Cycle 1, Day 190% CI: [0.96, 1.44]
Comparison: 5'-DFCR: Cycle 2, Day 1 versus Cycle 1, Day 190% CI: [0.69, 1.08]
Comparison: 5'-DFCR: Cycle 3, Day 1 versus Cycle 1, Day 190% CI: [0.86, 1.34]
Comparison: 5'-DFCR: Cycle 3, Day 1 versus Cycle 2, Day 190% CI: [1, 1.55]
Comparison: 5-FU: Cycle 2, Day 1 versus Cycle 1, Day 190% CI: [0.66, 1.01]
Comparison: 5-FU: Cycle 3, Day 1 versus Cycle 1, Day 190% CI: [0.64, 0.97]
Comparison: 5-FU: Cycle 3, Day 1 versus Cycle 2, Day 190% CI: [0.78, 1.19]
Comparison: FBAL: Cycle 2, Day 1 versus Cycle 1, Day 190% CI: [0.91, 1.04]
Comparison: FBAL: Cycle 3, Day 1 versus Cycle 1, Day 190% CI: [0.9, 1.04]
Comparison: FBAL: Cycle 3, Day 1 versus Cycle 2, Day 190% CI: [0.93, 1.07]
Secondary

AUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)

Area under the plasma concentration-time curve from time zero to the time of the last measurable plasma concentration time point of capecitabine and its metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL).

Time frame: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post the dose

Population: All patients for whom observations contributing to the relevant assessments were available, who did not experience dose reductions, and for whom dosing was as required by the protocol were included in the corresponding analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5' DFUR , Cycle 1, Day 113503 ng/mL*hrGeometric Coefficient of Variation 33
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5' DFUR, Cycle 2 , Day 112057 ng/mL*hrGeometric Coefficient of Variation 28
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5' DFUR, Cycle 3, Day 111618 ng/mL*hrGeometric Coefficient of Variation 38
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)Capecitabine, Cycle 1, Day 15201 ng/mL*hrGeometric Coefficient of Variation 57
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)Capecitabine, Cycle 2, Day 15273 ng/mL*hrGeometric Coefficient of Variation 54
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)Capecitabine, Cycle 3, Day 16093 ng/mL*hrGeometric Coefficient of Variation 68
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5'-DFCR, Cycle 1, Day 16150 ng/mL*hrGeometric Coefficient of Variation 80
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5'-DFCR, Cycle 2 , Day 16378 ng/mL*hrGeometric Coefficient of Variation 47
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5'-DFCR, Cycle 3, Day 17909 ng/mL*hrGeometric Coefficient of Variation 52
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5-FU, Cycle 1, Day 1433 ng/mL*hrGeometric Coefficient of Variation 92
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5-FU, Cycle 2, Day 1350 ng/mL*hrGeometric Coefficient of Variation 51
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5-FU, Cycle 3, Day 1336 ng/mL*hrGeometric Coefficient of Variation 84
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)FBAL, Cycle 1, Day 116773 ng/mL*hrGeometric Coefficient of Variation 26
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)FBAL, Cycle 2, Day 115992 ng/mL*hrGeometric Coefficient of Variation 26
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)FBAL, Cycle 3, Day 114947 ng/mL*hrGeometric Coefficient of Variation 31
Secondary

AUC0-last of Total And Free Platinum

Area under the plasma concentration-time curve from time zero to the time of the last measurable plasma concentration time point of Total And Free Platinum.

Time frame: pre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3.

