NCT02753127

Brief Summary

This is an international multi-center, prospective, open-label, randomized, adaptive design phase 3 trial of the cancer stem cell pathway inhibitor napabucasin plus standard bi-weekly FOLFIRI versus standard bi-weekly FOLFIRI in patients with previously treated metastatic colorectal cancer (CRC).

Trial Health

98
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
1,253

participants targeted

Target at P75+ for phase_3 colorectal-cancer

Timeline
Completed

Started Jun 2016

Geographic Reach
16 countries

211 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

April 25, 2016

Completed
2 days until next milestone

First Posted

Study publicly available on registry

April 27, 2016

Completed
1 month until next milestone

Study Start

First participant enrolled

June 1, 2016

Completed
3.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 28, 2020

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

May 12, 2021

Completed
12 months until next milestone

Results Posted

Study results publicly available

April 26, 2022

Completed
Last Updated

November 15, 2023

Status Verified

November 1, 2023

Enrollment Period

3.9 years

First QC Date

April 25, 2016

Results QC Date

October 26, 2021

Last Update Submit

November 13, 2023

Conditions

Keywords

Colorectal NeoplasmsColonic DiseasesDigestive System DiseasesDigestive System NeoplasmsGastrointestinal DiseasesGastrointestinal NeoplasmsIntestinal DiseasesIntestinal NeoplasmsNeoplasmsNeoplasms by Histologic TypeNeoplasms by SiteNeoplasms, Glandular and EpithelialRectal Diseases

Outcome Measures

Primary Outcomes (1)

  • Overall Survival (OS)

    Overall survival was defined as the time from randomization until death from any cause. Patients who are alive at the time of the interim or the final analyses or who have become lost to follow-up will be censored on the date the patient was last known to be alive.

    Randomization to Date of Death from any cause or database cutoff date (28 Apr 2020) (Approximately 43 months)

Secondary Outcomes (6)

  • Progression-Free Survival (PFS)

    Randomization to Date of Death or until the date of first documented objective disease progression or database cutoff date (28 Apr 2020) (Approximately 43 months)

  • Disease Control Rate (DCR)

    Randomization to Date of Death or until the date of first documented objective disease progression or database cutoff date (28 Apr 2020) (Approximately 43 months)

  • Objective Response Rate (ORR)

    Randomization to Date of Death or until the date of first documented objective disease progression or database cutoff date (28 Apr 2020) (Approximately 43 months)

  • Mean Change From Baseline for Global Health Status at Time 2 (Cycle 5 Day 1) and Time 4 (Cycle 9 Day 1).

    From baseline at Time 2 (Cycle 5 Day 1), approximately 57 days and Time 4 (Cycle 9 Day 1), approximately 113 days

  • Mean Change From Baseline for Physical Functioning Status at Time 2 (Cycle 5 Day 1) and Time 4 (Cycle 9 Day 1).

    From baseline at Time 2 (Cycle 5 Day 1) and Time 4 (Cycle 9 Day 1)

  • +1 more secondary outcomes

Study Arms (2)

Napabucasin plus FOLFIRI

EXPERIMENTAL

Addition of bevacizumab to the FOLFIRI regimen will be permissible. FOLFIRI chemotherapy infusion will start at least 2 hours following the first daily dose of napabucasin and will be administered every 2 weeks. Irinotecan/leucovorin infusion will follow bevacizumab infusion in selected patients to receive standard dose of bevacizumab (5 mg/kg). Irinotecan 180 mg/m\^2 together with leucovorin 400 mg/m\^2 will be administered intravenously, over approximately 90 minutes and 2 hours, respectively, starting on Day 1 of Cycle 1, following bevacizumab infusion or at least 2 hours following the first daily dose of napabucasin if bevacizumab is not administered. 5-FU 400 mg/m\^2 bolus will be administered intravenously immediately following irinotecan/leucovorin infusion, followed by 5-FU 1200 mg/m\^2/day (total 2400 mg/m\^2) continuous infusion. This regimen will be repeated on Day 1 of every 14 day cycle.

