NCT00952029

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

87
On Track

Trial Health Score

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

Enrollment
492

participants targeted

Target at P75+ for phase_2 colorectal-cancer

Timeline
Completed

Started Mar 2010

Longer than P75 for phase_2 colorectal-cancer

Geographic Reach
1 country

102 active sites

Status
completed

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

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 4, 2009

Completed
7 months until next milestone

Study Start

First participant enrolled

March 1, 2010

Completed
5.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2015

Completed
2.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2018

Completed
Last Updated

March 30, 2020

Status Verified

March 1, 2020

Enrollment Period

5.8 years

First QC Date

August 1, 2009

Last Update Submit

March 27, 2020

Conditions

Keywords

stage IV colon cancerstage IV rectal cancer

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

EXPERIMENTAL

FOLFIRI + Avastin and during the chemotherapy-free interval maintenance with bevacizumab

Biological: bevacizumabDrug: FOLFIRI regimenDrug: fluorouracilDrug: irinotecan hydrochlorideDrug: leucovorin calcium

No maintenance with bevacizumab

ACTIVE COMPARATOR

FOLFIRI + Avastin and during the chemotherapy-free interval NO maintenance

Biological: bevacizumabDrug: FOLFIRI regimenDrug: fluorouracilDrug: irinotecan hydrochlorideDrug: leucovorin calcium

Interventions

bevacizumabBIOLOGICAL
Maintenance with bevacizumabNo maintenance with bevacizumab
Maintenance with bevacizumabNo maintenance with bevacizumab
Maintenance with bevacizumabNo maintenance with bevacizumab
Maintenance with bevacizumabNo maintenance with bevacizumab
Maintenance with bevacizumabNo maintenance with bevacizumab

Eligibility Criteria

Age18 Years - 120 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
DISEASE CHARACTERISTICS: * Histologically confirmed colorectal cancer * Metastatic disease * Not a candidate for curative surgery * At least 1 tumor target measurable by RECIST criteria * No metastasis potentially resectable after receiving chemotherapy * No occlusive tumors * No macronodular peritoneal carcinomatosis * No known or suspected CNS metastases PATIENT CHARACTERISTICS: * OMS status 0-2 * Life expectancy ≥ 3 months * ANC ≥ 1,500/mm\^3 * Platelet count ≥ 100,000/mm\^3 * Hemoglobin ≥ 9 g/dL * Total bilirubin ≤ 1.5 times upper limit of normal (ULN) * Alkaline phosphatase ≤ 2.5 times ULN (≤ 5 times ULN in the presence of hepatic metastases) * Creatinine ≤ 1.5 times ULN * Proteinuria ≤1 g * Not pregnant or nursing * No gastroduodenal ulcer, wound, or fractured bone * No acute or subacute intestinal occlusion or history of inflammatory bowel disease or large resection of small bowel * No clinically relevant coronary artery disease or a history of a myocardial infarction within the last 6 months * No uncontrolled hypertension while receiving chronic medication * No other malignancy within the past 5 years except for basal cell carcinoma of the skin or pre-invasive carcinoma of the cervix * No medical or psychological condition which, in the opinion of the investigator, would not permit the patient to complete the study PRIOR CONCURRENT THERAPY: * See Patient Characteristics * No prior chemotherapy for metastatic disease * Adjuvant chemotherapy allowed provided it was completed \> 6 months ago * No prior irinotecan or other antiangiogenic therapy * At least 4 weeks since surgery (except for diagnostic biopsy) or irradiation * No other drugs not allowed for medical reasons * Concurrent oral anticoagulants (e.g., coumadin, warfarin) allowed provided the INR is closely monitored * A change of anticoagulants to low-molecular weight heparin is preferred