Population: All patients for whom observations contributing to the relevant assessments were available, who did not experience dose reductions, and for whom dosing was as required by the protocol were included in the corresponding analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Total And Free PlatinumTotal Platinum: Cycle 1, Day 285406 ng/mL* hrGeometric Coefficient of Variation 20
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Total And Free PlatinumTotal Platinum: Cycle 2, Day 197083 ng/mL* hrGeometric Coefficient of Variation 12
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Total And Free PlatinumTotal Platinum: Cycle 3, Day 197011 ng/mL* hrGeometric Coefficient of Variation 17
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Total And Free PlatinumFree Platinum: Cycle 1, Day 29399 ng/mL* hrGeometric Coefficient of Variation 24
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Total And Free PlatinumFree Platinum: Cycle 2, Day 19818 ng/mL* hrGeometric Coefficient of Variation 25
Capecitabine+ Oxaliplatin+ BevacizumabAUC0-last of Total And Free PlatinumFree Platinum: Cycle 3, Day 19604 ng/mL* hrGeometric Coefficient of Variation 22
Secondary

Clearance of Total And Free Platinum

CL is a calculation of the rate at which a drug is removed from the body via renal, hepatic and other clearance pathways, expressed as volume (milliliters) per unit of time (hour).

Time frame: Pre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3

Population: All patients for whom observations contributing to the relevant assessments were available, who did not experience dose reductions, and for whom dosing was as required by the protocol were included in the corresponding analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Capecitabine+ Oxaliplatin+ BevacizumabClearance of Total And Free PlatinumTotal Platinum: Cycle 1, Day 21603 mL/HrGeometric Coefficient of Variation 78
Capecitabine+ Oxaliplatin+ BevacizumabClearance of Total And Free PlatinumTotal Platinum: Cycle 2, Day 11331 mL/HrGeometric Coefficient of Variation 22
Capecitabine+ Oxaliplatin+ BevacizumabClearance of Total And Free PlatinumTotal Platinum: Cycle 3, Day 11198 mL/HrGeometric Coefficient of Variation 25
Capecitabine+ Oxaliplatin+ BevacizumabClearance of Total And Free PlatinumFree Platinum: Cycle 1, Day 222183 mL/HrGeometric Coefficient of Variation 23
Capecitabine+ Oxaliplatin+ BevacizumabClearance of Total And Free PlatinumFree Platinum: Cycle 2, Day 121176 mL/HrGeometric Coefficient of Variation 26
Capecitabine+ Oxaliplatin+ BevacizumabClearance of Total And Free PlatinumFree Platinum: Cycle 3, Day 121823 mL/HrGeometric Coefficient of Variation 23
Secondary

Cmax of Total And Free Platinum

Cmax is defined as maximum observed analyte concentration of Total And Free Platinum.

Time frame: Pre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3.

Population: All patients for whom observations contributing to the relevant assessments were available, who did not experience dose reductions, and for whom dosing was as required by the protocol were included in the corresponding analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Capecitabine+ Oxaliplatin+ BevacizumabCmax of Total And Free PlatinumTotal Platinum: Cycle 1, Day 23652 ng/mLGeometric Coefficient of Variation 14
Capecitabine+ Oxaliplatin+ BevacizumabCmax of Total And Free PlatinumTotal Platinum: Cycle 2, Day 13741 ng/mLGeometric Coefficient of Variation 19
Capecitabine+ Oxaliplatin+ BevacizumabCmax of Total And Free PlatinumTotal Platinum: Cycle 3, Day 13706 ng/mLGeometric Coefficient of Variation 21
Capecitabine+ Oxaliplatin+ BevacizumabCmax of Total And Free PlatinumFree Platinum: Cycle 1, Day 21818 ng/mLGeometric Coefficient of Variation 27
Capecitabine+ Oxaliplatin+ BevacizumabCmax of Total And Free PlatinumFree Platinum: Cycle 2, Day 11840 ng/mLGeometric Coefficient of Variation 36
Capecitabine+ Oxaliplatin+ BevacizumabCmax of Total And Free PlatinumFree Platinum: Cycle 3, Day 11813 ng/mLGeometric Coefficient of Variation 30
Comparison: Total Platinum: Cycle 2, Day 1 versus Cycle 1, Day 290% CI: [0.96, 1.09]
Comparison: Total Platinum: Cycle 3, Day 1 versus Cycle 1, Day 290% CI: [0.95, 1.08]
Comparison: Total Platinum: Cycle 3, Day 1 versus Cycle 2, Day 190% CI: [0.93, 1.05]
Comparison: Free Platinum: Cycle 2, Day 1 versus Cycle 1, Day 290% CI: [0.94, 1.09]
Comparison: Free Platinum: Cycle 3, Day 1 versus Cycle 1, Day 290% CI: [0.92, 1.08]
Comparison: Free Platinum: Cycle 3, Day 1 versus Cycle 2, Day 190% CI: [0.91, 1.07]
Secondary

Elimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)

t1/2 Beta is the time measured for the plasma concentration to decrease by 1 half to its original concentration of capecitabine and its metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)

Time frame: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post the dose

Population: All patients for whom observations contributing to the relevant assessments were available, who did not experience dose reductions, and for whom dosing was as required by the protocol were included in the corresponding analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)5' DFUR; Cycle 1, Day 10.65 hourGeometric Coefficient of Variation 19
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)5' DFUR, Cycle 2 , Day 10.64 hourGeometric Coefficient of Variation 49
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)5' DFUR, Cycle 3, Day 10.75 hourGeometric Coefficient of Variation 39
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)Capecitabine, Cycle 1, Day 10.37 hourGeometric Coefficient of Variation 52
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)Capecitabine, Cycle 2, Day 10.51 hourGeometric Coefficient of Variation 55
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)Capecitabine, Cycle 3, Day 10.56 hourGeometric Coefficient of Variation 42
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)5'-DFCR, Cycle 1, Day 10.71 hourGeometric Coefficient of Variation 33
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)5'-DFCR, Cycle 2 , Day 10.75 hourGeometric Coefficient of Variation 32
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)5'-DFCR, Cycle 3, Day 10.79 hourGeometric Coefficient of Variation 24
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)5-FU, Cycle 1, Day 10.61 hourGeometric Coefficient of Variation 20
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)5-FU, Cycle 2, Day 10.67 hourGeometric Coefficient of Variation 61
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)5-FU, Cycle 3, Day 10.71 hourGeometric Coefficient of Variation 31
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)FBAL, Cycle 1, Day 12.77 hourGeometric Coefficient of Variation 19
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)FBAL, Cycle 2, Day 12.68 hourGeometric Coefficient of Variation 26
Capecitabine+ Oxaliplatin+ BevacizumabElimination Half-life Period (t1/2 Beta) of Capecitabine and Its Metabolites (5'-DFUR , 5'-DFCR, 5 FU, and FBAL)FBAL, Cycle 3, Day 12.64 hourGeometric Coefficient of Variation 33
Secondary

Marked Laboratory Abnormalities

Number of participants with marked laboratory abnormalities (hematology, coagulation, liver function, renal function, protein, electrolytes, miscellaneous).

Time frame: Up to 28 days after last chemotherapy administration

Population: All 36 participants who received at least one dose of capecitabine.

ArmMeasureGroupValue (NUMBER)
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesLDH - high2 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesHematocrit - high2 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesHematocrit - low5 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesHemoglobin - low6 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesPlatelets - high1 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesPlatelets - low9 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesRBC - low12 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesWBC - high1 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesWBC - low7 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesNeutrophils - high1 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesNeutrophils - low3 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesPT (INR) - high2 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesASAT (SGOT) - high6 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesALAT (SGPT) - high7 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesAlk. Phos. - high6 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesDir. Bilirubin - high3 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesTotal Bilirubin - high2 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesCreatinine - high0 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesAlbumin - low4 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesPotassium - low2 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesSodium - low2 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesCalcium - low1 Participants
Capecitabine+ Oxaliplatin+ BevacizumabMarked Laboratory AbnormalitiesGlucose Fasting - high4 Participants
Secondary

Maximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)

Cmax is defined as maximum observed analyte concentration of capecitabine and its metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)