Drug: NapabucasinDrug: FluorouracilDrug: LeucovorinDrug: IrinotecanDrug: Bevacizumab

FOLFIRI

ACTIVE COMPARATOR

Addition of bevacizumab to the FOLFIRI regimen will be permissible. FOLFIRI chemotherapy infusion will be administered every 2 weeks. Irinotecan/leucovorin infusion will follow bevacizumab infusion in selected patients to receive standard dose of bevacizumab (5 mg/kg). Irinotecan 180 mg/m\^2 together with leucovorin 400 mg/m\^2 will be administered intravenously, over approximately 90 minutes and 2 hours, respectively, starting on Day 1 of Cycle 1, following bevacizumab infusion. 5-FU 400 mg/m\^2 bolus will be administered intravenously immediately following irinotecan/leucovorin infusion, followed by 5-FU 1200 mg/m\^2/day (total 2400 mg/m\^2) continuous infusion. This regimen will be repeated on Day 1 of every 14 day cycle.

Drug: FluorouracilDrug: LeucovorinDrug: IrinotecanDrug: Bevacizumab

Interventions

Napabucasin 240 mg will be administered orally, twice daily, with doses separated by approximately 12 hours (480 mg total daily dose).

Also known as: BBI-608, BBI608, BB608
Napabucasin plus FOLFIRI
Also known as: 5-FU, Carac, Efudex, Fluoroplex, Adrucil
FOLFIRINapabucasin plus FOLFIRI
Also known as: Folinic Acid
FOLFIRINapabucasin plus FOLFIRI
Also known as: Camptosar
FOLFIRINapabucasin plus FOLFIRI
Also known as: Avastin
FOLFIRINapabucasin plus FOLFIRI

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Written, signed consent for trial participation must be obtained from the patient appropriately in accordance with applicable ICH guidelines and local and regulatory requirements prior to the performance of any study specific procedure.
  • Must have histologically confirmed advanced CRC that is metastatic.
  • Must have failed treatment with one regimen containing a fluoropyrimidine, oxaliplatin with or without bevacizumab for metastatic disease. All patients must have received a minimum of 6 weeks of the first-line regimen that included bevacizumab (if applicable), oxaliplatin and a fluoropyrimidine in the same cycle. Treatment failure is defined as radiologic progression during or \< 6 months after the last dose of first-line therapy.
  • FOLFIRI therapy is appropriate for the patient and is recommended by the Investigator.
  • Imaging investigations including CT/MRI of chest/abdomen/pelvis or other scans as necessary to document all sites of disease performed within 21 days prior to randomization. Patients with either measurable disease or non-measurable evaluable disease are eligible.
  • Must have an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
  • Must be ≥ 18 years of age.
  • For male or female patient of child bearing potential: Must agree to use contraception or take measures to avoid pregnancy during the study and for 180 days for female and male patients, of the final FOLFIRI dose. Patients who receive single agent napabucasin without FOLFIRI must agree to use contraception or take measures to avoid pregnancy during the study and for 30 days for female patients and 90 days for male patients, of the final napabucasin dose.
  • Women of child bearing potential (WOCBP) must have a negative serum or urine pregnancy test within 5 days prior to randomization. The minimum sensitivity of the pregnancy test must be 25 IU/L or equivalent units of HCG.
  • Must have alanine transaminase (ALT) ≤ 3 × institutional upper limit of normal (ULN) \[≤ 5 × ULN in presence of liver metastases\] within 14 days prior to randomization.
  • Must have hemoglobin (Hgb) ≥ 9.0 g/dL within 14 days prior to randomization. Must not have required transfusion of red blood cells within 1 week of baseline Hgb assessment.
  • Must have total bilirubin ≤ 1.5 × institutional ULN \[≤ 2.0 x ULN in presence of liver metastases\] within 14 days prior to randomization.
  • Must have creatinine ≤ 1.5 × institutional ULN or Creatinine Clearance \> 50 ml/min (as calculated by the Cockcroft-Gault equation (Chronic Kidney Disease Epidemiology Collaboration \[CKD-EPI\]) within 14 days prior to randomization.
  • Must have absolute neutrophil count ≥ 1.5 x 10\^9/L within 14 days prior to randomization.
  • Must have platelet count ≥ 100 x 10\^9/L within 14 days prior to randomization. Must not have required transfusion of platelets within 1 week of baseline platelet assessment.
  • +7 more criteria

