Colorectal Neoplasms
Conditions
Keywords
Advanced, metastatic, colorectal, cancer, Avastin
Brief summary
To determine efficacy in the delivery of chronomodulated chemotherapy.
Detailed description
The purpose of this study is to determine if treatment with 5-Fluorouracil, leucovorin, oxaliplatin, and Avastin will cause colorectal tumor cells to shrink or disappear. The study will also determine the safety of these drugs when given together and the quality of life of the patients who are enrolled in the study. It is thought that these drugs will be better tolerated if they are chronomodulated, i.e., if they are given at certain times of day rather than as a continuous infusion.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Histological proof of adenocarcinoma in primary colon or rectum tumor. * Evidence of metastatic colorectal cancer or loco-regional recurrence or unresectable disease. * Ages 18 to 86 years. * Presence of at least one bi-dimensionally measurable disease with at least one diameter \> or = 2 cm. * WHO/ECOG performance status \< 3 (0, 1, or 2) * Prior treatment with oxaliplatin, 5-FU, or leucovorin permitted. * Signed informed consent
Exclusion criteria
* Peripheral sensory neuropathy \> or = grade 3. * Serum bilirubin (total) \> 3 X ULN. * Symptomatic or uncontrolled brain metastasis. * Metastases limited to bone, pleural effusion, or ascites. * Uncontrolled overt cardiac disease. * Uncontrolled hypercalcemia. * Uncontrolled infections. * Uncontrolled hypertension (\>180/110) * History of GI perforation. * History of arterial thromboembolic events. * History of congestive heart failure. * Patients taking warfarin (Coumadin). * Patients who are pregnant.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective is to determine if the rate of adverse events among patients receiving chronoFOLFOX plus Avastin is acceptable compared to that in previous studies using the FOLFOX4 regimen. | 2 years |
Countries
United States