Colorectal Cancer
Conditions
Brief summary
This 2 arm study will assess the efficacy and safety of Avastin in combination with irinotecan + 5-fluorouracil/folinic acid, versus irinotecan + fluorouracil/folinic acid alone, as first line treatment in Chinese patients with metastatic colorectal cancer. Patients will be randomized 2:1 to receive 6-weekly cycles of Avastin (5mg/kg iv every 2 weeks) + irinotecan 125mg/m2 iv / leucovorin 20mg/m2 iv / fluorouracil 500mg/m2 iv weekly for 4 weeks, or 6-weekly cycles of irinotecan 125mg/m2 iv / leucovorin 20mg/m2 iv / fluorouracil 500mg/m2 iv weekly for 4 weeks. The anticipated time on study treatment is until disease progression, and the sample size is 100-500 individuals.
Interventions
5mg/kg iv every 2 weeks
125mg/m2 iv weekly for 4 weeks of each 6 week cycle
20mg/m2 iv weekly for 4 weeks of each 6 week cycle
500mg/m2 iv weekly for 4 weeks of each 6 week cycle
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, \>=18 years of age; * histologically confirmed adenocarcinoma of the colon or rectum, with metastatic disease; * \>=1 measurable lesion; * ECOG performance status of \<=1.
Exclusion criteria
* prior systemic therapy for advanced or metastatic disease; * adjuvant or neo-adjuvant treatment for non-metastatic disease in past 6 months; * other malignancy within past 5 years, except cured basal cell cancer of skin or cured cancer in situ of cervix; * clinically significant cardiovascular disease in past 6 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression-free survival. | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Overall response rate, time to response, duration of response, overall survival. | Event driven |
| AEs, laboratory tests | Throughout study |
Countries
China