You may not qualify if:

  • Anti-cancer chemotherapy or biologic therapy if administered prior to the first planned dose of study medication (napabucasin or FOLFIRI) within period of time equivalent to the usual cycle length of the regimen. An exception is made for oral fluoropyrimidines (e.g. capecitabine, S-1), where a minimum of 10 days since last dose must be observed prior to the first planned dose of study medication. Standard dose of bevacizumab (5 mg/kg) may be administered prior to FOLFIRI infusion, per Investigator decision, for as long as permanent decision to include or exclude bevacizumab is made prior to patient randomization. Radiotherapy, immunotherapy (including immunotherapy administered for non-malignant diseaseneoplastic treatment purposes), or investigational agents within four weeks of first planned dose of study medication, with the exception of a single dose of radiation up to 8 Gy (equal to 800 RAD) with palliative intent for pain control up to 14 days before randomization.
  • More than one prior chemotherapy regimen administered in the metastatic setting.
  • Major surgery within 4 weeks prior to randomization.
  • Patients with any known brain or leptomeningeal metastases are excluded, even if treated.
  • Women who are pregnant or breastfeeding. Women should not breastfeed while taking study treatment and for 4 weeks after the last dose of napabucasin or while undergoing treatment with FOLFIRI and for 180 days after the last dose of FOLFIRI.
  • Gastrointestinal disorder(s) which, in the opinion of the Qualified/Principal Investigator, would significantly impede the absorption of an oral agent (e.g. intestinal occlusion, active Crohn's disease, ulcerative colitis, extensive gastric and small intestine resection).
  • Unable or unwilling to swallow napabucasin capsules daily.
  • Prior treatment with napabucasin.
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, clinically significant non-healing or healing wounds, symptomatic congestive heart failure, unstable angina pectoris, clinically significant cardiac arrhythmia, significant pulmonary disease (shortness of breath at rest or mild exertion), uncontrolled infection or psychiatric illness/social situations that would limit compliance with study requirements.
  • Known hypersensitivity to 5-fluorouracil/leucovorin
  • Known dihydropyrimidine dehydrogenase (DPD) deficiency
  • Known hypersensitivity to irinotecan
  • Chronic inflammatory bowel disease (Crohn's disease or ulcerative colitis)
  • Patients receiving treatment with St. John's wort or Phenytoin.
  • Patients who plan to receive yellow fever vaccine during the course of the study treatment.
  • +18 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (211)