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

Location

Centre Radiothérapie et Oncologie de Moyenne Garonne

Agen, France

Location

CHU

Amiens, France

Location

Centre Paul Papin

Angers, France

Location

CHU

Angers, France

Location

Pringny

Annecy, France

Location

CH

Aubenas, France

Location

CH

Auxerre, France

Location

Polyclinique Sainte Marguerite

Auxerre, France

Location

CH

Avignon, France

Location

Ch

Bayonne, France

Location

CH

Beauvais, France

Location

CHU

Besançon, France

Location

Centre Pierre Curie

Beuvry, France

Location

CH

Béziers, France

Location

Ch

Blois, France

Location

Hôpital Avicenne

Bobigny, France

Location

Clinique Tivoli

Bordeaux, France

Location

Institut Bergonié

Bordeaux, France

Location

CH

Bourg-en-Bresse, France

Location

CH

Bourges, France

Location

CH

Cahors, France

Location

CHIC

Castres, France

Location

Hôpital Privé Sainte Marie

Chalon-sur-Saône, France

Location

CH

Cholet, France

Location

Clinique des Cèdres

Cornebarrieu, France

Location

CH

Créteil, France

Location

CH

Dax, France

Location

Centre Léonard de Vinci

Dechy, France

Location

Centre Leclerc

Dijon, France

Location

CHU

Dijon, France

Location

Parc

Dijon, France

Location

CH

Dunkirk, France

Location

CH

Elbeuf, France

Location

CH

Fréjus, France

Location

Hôpital Chicas

Gap, France

Location

CH

La Roche-sur-Yon, France

Location

CH

Langres, France

Location

CH

Le Mans, France

Location

CH

Libourne, France

Location

Centre Bourgogne

Lille, France

Location

Clinique F. Chenieux

Limoges, France

Location

CH

Longjumeau, France

Location

CHBS

Lorient, France

Location

Centre Léon Bérard

Lyon, France

Location

CHU Edouard Herriot

Lyon, France

Location

Clinique de la Sauvegarde

Lyon, France

Location

Clinique Mutualiste

Lyon, France

Location

Croix Rousse

Lyon, France

Location

Hôpital Saint Joseph

Lyon, France

Location

CHU La Timone

Marseille, France

Location

Hôpital A. Paré

Marseille, France

Location

Hôpital Nord

Marseille, France

Location

Hôpital Saint Joseph

Marseille, France

Location

CH

Mâcon, France

Location

CH

Meaux, France

Location

CHG

Mont-de-Marsan, France

Location

CH

Montauban, France

Location

CH

Montélimar, France

Location

CH Le Raincy

Montfermeil, France

Location

Centre Cancérologique

Montpellier, France

Location

Centre Azuréen

Mougins, France

Location

Hôpital Saint Herblain

Nantes, France

Location

Polyclinique

Narbonne, France

Location

CH

Neuilly-sur-Seine, France

Location

Centre Antoine Lacassagne

Nice, France

Location

L'Archet II

Nice, France

Location

CHU

Nîmes, France

Location

Clinique Valdegour, Centre ONCOGARD - Institut de Cancérologie du Gard

Nîmes, France

Location

CHR (Oncologie Médicale)

Orléans, France

Location

CHR

Orléans, France

Location

Clinique Les Murlins

Orléans, France

Location

Bichat

Paris, France

Location

CHU - Kremlin Bicêtre

Paris, France

Location

HEGP

Paris, France

Location

Hôpital Saint Louis

Paris, France

Location

Pitié Salpetière

Paris, France

Location

CH

Pau, France

Location

CH

Perpignan, France

Location

CH

Pessac, France

Location

CH

Périgueux, France

Location

CH

Rang-du-Fliers, France

Location

CH

Reims, France

Location

CH

Romans-sur-Isère, France

Location

CH

Roubaix, France

Location

CHU

Rouen, France

Location

CH

Saint-Brieuc, France

Location

Clinique Armoricaine

Saint-Brieuc, France

Location

HIA Begin

Saint-Mandé, France

Location

Centre Joliot Curie

Saint-Martin-Boulogne, France

Location

Clinique Mutualiste

Saint-Nazaire, France

Location

CHU Saint Etienne

Saint-Priest-en-Jarez, France

Location

Centre Paul Strauss

Strasbourg, France

Location

CHU Trousseau

Tours, France

Location

CH

Valence, France

Location

Clinique Générale

Valence, France

Location

CH

Valenciennes, France

Location

CAC

Vandœuvre-lès-Nancy, France

Location

CH Bretagne Atlantique

Vannes, France

Location

Clinique

Vienne, France

Location

CH

Villejuif, France

Location

Hôpital Intercommunal

Villeneuve-Saint-Georges, France

Location

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: 25677925BACKGROUND
  • Aparicio 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.

  • Aparicio 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.

  • Guilloteau 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.

  • Dohan 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.

MeSH Terms

Conditions

Colorectal NeoplasmsColonic NeoplasmsRectal Neoplasms

Interventions

BevacizumabFluorouracilIrinotecanLeucovorin

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsUracilPyrimidinonesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsCamptothecinAlkaloidsFormyltetrahydrofolatesTetrahydrofolatesFolic AcidPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingCoenzymesEnzymes and Coenzymes

Study Officials

  • Thomas Aparicio, Pr

    Hopital Avicenne BOBIGNY

    PRINCIPAL INVESTIGATOR

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

Locations