Toxicity/Benefit Ratio Optimization of Chemotherapy in Colorectal Cancer (CRC) Patients by Determination of Individual Genotypic Determinants
Protocole Evaluant Chez Des Patients Porteurs de Cancers Colorectaux Metastatiques l'Interet Des Determinants Genotypiques Pour l'Optimisation de l'Efficacite et de la Tolerance de la Chimiotherapie Par Irinotecan et 5-fluorouracile
1 other identifier
interventional
71
1 country
6
Brief Summary
This study intends to optimize a fluorouracil/irinotecan chemotherapy regimen by the identification of individual thymidylate synthase (TS) and UDP-glucuronosyltransferase 1 (UGT1A1) polymorphisms before the first administration. The results of this identification determine the chemotherapy type: high-dose irinotecan or not.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Jun 2005
Longer than P75 for phase_4
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2005
CompletedFirst Submitted
Initial submission to the registry
August 26, 2005
CompletedFirst Posted
Study publicly available on registry
August 30, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2008
CompletedJuly 20, 2010
July 1, 2010
3.4 years
August 26, 2005
July 19, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
tumor response rate
during the treatment
Secondary Outcomes (2)
toxicity
during the treatment
pharmacokinetics
during the first administration
Interventions
180 mg/m² or 260 mg/m² in 90 minutes every 15 days
400 mg/m² in bolus in day 1 and 2400 mg/m² in 46 hours perfusion
Eligibility Criteria
You may qualify if:
- Has provided written informed consent prior to study-specific screening procedures, with the understanding that the patient has the right to withdraw from the study at any time without prejudice
- Ages between 18 and 85 years
- Histologically confirmed colorectal cancer
- No treatment for metastatic disease
- No irinotecan previously administered
- World Health Organization (WHO) performance status \< 3
- Laboratory values :
- neutrophils \> 1.5 x 10\^9/L;
- platelet count \> 100 x 10\^9/L;
- serum creatinine \< 130µmol/L;
- serum bilirubin \< 2 x upper limit of normal (ULN);
- ASAT and ALAT \< 2.5 x ULN;
- alkaline phosphatase \< 5 x ULN.
- At least one measurable lesion by Response Evaluation Criteria in Solid Tumors (RECIST) criteria
You may not qualify if:
- History of another malignancy except cured basal cell carcinoma of the skin or carcinoma in situ of the uterine cervix, breast or bladder.
- Other concomitant anticancer therapy.
- Pregnant or lactating women.
- Women of childbearing potential unless using a reliable and appropriate contraceptive method.
- Symptomatic cerebral or leptospiral metastasis.
- Intestinal obstruction.
- Uncontrolled seizures (diabetes, severe infection).
- Clinically significant cardiac disease.
- Central nervous system disorders or severe psychiatric disability.
- Participation in any investigational study within 4 weeks.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Institut de Recherche Clinique sur les Cancers et le Sanglead
- Pfizercollaborator
Study Sites (6)
Department of Oncology, CHU
Grenoble, 38043, France
Department of Oncology, IPC
Grenoble, 38100, France
Department of Gastroenterology, CHLS
Pierre-Bénite, 69310, France
Department of Oncology - CHLS
Pierre-Bénite, 69310, France
Department of Oncology, ICL
Saint-Priest-en-Jarez, 42271, France
Institut Claudius Regaud
Toulouse, France
Related Publications (1)
Iyer L, Das S, Janisch L, Wen M, Ramirez J, Karrison T, Fleming GF, Vokes EE, Schilsky RL, Ratain MJ. UGT1A1*28 polymorphism as a determinant of irinotecan disposition and toxicity. Pharmacogenomics J. 2002;2(1):43-7. doi: 10.1038/sj.tpj.6500072.
PMID: 11990381BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gilles Freyer, MD
Department of Oncology, CHLS, 69310 Pierre Benite, France
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
August 26, 2005
First Posted
August 30, 2005
Study Start
June 1, 2005
Primary Completion
November 1, 2008
Study Completion
December 1, 2008
Last Updated
July 20, 2010
Record last verified: 2010-07