Alabama Oncology

Birmingham, Alabama, 35223, United States

Location

Mayo Clinic Arizona

Phoenix, Arizona, 85054, United States

Location

Arizona Oncology Associates, PC - HOPE

Tucson, Arizona, 85771, United States

Location

Comprehensive Blood and Cancer Center

Bakersfield, California, 93309, United States

Location

City of Hope- Comprehensive Care Center

Duarte, California, 91010, United States

Location

University of California-San Diego/Moores UCSD Cancer Center

La Jolla, California, 92093, United States

Location

Los Angeles Hematology Oncology Medical Group

Los Angeles, California, 90017, United States

Location

USC Norris Comprehensive Cancer Center

Los Angeles, California, 90033, United States

Location

UCLA Hematology Oncology Santa Monica

Santa Monica, California, 90404, United States

Location

St. Joseph Heritage Healthcare

Santa Rosa, California, 95405, United States

Location

Rocky Mountain Cancer Centers

Denver, Colorado, 80218, United States

Location

St Mary's Hospital & Regional Med Center

Grand Junction, Colorado, 81501, United States

Location

Medical Oncology Hematology Consultants, PA

Newark, Delaware, 19713, United States

Location

Florida Cancer Specialists & Research Institute Fort Myers

Fort Myers, Florida, 33901, United States

Location

Memorial Cancer Institute at Memorial Hospital

Hollywood, Florida, 33021, United States

Location

Baptist Health Medical Group Oncology, LLC

Miami, Florida, 33176, United States

Location

Sarah Cannon Research Institution

St. Petersburg, Florida, 33705, United States

Location

Palm Beach Cancer Institute

West Palm Beach, Florida, 33401, United States

Location

Piedmont Cancer Institute, PC

Atlanta, Georgia, 30318, United States

Location

Emory University/Winship Cancer Institute

Atlanta, Georgia, 30322, United States

Location

Suburban Hematology-Oncology Associates, PC - Lawrenceville

Lawrenceville, Georgia, 30046, United States

Location

Illinois Cancer Specialists

Arlington Heights, Illinois, 60005, United States

Location

Northshore University Healthsystem

Evanston, Illinois, 60201, United States

Location

Healthcare Research Network III, LLC

Tinley Park, Illinois, 60487, United States

Location

Northwestern Medicine Cancer Center

Warrenville, Illinois, 60555, United States

Location

Parkview Research Center

Fort Wayne, Indiana, 46845, United States

Location

Indiana University Health Goshen Center for Cancer Care

Goshen, Indiana, 46526, United States

Location

Michiana Hematology Oncology, PC

Mishawaka, Indiana, 46545, United States

Location

Cancer Center of Kansas

Wichita, Kansas, 67214, United States

Location

Dana Farber

Boston, Massachusetts, 02215, United States

Location

Umass Memorial Medical Center

Worcester, Massachusetts, 01655, United States

Location

University of Michigan Cancer Center

Ann Arbor, Michigan, United States

Location

Minnesota Oncology Hematology, P.A.

Minneapolis, Minnesota, 55404, United States

Location

Mayo Clinic Arizona

Rochester, Minnesota, 55905, United States

Location

Research Medical Center

Kansas City, Missouri, 64132, United States

Location

Missouri Baptist Medical Center ACCRU Network Site

St Louis, Missouri, 63131, United States

Location

Saint Francis Cancer Treatment Center

Grand Island, Nebraska, 68803, United States

Location

Missouri Valley Cancer Consortium

Omaha, Nebraska, 68106, United States

Location

Cancer Research Network of Nebraska / Oncology Associates PC

Omaha, Nebraska, 68118, United States

Location

Tennessee Oncology PLLC

Omaha, Nebraska, 68118, United States

Location

Darthmouth-Hitchcock Medical Center

Lebanon, New Hampshire, 03756, United States

Location

Carol G. Simon Cancer Center

Morristown, New Jersey, 07962, United States

Location

University of New Mexico

Albuquerque, New Mexico, 87131, United States

Location

Roswell Park Cancer Center

Buffalo, New York, 14263, United States

Location

North Shore Hematology Oncology Associates

East Setauket, New York, 11733, United States

Location

Weill Cornell Medical College

New York, New York, 10065, United States

Location

Montefiore Medical Center

The Bronx, New York, 10467, United States

Location

Southeastern Medical Oncology Center

Goldsboro, North Carolina, 27534, United States

Location

Wake Forest Baptist Medical Center

Winston-Salem, North Carolina, 27157, United States

Location

Toledo Clinic Cancer Centers

Toledo, Ohio, 43623, United States

Location

Geisinger Medical Center

Danville, Pennsylvania, 17822, United States

Location

VA Pittsburgh Healthcare System

Pittsburgh, Pennsylvania, 15240, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29412, United States

