Combination Chemotherapy and Bevacizumab With or Without Bevacizumab Maintenance Therapy in Treating Patients With Metastatic Colorectal Cancer
Multicenter Phase III Randomized Study of FOLFIRI Plus Bevacizumab Following or Not by a Maintenance Therapy With Bevacizumab in Patients With Non-Pretreated Metastatic Colorectal Cancer
7 other identifiers
interventional
492
1 country
102
Brief Summary
RATIONALE: Drugs used in chemotherapy, such as irinotecan hydrochloride, leucovorin calcium, and fluorouracil, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Bevacizumab may stop the growth of colorectal cancer by blocking blood flow to the tumor. It is not yet known whether giving more than one drug (combination chemotherapy) is more effective when given with or without bevacizumab in treating patients with metastatic colorectal cancer. PURPOSE: This randomized phase III trial is studying giving combination chemotherapy with or without bevacizumab to see how well it works in treating patients with metastatic colorectal cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 colorectal-cancer
Started Mar 2010
Longer than P75 for phase_2 colorectal-cancer
102 active sites
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
First Submitted
Initial submission to the registry
August 1, 2009
CompletedFirst Posted
Study publicly available on registry
August 4, 2009
CompletedStudy Start
First participant enrolled
March 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2018
CompletedMarch 30, 2020
March 1, 2020
5.8 years
August 1, 2009
March 27, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Disease-control duration
one year after last patient included
Secondary Outcomes (9)
Objective response rate
one year after last patient is included
Rate of non-hematologic grade 3-4 toxicities (except alopecia)
one year after last patient is included
Overall toxicity rate
one year after last patient is included
Duration of chemotherapy-free interval
one year after last patient is included
Progression-free survival
one year after last patient is included
- +4 more secondary outcomes
Study Arms (2)
Maintenance with bevacizumab
EXPERIMENTALFOLFIRI + Avastin and during the chemotherapy-free interval maintenance with bevacizumab
No maintenance with bevacizumab
ACTIVE COMPARATORFOLFIRI + Avastin and during the chemotherapy-free interval NO maintenance
Interventions
Eligibility Criteria
Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.
Sponsors & Collaborators
Study Sites (102)
CH
Abbeville, France
Centre Radiothérapie et Oncologie de Moyenne Garonne
Agen, France
CHU
Amiens, France
Centre Paul Papin
Angers, France
CHU
Angers, France
Pringny
Annecy, France
CH
Aubenas, France
CH
Auxerre, France
Polyclinique Sainte Marguerite
Auxerre, France
CH
Avignon, France
Ch
Bayonne, France
CH
Beauvais, France
CHU
Besançon, France
Centre Pierre Curie
Beuvry, France
CH
Béziers, France
Ch
Blois, France
Hôpital Avicenne
Bobigny, France
Clinique Tivoli
Bordeaux, France
Institut Bergonié
Bordeaux, France
CH
Bourg-en-Bresse, France
CH
Bourges, France
CH
Cahors, France
CHIC
Castres, France
Hôpital Privé Sainte Marie
Chalon-sur-Saône, France
CH
Cholet, France
Clinique des Cèdres
Cornebarrieu, France
CH
Créteil, France
CH
Dax, France
Centre Léonard de Vinci
Dechy, France
Centre Leclerc
Dijon, France
CHU
Dijon, France
Parc
Dijon, France
CH
Dunkirk, France
CH
Elbeuf, France
CH
Fréjus, France
Hôpital Chicas
Gap, France
CH
La Roche-sur-Yon, France
CH
Langres, France
CH
Le Mans, France
CH
Libourne, France
Centre Bourgogne
Lille, France
Clinique F. Chenieux
Limoges, France
CH
Longjumeau, France
CHBS
Lorient, France
Centre Léon Bérard
Lyon, France
CHU Edouard Herriot
Lyon, France
Clinique de la Sauvegarde
Lyon, France
Clinique Mutualiste
Lyon, France
Croix Rousse
Lyon, France
Hôpital Saint Joseph
Lyon, France
CHU La Timone
Marseille, France
Hôpital A. Paré
Marseille, France
Hôpital Nord
Marseille, France
Hôpital Saint Joseph
Marseille, France
CH
Mâcon, France
CH
Meaux, France
CHG
Mont-de-Marsan, France
CH
Montauban, France
CH
Montélimar, France
CH Le Raincy
Montfermeil, France
Centre Cancérologique