Time frame: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post the dose

Population: All patients for whom observations contributing to the relevant assessments were available, who did not experience dose reductions, and for whom dosing was as required by the protocol were included in the corresponding analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5'-DFUR, Cycle 1, Day 18847 ng/mLGeometric Coefficient of Variation 48
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5'-DFUR , Cycle 2, Day 16545 ng/mLGeometric Coefficient of Variation 48
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5'-DFUR , Cycle 3, Day 15693 ng/mLGeometric Coefficient of Variation 54
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)Capecitabine, Cycle 1, Day 14930 ng/mLGeometric Coefficient of Variation 72
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)Capecitabine, Cycle 2, Day 14065 ng/mLGeometric Coefficient of Variation 73
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)Capecitabine, Cycle 3, Day 14167 ng/mLGeometric Coefficient of Variation 81
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5' DFCR, Cycle 1, Day 13902 ng/mLGeometric Coefficient of Variation 78
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5' DFCR, Cycle 2, Day 13407 ng/mLGeometric Coefficient of Variation 66
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5' DFCR , Cycle 3, Day 13747 ng/mLGeometric Coefficient of Variation 69
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5-FU, Cycle 1 , Day 1292 ng/mLGeometric Coefficient of Variation 63
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5-FU, Cycle 2, Day 1216 ng/mLGeometric Coefficient of Variation 63
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)5-FU, Cycle 3, Day 1168 ng/mLGeometric Coefficient of Variation 83
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)FBAL, Cycle 1, Day 13970 ng/mLGeometric Coefficient of Variation 19
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)FBAL, Cycle 2, Day 13627 ng/mLGeometric Coefficient of Variation 27
Capecitabine+ Oxaliplatin+ BevacizumabMaximum Plasma Concentration (Cmax) of Capecitabine and Its Metabolites (5'-DFUR, 5'-DFCR, 5 FU, and FBAL)FBAL, Cycle 3, Day 13292 ng/mLGeometric Coefficient of Variation 34
Comparison: 5'-DFUR: Cycle 2, Day 1 versus Cycle 1, Day 190% CI: [0.61, 0.9]
Comparison: 5'-DFUR: Cycle 3, Day 1 versus Cycle 1, Day 190% CI: [0.53, 0.79]
Comparison: 5'-DFUR: Cycle 3, Day 1 versus Cycle 2, Day 190% CI: [0.71, 1.06]
Comparison: Capecitabine: Cycle 2, Day 1 versus Cycle 1, Day 190% CI: [0.63, 1.08]
Comparison: Capecitabine: Cycle 3, Day 1 versus Cycle 2, Day 190% CI: [0.78, 1.34]
Comparison: Capecitabine: Cycle 3, Day 1 versus Cycle 1, Day 190% CI: [0.65, 1.1]
Comparison: 5'-DFCR: Cycle 2, Day 1 versus Cycle 1, Day 190% CI: [0.65, 1.18]
Comparison: 5'-DFCR: Cycle 3, Day 1 versus Cycle 1, Day 190% CI: [0.71, 1.3]
Comparison: 5'-DFCR: Cycle 3, Day 1 versus Cycle 2, Day 190% CI: [0.81, 1.49]
Comparison: 5-FU: Cycle 2, Day 1 versus Cycle 1, Day 190% CI: [0.56, 0.98]
Comparison: 5-FU: Cycle 3, Day 1 versus Cycle 1, Day 190% CI: [0.44, 0.76]
Comparison: 5-FU: Cycle 3, Day 1 versus Cycle 2, Day 190% CI: [0.59, 1.03]
Comparison: FBAL: Cycle 2, Day 1 versus Cycle 1, Day 190% CI: [0.83, 1]
Comparison: FBAL: Cycle 3, Day 1 versus Cycle 1, Day 190% CI: [0.76, 0.91]
Comparison: FBAL: Cycle 3, Day 1 versus Cycle 2, Day 190% CI: [0.83, 1]
Secondary

Number Of Participants With Adverse Events (AEs)

An adverse event is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product. This includes any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Pre-existing conditions which worsened during the study were also to be reported as AEs.

Time frame: Approximately 3 Years (up to 28 days after the last intake of study medication)

Population: All 36 participants who received at least one dose of capecitabine.

