Colorectal Cancer
Conditions
Brief summary
This single arm study will assess progression-free survival, feasibility of use and safety of Avastin in combination with 5-FU/FA, oxaliplatin and irinotecan (FOLFOXIRI) as first line treatment in patients with metastatic colorectal cancer. Patients will receive up to 12 bi-weekly cycles of Avastin (5mg/kg iv) in combination with this standard neoadjuvant chemotherapy regimen followed by up to 40 bi-weekly cycles with Avastin plus 5-FU/FA. The anticipated time on study treatment is until disease progression, and the target sample size is \<100 individuals.
Interventions
3200mg/m2 continuous iv infusions, day 1 every 2 weeks
5mg/kg iv infusion, day 1 every 2 weeks
165mg/m2 iv infusion, day 1 every 2 weeks
200mg/m2 iv infusion, day 1 every 2 weeks
85mg/m2 iv infusion, day 1 every 2 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, 18-70 years of age; * metastatic colorectal cancer scheduled for standard first line chemotherapy; * at least 1 measurable lesion; * ECOG performance score of 0 or 1.
Exclusion criteria
* prior chemotherapy for metastatic colorectal cancer; * prior (neo)adjuvant chemotherapy/radiotherapy of a non-metastatic malignancy completed within 6 months prior to study entry; * concomitant malignancies other CRC; * history or evidence of CNS disease unrelated to cancer.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression-free survival | assessed every 8 weeks up to week 102, 3-monthly during follow-up |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival; proportion of patients achieving R0 resectability; objective response rate (complete response [CR] and partial response [PR]); proportion of patients completing 12 cycles of chemotherapy. | assessed every 4 weeks up to week 102 and at the end of follow-up period |
| Proportion of patients with NCI-CTC grade 3-5 adverse events; adverse events, laboratory parameters, ECOG performance status. | Throughout study, laboratory analyses every 2 weeks, ECOG assessment every 8 weeks |
Countries
Germany