Location

Sanford Cancer Center

Sioux Falls, South Dakota, 57104, United States

Location

University of Tennessee Medical Center

Knoxville, Tennessee, 37920, United States

Location

West Cancer Center

Memphis, Tennessee, 38138, United States

Location

The Sarah Cannon Research Institute

Nashville, Tennessee, 37203, United States

Location

Texas Oncology-Austin Midtown

Austin, Texas, 75705, United States

Location

Texas Oncology - Dallas Center

Dallas, Texas, 75203, United States

Location

Texas Oncology - Denton South

Denton, Texas, 76210, United States

Location

Texas Oncology - Fort Worth

Fort Worth, Texas, 76104, United States

Location

Millenium Oncology

Houston, Texas, 77090, United States

Location

Texas Health Physicians Group

Plano, Texas, 75093, United States

Location

Texas Oncology-San Antonio

San Antonio, Texas, 78217, United States

Location

Texas Oncology - Tyler

Tyler, Texas, 75702, United States

Location

Texas Oncology - Wichita Falls Texoma Cancer Center

Wichita Falls, Texas, 76310, United States

Location

Northern Utah Associates

Ogden, Utah, 84403, United States

Location

US Oncology - Virginia Cancer Specialists, PC

Fairfax, Virginia, 22031, United States

Location

Fort Belvoir Community Hospital

Fort Belvoir, Virginia, 22060, United States

Location

Virginia Oncology Associates

Hampton, Virginia, 23666, United States

Location

Blue Ridge Cancer Care

Roanoke, Virginia, 24014, United States

Location

Virginia Mason

Seattle, Washington, 98101, United States

Location

Seattle Cancer Care Alliance

Seattle, Washington, 98109-1023, United States

Location

Northwest Cancer Specialists, P.C.

