NCT00482222

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as oxaliplatin, fluorouracil, leucovorin, and capecitabine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as cetuximab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Giving combination chemotherapy together with monoclonal antibodies before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed. Giving these treatments after surgery may kill any tumor cells that remain after surgery. It is not yet known whether combination chemotherapy is more effective with or without cetuximab in treating liver metastases caused by colorectal cancer. PURPOSE: This randomized phase III trial is studying combination chemotherapy to compare how well it works when given with or without cetuximab before and after surgery in treating patients with resectable liver metastases caused by colorectal cancer.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
340

participants targeted

Target at P25-P50 for phase_3 colorectal-cancer

Geographic Reach
1 country

22 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2007

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

June 4, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

June 5, 2007

Completed
7.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2014

Completed
Last Updated

January 23, 2013

Status Verified

April 1, 2008

Enrollment Period

7.8 years

First QC Date

June 4, 2007

Last Update Submit

January 22, 2013

Conditions

Keywords

adenocarcinoma of the colonstage IV colon canceradenocarcinoma of the rectumstage IV rectal cancerliver metastasesrecurrent colon cancerrecurrent rectal cancer

Outcome Measures

Primary Outcomes (1)

  • Progression-free survival

    end of study

Secondary Outcomes (7)

  • Response rate before surgery as assessed by RECIST criteria

    end of study

  • Pathological resection status

    end of study

  • Overall survival

    end of study

  • Toxicity

    end of study

  • Quality of life as assessed by the EQ-5D, EORTC QLQ-C30, and EORTC QLQ-LMC21

    end of study

  • +2 more secondary outcomes

Study Arms (2)

OxMdG / IrMdG chemotherapy

ACTIVE COMPARATOR

OxMdG / IrMdG chemotherapy for 12 weeks Followed by surgery OxMdG / IrMdG chemotherapy for 12 weeks

Drug: capecitabineDrug: fluorouracilDrug: leucovorin calciumDrug: oxaliplatinOther: study of socioeconomic and demographic variablesProcedure: adjuvant therapyProcedure: neoadjuvant therapyProcedure: quality-of-life assessment

OxMdG / IrMdG chemotherapy with cetuximab

EXPERIMENTAL

OxMdG / IrMdG chemotherapy with cetuximab for 12 weeks Followed by Surgery OxMdG / IrMdG chemotherapy with cetuximab for 12 weeks

Biological: cetuximabDrug: capecitabineDrug: fluorouracilDrug: leucovorin calciumDrug: oxaliplatinOther: study of socioeconomic and demographic variablesProcedure: adjuvant therapyProcedure: neoadjuvant therapyProcedure: quality-of-life assessment

Interventions

cetuximabBIOLOGICAL
OxMdG / IrMdG chemotherapy with cetuximab
OxMdG / IrMdG chemotherapyOxMdG / IrMdG chemotherapy with cetuximab
OxMdG / IrMdG chemotherapyOxMdG / IrMdG chemotherapy with cetuximab
OxMdG / IrMdG chemotherapyOxMdG / IrMdG chemotherapy with cetuximab
OxMdG / IrMdG chemotherapyOxMdG / IrMdG chemotherapy with cetuximab
OxMdG / IrMdG chemotherapyOxMdG / IrMdG chemotherapy with cetuximab
OxMdG / IrMdG chemotherapyOxMdG / IrMdG chemotherapy with cetuximab
OxMdG / IrMdG chemotherapyOxMdG / IrMdG chemotherapy with cetuximab
OxMdG / IrMdG chemotherapyOxMdG / IrMdG chemotherapy with cetuximab