Montpellier, France
Centre Azuréen
Mougins, France
Hôpital Saint Herblain
Nantes, France
Polyclinique
Narbonne, France
CH
Neuilly-sur-Seine, France
Centre Antoine Lacassagne
Nice, France
L'Archet II
Nice, France
CHU
Nîmes, France
Clinique Valdegour, Centre ONCOGARD - Institut de Cancérologie du Gard
Nîmes, France
CHR (Oncologie Médicale)
Orléans, France
CHR
Orléans, France
Clinique Les Murlins
Orléans, France
Bichat
Paris, France
CHU - Kremlin Bicêtre
Paris, France
HEGP
Paris, France
Hôpital Saint Louis
Paris, France
Pitié Salpetière
Paris, France
CH
Pau, France
CH
Perpignan, France
CH
Pessac, France
CH
Périgueux, France
CH
Rang-du-Fliers, France
CH
Reims, France
CH
Romans-sur-Isère, France
CH
Roubaix, France
CHU
Rouen, France
CH
Saint-Brieuc, France
Clinique Armoricaine
Saint-Brieuc, France
HIA Begin
Saint-Mandé, France
Centre Joliot Curie
Saint-Martin-Boulogne, France
Clinique Mutualiste
Saint-Nazaire, France
CHU Saint Etienne
Saint-Priest-en-Jarez, France
Centre Paul Strauss
Strasbourg, France
CHU Trousseau
Tours, France
CH
Valence, France
Clinique Générale
Valence, France
CH
Valenciennes, France
CAC
Vandœuvre-lès-Nancy, France
CH Bretagne Atlantique
Vannes, France
Clinique
Vienne, France
CH
Villejuif, France
Hôpital Intercommunal
Villeneuve-Saint-Georges, France
Related Publications (5)
Aparicio T, Linot B, Le Malicot K, Bouche O, Boige V, Francois E, Ghiringhelli F, Legoux JL, Ben Abdelghani M, Phelip JM, Faroux R, Dahan L, Taieb J, Bedenne L. FOLFIRI+bevacizumab induction chemotherapy followed by bevacizumab or observation in metastatic colorectal cancer, a phase III trial (PRODIGE 9--FFCD 0802). Dig Liver Dis. 2015 Apr;47(4):271-2. doi: 10.1016/j.dld.2015.01.146. Epub 2015 Jan 20. No abstract available.
PMID: 25677925BACKGROUNDAparicio T, Ghiringhelli F, Boige V, Le Malicot K, Taieb J, Bouche O, Phelip JM, Francois E, Borel C, Faroux R, Dahan L, Jacquot S, Genet D, Khemissa F, Suc E, Desseigne F, Texereau P, Lepage C, Bennouna J; PRODIGE 9 Investigators. Bevacizumab Maintenance Versus No Maintenance During Chemotherapy-Free Intervals in Metastatic Colorectal Cancer: A Randomized Phase III Trial (PRODIGE 9). J Clin Oncol. 2018 Mar 1;36(7):674-681. doi: 10.1200/JCO.2017.75.2931. Epub 2018 Jan 18.
PMID: 29346040RESULTAparicio T, Bennouna J, Le Malicot K, Boige V, Taieb J, Bouche O, Phelip JM, Francois E, Borel C, Faroux R, Dahan L, Bachet JB, Egreteau J, Kaminsky MC, Gornet JM, Cojocarasu O, Gasmi M, Guerin-Meyer V, Lepage C, Ghiringhelli F; for PRODIGE investigators/collaborators. Predictive factors for early progression during induction chemotherapy and chemotherapy-free interval: analysis from PRODIGE 9 trial. Br J Cancer. 2020 Mar;122(7):957-962. doi: 10.1038/s41416-020-0735-8. Epub 2020 Feb 4.
PMID: 32015513RESULTGuilloteau A, Abrahamowicz M, Boussari O, Jooste V, Aparicio T, Quantin C, Le Malicot K, Binquet C. Impact of time-varying cumulative bevacizumab exposures on survival: re-analysis of data from randomized clinical trial in patients with metastatic colo-rectal cancer. BMC Med Res Methodol. 2021 Jan 9;21(1):14. doi: 10.1186/s12874-020-01202-9.
PMID: 33422006DERIVEDDohan A, Gallix B, Guiu B, Le Malicot K, Reinhold C, Soyer P, Bennouna J, Ghiringhelli F, Barbier E, Boige V, Taieb J, Bouche O, Francois E, Phelip JM, Borel C, Faroux R, Seitz JF, Jacquot S, Ben Abdelghani M, Khemissa-Akouz F, Genet D, Jouve JL, Rinaldi Y, Desseigne F, Texereau P, Suc E, Lepage C, Aparicio T, Hoeffel C; PRODIGE 9 Investigators and PRODIGE 20 Investigators. Early evaluation using a radiomic signature of unresectable hepatic metastases to predict outcome in patients with colorectal cancer treated with FOLFIRI and bevacizumab. Gut. 2020 Mar;69(3):531-539. doi: 10.1136/gutjnl-2018-316407. Epub 2019 May 17.
PMID: 31101691DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Thomas Aparicio, Pr
Hopital Avicenne BOBIGNY
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 1, 2009
First Posted
August 4, 2009
Study Start
March 1, 2010
Primary Completion
December 1, 2015
Study Completion
January 1, 2018
Last Updated
March 30, 2020
Record last verified: 2020-03