Vancouver, Washington, 98684, United States

Location

Bankstown-Lidcombe Hospital

Bankstown, New South Wales, 2200, Australia

Location

St Vincent's Hospital

Darlinghurst, New South Wales, 2010, Australia

Location

St Vincent's hospital Melbourne

Fitzroy, New South Wales, 3065, Australia

Location

Port Macquaries Base Hospital

Port Macquarie, New South Wales, 2444, Australia

Location

Northern Cancer Institute

St Leonards, New South Wales, 2065, Australia

Location

Sunshine Coast Hospital and Health Service

Nambour, Queensland, 4560, Australia

Location

Gold Coast University Hosptial

Southport, Queensland, 4215, Australia

Location

Flinders Medical Centre

Bedford Park, South Australia, 5042, Australia

Location

The Queen Elizabeth Hospital

Woodville, South Australia, 5011, Australia

Location

Bendigo Hospital

Bendigo, Victoria, 3550, Australia

Location

Peninsula & South Eastern Haematology and Oncology Group

Frankston, Victoria, 3199, Australia

Location

Austin Hospital

Heidelberg, Victoria, 3084, Australia

Location

Western Health

Melbourne, Victoria, 3021, Australia

Location

Goulburn Valley Health

Shepparton, Victoria, 3630, Australia

Location

Prince of Wales Hospital

Randwick, 2031, Australia

Location

Imelda Ziekenhuis

Bonheiden, Antwerpen, 2820, Belgium

Location

Imelda Ziekenhuis

Bonheiden, Antwerpen, 2821, Belgium

Location

Imelda Ziekenhuis

Bonheiden, Antwerpen, 2822, Belgium

Location

AZ Turnhout - Campus Sint-Elisabeth

Turnhout, Antwerpen, 2300, Belgium

Location

Hôpital Erasme

Brussels, Brussels Capital, 1070, Belgium

Location

Grand Hôpital de Charleroi - Site Notre-Dame

Charleroi, Hainaut, 6000, Belgium

Location

CHU de Liège - Domaine Universitaire du Sart Tilman

Brussels, Liège, 1050, Belgium

Location

UZ Leuven - Campus Gasthuisberg

Leuven, Vlaams Brabant, 3000, Belgium

Location

AZ Sint-Jan Brugge - Oostende - Campus Sint-Jan

Bruges, West-Vlaanderen, 8000, Belgium

Location

AZ Sint-Lucas - Campus Sint-Lucas

Bruges, West-Vlaanderen, 8310, Belgium

Location

Tom Baker Cancer Centre

Calgary, Alberta, T2N 4N2, Canada

Location

The Ottawa Hospital Cancer Centre

Ottawa, Ontario, K1H 8L6, Canada

Location

University of Toronto - Sunnybrook Health Sciences Centre

Toronto, Ontario, M4N 3M5, Canada

Location

Saint Michael's Hospital Li Ka Shing Knowledge Institute

Toronto, Ontario, M5B 1W8, Canada

Location

St. Mary's Hospital Center

Montreal, Quebec, H3T 1M5, Canada

Location

Hopital Notre-Dame du CHUM

Montreal, Quebec, HZL 4M1, Canada

Location

Beijing Cancer Hospital

Beijing, 100142, China

Location

Henan Cancer Hospital

Henan, 450008, China

Location

Jiangsu Province Hospital

Jiangsu, 210029, China

Location

FN Hradec Kralove

Hradec Králové, Královéhradecký kraj, 500 05, Czechia

Location

Fakultni nemocnice Brno

Brno, 625 00, Czechia

Location

Masarykuv onkologicky ustav

Brno, 656 53, Czechia

Location

Vseobecna fakultni nemocnice v Praze

Prague, 128 08, Czechia

Location

Centre Paul Papin

Angers, 49055, France

Location

Hospitalier Jean Minjoz

Besançon, 25030, France

Location

Hôpital Morvan - CHRU de Brest - cancérologie et d'hématolog

Brest, 29609, France

Location

CHU Estaing

Clermont-Ferrand, 63003, France

Location

Centre de Lutte Contre le Cancer (CLCC)

Dijon, 21079, France

Location

CHU de Nantes - Hopital Hotel Dieu

Nantes, 44093, France

Location

Hôpital Européen Georges Pompidou - Digestive Oncology

Paris, 75015, France

Location

Hôpital Privé des Côtes d'Armor - Service oncologie

Plérin, 22190, France

Location

Hospital of Poitiers

Poitiers, 86021, France

Location

Centre Eugene Marquis

Rennes, 35042, France

Location

Centre Rene Gauducheau

Saint-Herblain, 44805, France

Location

Leopoldina Krankenhaus Med. Klinik 2

Schweinfurt, Bavaria, 97422, Germany

Location

Universitätsklinikum Carl Gustav Carus Dresden

Dresden, Saxony, 01307, Germany

Location

Schwerpunkpraxis für Hämatologie und Onkologie

Magdeburg, Saxony-Anhalt, 39104, Germany

Location

Gesundheitszentrum Wetterau

Bad Nauheim, 61231, Germany

Location

Vivantes Klinikum Am Urban

Berlin, 10967, Germany

Location

Charite - Campus Benjamin Franklin (Cbf)

Berlin, 12203, Germany

Location

DRK Kliniken Berlin Koepenick

Berlin, 12559, Germany

Location

Charité Universitätsmedizin

Berlin, 13353, Germany

Location

MVZ Onkologischer Schwerpunkt am Oskar-Helene-Heim

Berlin, 14195, Germany

Location

Facharztzentrum Eppendorf

Hamburg, 20249, Germany

Location

Asklepios Klinik Altona

Hamburg, 22763, Germany

Location

Universitätsklinikum Marburg

Marburg, 35033, Germany

Location

Medizinische Universitaetsklin

Ulm, 89081, Germany

Location

Pamela Youde Nethersole Eastern Hospital

Hong Kong, 150001, Hong Kong

Location

Queen Mary Hospital

Hong Kong, Hong Kong

Location

Ha'Emek Medical Center

Afula, 1834111, Israel

Location

The Barzilai Medical Center - Oncology Institute

Ashkelon, 7830604, Israel

Location

Soroka University Medical Center

Beersheba, 8410101, Israel

Location

Shaare Zedek Medical center

Jerusalem, 91031, Israel

Location

Meir Medical Center

Kfar Saba, 4428164, Israel

Location

Rabin MC - Oncology, Davidoff Center

Petah Tikva, 49100, Israel

Location

Ziv Medical Center (The Rebecca Sieff Hospital)