ArmMeasureGroupValue (NUMBER)
Capecitabine+ Oxaliplatin+ BevacizumabNumber Of Participants With Adverse Events (AEs)Any AE36 Participants
Capecitabine+ Oxaliplatin+ BevacizumabNumber Of Participants With Adverse Events (AEs)Any SAE16 Participants
Secondary

T1/2 Beta of Total And Free Platinum

T1/2 beta is the time measured for the plasma concentration to decrease by 1 half to its original concentration of total and free platinum.

Time frame: Pre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours from the beginning of the two hour oxaliplatin infusion on Days 2 to 5 of Cycle 1, and Days 1 to 4 for Cycle 2 and 3

Population: All patients for whom observations contributing to the relevant assessments were available, who did not experience dose reductions, and for whom dosing was as required by the protocol were included in the corresponding analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Capecitabine+ Oxaliplatin+ BevacizumabT1/2 Beta of Total And Free PlatinumFree Platinum: Cycle 1, Day 217.64 hourGeometric Coefficient of Variation 10
Capecitabine+ Oxaliplatin+ BevacizumabT1/2 Beta of Total And Free PlatinumTotal Platinum: Cycle 1, Day 248.70 hourGeometric Coefficient of Variation 30
Capecitabine+ Oxaliplatin+ BevacizumabT1/2 Beta of Total And Free PlatinumTotal Platinum: Cycle 2, Day 155.73 hourGeometric Coefficient of Variation 24
Capecitabine+ Oxaliplatin+ BevacizumabT1/2 Beta of Total And Free PlatinumTotal Platinum: Cycle 3, Day 167.28 hourGeometric Coefficient of Variation 26
Capecitabine+ Oxaliplatin+ BevacizumabT1/2 Beta of Total And Free PlatinumFree Platinum: Cycle 2, Day 118.41 hourGeometric Coefficient of Variation 9
Capecitabine+ Oxaliplatin+ BevacizumabT1/2 Beta of Total And Free PlatinumFree Platinum: Cycle 3, Day 118.47 hourGeometric Coefficient of Variation 10.9
Secondary

Volume of Distribution at Steady State (VSS) of Total And Free Platinum

VSS is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Steady state volume of distribution (Vss) is the apparent volume of distribution at steady-state.

Time frame: Pre-dose, and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours

Population: All patients for whom observations contributing to the relevant assessments were available, who did not experience dose reductions, and for whom dosing was as required by the protocol were included in the corresponding analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Capecitabine+ Oxaliplatin+ BevacizumabVolume of Distribution at Steady State (VSS) of Total And Free PlatinumTotal Platinum: Cycle 1, Day 2109007 mLGeometric Coefficient of Variation 23
Capecitabine+ Oxaliplatin+ BevacizumabVolume of Distribution at Steady State (VSS) of Total And Free PlatinumTotal Platinum: Cycle 2, Day 1105097 mLGeometric Coefficient of Variation 21
Capecitabine+ Oxaliplatin+ BevacizumabVolume of Distribution at Steady State (VSS) of Total And Free PlatinumTotal Platinum: Cycle 3, Day 1112141 mLGeometric Coefficient of Variation 21
Capecitabine+ Oxaliplatin+ BevacizumabVolume of Distribution at Steady State (VSS) of Total And Free PlatinumFree Platinum: Cycle 1, Day 2387158 mLGeometric Coefficient of Variation 23
Capecitabine+ Oxaliplatin+ BevacizumabVolume of Distribution at Steady State (VSS) of Total And Free PlatinumFree Platinum: Cycle 2, Day 1389193 mLGeometric Coefficient of Variation 29
Capecitabine+ Oxaliplatin+ BevacizumabVolume of Distribution at Steady State (VSS) of Total And Free PlatinumFree Platinum: Cycle 3, Day 1401040 mLGeometric Coefficient of Variation 24

Source: ClinicalTrials.gov ยท Data processed: Feb 4, 2026