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
DISEASE CHARACTERISTICS: * Histologically\* or radiologically confirmed primary adenocarcinoma of the colon or rectum * Advanced and/or metastatic disease NOTE: \*Liver metastases should not be biopsied * Must have potentially resectable liver metastases present, as defined by any of the following: * Metachronous metastases AND complete resection of the primary tumor without gross or microscopic evidence of residual disease (R0) * Synchronous metastases AND R0 resection of the primary tumor \> 1 month before study entry * Synchronous metastases with sufficient evidence (e.g., by CT scan or diagnostic laparoscopy) that both the primary tumor and the liver metastases can be completely resected during the same procedure and resection of primary tumor can be delayed for 3-4 months * Suboptimally resectable disease (i.e., potentially resectable disease with compromise of the resection margins) * No detectable extrahepatic tumor that cannot be completely resected * Unidimensionally measurable disease * No brain metastases PATIENT CHARACTERISTICS: * WHO performance status 0-2 * WBC ≥ 4,000/mm³ * ANC ≥ 1,500/mm³ * Platelet count \> 150,000/mm³ * Bilirubin ≤ 1.25 times upper limit of normal (ULN) * Alkaline phosphatase ≤ 5 times ULN * AST or ALT ≤ 3 times ULN * Creatinine clearance \> 50 mL/min OR glomerular filtration rate \> 50 mL/min * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception during and for ≥ 3 months after completion of study treatment * No psychiatric or neurological condition that would preclude study compliance * No partial or complete bowel obstruction * No preexisting neuropathy \> grade 1 * No other prior or concurrent malignant disease that, in the opinion of the investigator, would preclude study treatment * No concurrent severe uncontrolled medical illness (including poorly-controlled angina or myocardial infarction within the past 3 months) that would preclude study treatment * No known hypersensitivity reaction to any of the components of the study drugs PRIOR CONCURRENT THERAPY: * No prior systemic chemotherapy for metastatic disease * More than 6 months since prior adjuvant chemotherapy comprising fluorouracil, leucovorin calcium, capecitabine, or irinotecan hydrochloride * More than 1 month since prior rectal chemoradiotherapy comprising fluorouracil and leucovorin calcium * No concurrent contraindicated medication

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

Study Sites (22)

Basildon University Hospital

Basildon, England, SS16 5NL, United Kingdom

RECRUITING

Basingstoke and North Hampshire NHS Foundation Trust

Basingstoke, England, RG24 9NA, United Kingdom

RECRUITING

Royal Bournemouth Hospital

Bournemouth, England, BH7 7DW, United Kingdom

RECRUITING

Addenbrooke's Hospital

Cambridge, England, CB2 0QQ, United Kingdom

RECRUITING

St. Luke's Cancer Centre at Royal Surrey County Hospital

Guildford, England, GU2 7XX, United Kingdom

RECRUITING

Aintree University Hospital

Liverpool, England, L9 7AL, United Kingdom

RECRUITING

Royal Liverpool University Hospital

Liverpool, England, L9 7AL, United Kingdom

RECRUITING

Saint Bartholomew's Hospital

London, England, EC1A 7BE, United Kingdom

RECRUITING

UCL Cancer Institute

London, England, NW3 2PF, United Kingdom

RECRUITING

Royal Marsden - London

London, England, SW3 6JJ, United Kingdom

RECRUITING

Charing Cross Hospital

London, England, W6 8RF, United Kingdom

RECRUITING

Clatterbridge Centre for Oncology

Merseyside, England, CH63 4JY, United Kingdom

RECRUITING

St. Mary's Hospital

Newport, England, PO30 5TG, United Kingdom

RECRUITING

Cancer Research Centre at Weston Park Hospital

Nottingham, England, NG5 1PB, United Kingdom

RECRUITING

Dorset Cancer Centre

Poole Dorset, England, BH15 2JB, United Kingdom

RECRUITING

Salisbury District Hospital

Salisbury, England, SP2 8BJ, United Kingdom

RECRUITING

Southampton General Hospital

Southampton, England, SO16 6YD, United Kingdom

RECRUITING

Royal Marsden - Surrey

Sutton, England, SM2 5PT, United Kingdom

RECRUITING

Southend University Hospital NHS Foundation Trust

Westcliff-on-Sea, England, SS0 0RY, United Kingdom

RECRUITING

Worthing Hospital

Worthing, England, BN11 2DH, United Kingdom

RECRUITING

Velindre Cancer Center at Velindre Hospital

Cardiff, Wales, CF14 2TL, United Kingdom

RECRUITING

University Hospital of Wales

Cardiff, Wales, CF14 4XW, United Kingdom

RECRUITING

MeSH Terms

Conditions

Colorectal NeoplasmsNeoplasm MetastasisColonic NeoplasmsRectal Neoplasms

Interventions

CetuximabCapecitabineFluorouracilLeucovorinOxaliplatinChemotherapy, AdjuvantNeoadjuvant Therapy

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal DiseasesNeoplastic ProcessesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsUracilPyrimidinonesDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesFormyltetrahydrofolatesTetrahydrofolatesFolic AcidPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingCoenzymesEnzymes and CoenzymesCoordination ComplexesOrganic ChemicalsCombined Modality TherapyTherapeuticsDrug Therapy

Study Officials

  • John N. Primrose, MD

    University Hospital Southampton NHS Foundation Trust

    STUDY CHAIR

Central Study Contacts

Louisa Little

CONTACT

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 4, 2007

First Posted

June 5, 2007

Study Start

February 1, 2007

Primary Completion

December 1, 2014

Last Updated

January 23, 2013

Record last verified: 2008-04

Locations