Safed, 13100, Israel

Location

Tel Aviv Sourasky Medical Center - Oncology

Tel Aviv, 6423906, Israel

Location

The Chaim Sheba Medical Centre - Division of Oncology

Tel Litwinsky, 52621, Israel

Location

AOU Ospedali Riuniti Umberto I - GM.Lanc

Torrette Di Ancona, Ancona, 60126, Italy

Location

Ospedale Santa Maria del Prato

Feltre, Belluno, 32032, Italy

Location

Irccs Irst

Meldola, Forli, 47014, Italy

Location

AUSL della Romagna, Osp. degli Infermi

Faenza, Ravenna, 48018, Italy

Location

Policlinico S.Orsola Malpighi, AOU di Bologna

Bologna, 40138, Italy

Location

PO di Cremona, ASST di Cremona

Cremona, 26100, Italy

Location

AO S. Martino, IRCCS, IST

Genova, 16132, Italy

Location

Ieo, Irccs

Milan, 20141, Italy

Location

AOU Policlinico di Modena

Modena, 41124, Italy

Location

Università degli studi della Campania "L.Vanvitelli"

Napoli, 80131, Italy

Location

Ospedale Guglielmo da Saliceto, AUSL Piacenza

Piacenza, 29121, Italy

Location

AOU Città della Salute e della Scienza di Torino - Molinette

Torino, 10126, Italy

Location

Aichi Cancer Center Hospital

Nagoya, Aichi-ken, 464-8681, Japan

Location

National Cancer Center Hospital East

Kashiwa, Chiba, 277-8577, Japan

Location

National Hospital Organization Shikoku Cancer Center

Matsunami, Ehime, 791-0280, Japan

Location

Hokkaido University Hospital

Sapporo, Hokkaido, 060-8648, Japan

Location

Kobe City Medical Center General Hospital

Kobe, Hyōgo, 650-0047, Japan

Location

ST. Marianna University School of Medicine

Kawasaki, Kanagawa, 216-8511, Japan

Location

Osaka University Hospital

Suita, Osaka, 565-0871, Japan

Location

Osaka Medical College Hospital

Takatsuki, Osaka, 569-8686, Japan

Location

Saitama Cancer Center

Kita-Adachi, Saitama, 362-0806, Japan

Location

Shizuoka Cancer Center

Sunto, Shizuoka, 411-8777, Japan

Location

Medical Hospital, Tokyo Medical and Dental University

Bunkyo-ku, Tokyo, 113-8510, Japan

Location

National Cancer Center Hospital

Chuo-ku, Tokyo, 104-0045, Japan

Location

The cancer insitute hospital of JFCR (Japanese Foundation For Cancer Research)

Koto-ku, Tokyo, 135-8550, Japan

Location

National Kyushu Cancer Center

Fukuoka, 811-1395, Japan

Location

Osaka Medical Center for Cancer and Cardiovascular Diseases

Osaka, 537-8511, Japan

Location

National Hospital Organization Osaka National Hospital

Osaka, 540-0006, Japan

Location

Medisch Centrum Leeuwarden

Leeuwarden, Provincie Friesland, 8934 AD, Netherlands

Location

Academisch Medisch Centrum

Amsterdam, 1055 AZ, Netherlands

Location

Spaarne Gasthuis

Hoofddorp, 2134 TM, Netherlands

Location

Maastricht UMC

Maastricht, 6229 HX, Netherlands

Location

Elizabeth Tweesteden Ziekenhuis locatie Tilburg

Tilburg, 5042 SB, Netherlands

Location

National University Cancer Institute

Singapore, Central Singapore, 119228, Singapore

Location

National Cancer Centre

Singapore, Central Singapore, 169610, Singapore

Location

Raffles Hospital

Singapore, Central Singapore, 188770, Singapore

Location

Yeungnam University Medical Center

Daegu, Daegu Gwang'yeogsi, 42415, South Korea

Location

National Cancer Centre

Goyang, Gyeonggido, 10408, South Korea

Location

Ajou University Hospital

Suwon, Gyeonggido, 16499, South Korea

Location

Gachon University Gil Medical Center

Incheon, Incheon Gwang'yeogsi, 21565, South Korea

Location

Korea University Anam Hospital

Seoul, Seoul Teugbyeolsi, 02841, South Korea

Location

Samsung Medical Center

Seoul, Seoul Teugbyeolsi, 06351, South Korea

Location

Korea University Guro Hospital

Seoul, Seoul Teugbyeolsi, 08308, South Korea

Location

Severance Hospital, Yonsei University Health System

Seoul, Seoul Teugbyeolsi, 120-752, South Korea

Location

Hospital General Universitario de Elche

Elche, Alicante, 3203, Spain

Location

H.U.V. del Rocío

Seville, Andalusia, 41013, Spain

Location

Hospital Son Llatzer

Baleares, Balearic Islands, 7198, Spain

Location

Institut Català d'Oncologia-Hospital Universitari Germans Trias i Pujol

Badalona, Barcelona, 8916, Spain

Location

Complexo Hospital Universitario A Coruña

A Coruña, Galicia, 15006, Spain

Location

Hospital Universitario Fundacion Alcorcon (HUFA)

Alcorcón, Madrid, 28922, Spain

Location

Hospital Universitario Puerta de Hierro-Majadahonda

Majadahonda, Madrid, 28222, Spain

Location

Hospital Universitario Central de Asturias

Oviedo, Principality of Asturias, 33011, Spain

Location

Consorci Hospital General Universitari Valencia (CHGUV)

Comunidad Valenciana, Valencia, 46014, Spain

Location

Hospital Universitario Vall d'Hebrón

Barcelona, 080035, Spain

Location

Hospital del Mar

Barcelona, 08003, Spain

Location

Hospital Clinic i Provincial de Barcelona

Barcelona, 8036, Spain

Location

Hospital Universitario Gregorio Marañón

Madrid, 28016, Spain

Location

Hospital Clínico San Carlos

Madrid, 28040, Spain

Location

Hospital Universitario 12 de Octubre

Madrid, 28041, Spain

Location

Hospital Universitario La Paz

Madrid, 28046, Spain

Location

Hospital Universitario Virgen de la Arrixaca

Murcia, 30120, Spain

Location

Hospital Universitario Virgen de la Macarena

Seville, 41009, Spain

Location

H.C.U.Valencia

Valencia, 46010, Spain

Location

Hospital Universitario Miguel Servet

Zaragoza, 50009, Spain

Location

MeSH Terms

Conditions

Colorectal NeoplasmsColonic DiseasesDigestive System DiseasesDigestive System NeoplasmsGastrointestinal DiseasesGastrointestinal NeoplasmsIntestinal DiseasesIntestinal NeoplasmsNeoplasmsNeoplasms by Histologic TypeNeoplasms by SiteNeoplasms, Glandular and EpithelialRectal Diseases

Interventions

napabucasinFluorouracilLeucovorinIrinotecanBevacizumab

Intervention Hierarchy (Ancestors)

UracilPyrimidinonesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsFormyltetrahydrofolatesTetrahydrofolatesFolic AcidPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingCoenzymesEnzymes and CoenzymesCamptothecinAlkaloidsAntibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Results Point of Contact

Title
Keiichi Saito
Organization
Sumitomo Dainippon Pharma Oncology

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

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

Study Record Dates

First Submitted

April 25, 2016

First Posted

April 27, 2016

Study Start

June 1, 2016

Primary Completion

April 28, 2020

Study Completion

May 12, 2021

Last Updated

November 15, 2023

Results First Posted

April 26, 2022

Record last verified: 2023-11

Locations