Predictive Value of Drug Sensitivity Testing Tumorspheres From Patients With Metastatic Colorectal Cancer
Predictive Value of In-vitro Testing Anti-cancer Therapy Sensitivity on Tumorspheres From Patients With Metastatic Colorectal Cancer
1 other identifier
interventional
90
2 countries
4
Brief Summary
The purpose of the present study is to investigate the benefit of anti-cancer therapy administered on the basis of drug sensitivity testing. This concerns colorectal cancer patients who have previously received standard treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Sep 2017
Typical duration for phase_2
4 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
First Submitted
Initial submission to the registry
August 11, 2017
CompletedFirst Posted
Study publicly available on registry
August 16, 2017
CompletedStudy Start
First participant enrolled
September 22, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 23, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
March 21, 2022
CompletedJanuary 18, 2023
January 1, 2023
3.9 years
August 11, 2017
January 17, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Progression free survival 8 weeks after start of treatment
42-63 days after start of treatment
Secondary Outcomes (4)
Progression free survival
Every 8 weeks until progression or death up to 2.5 years
Overall survival
Every 3 months up to 2.5 years
Response rate
Every 8 weeks until progression up to 2.5 years
Quality of life as measured by questionnaire EQ-5D-5L
Every 8 weeks up to 2.5 years
Study Arms (1)
Treatment
OTHER1 drug or a combination of drugs considered standard anticancer treatment is given according to the result of the sensitivity analysis.
Interventions
* 5FU, infusional * Capecitabine * Oxaliplatin (FOLFOX) * Irinotecan (FOLFIRI) * FOLFOXIRI (triplet) * Bevacizumab * Panitumumab * Cetuximab * Regorafenib * Tas-102 * Ramucirumab * Aflibercept * Pembrolizumab * Nivolumab * Vinorelbine and capecitabine * Sorafenib * Gemcitabine and capecitabine * Olaparib * Epirubicin
Eligibility Criteria
You may qualify if:
- Metastatic colorectal cancer
- Biopsy proven adenocarcinoma compatible with colorectal origin (primary tumor or metastasis)
- If only biopsy from metastasis can be obtained, the patient must have a previously resected or image proven tumor of the colon or rectum (scanning or endoscopy)
- Non-resectable metastatic spread
- Previously exposed to or intolerance or contraindications to standard systemic therapy, defined as
- oxaliplatin
- irinotecan
- fluorouracil (or similar such as capecitabine, S1)
- VEGF inhibitor bevacizumab
- EGFR inhibitor panitumumab or cetuximab (if RAS/RAF wt)
- Progressive disease defined as progression according to RECIST 1.1
- ECOG performance status 0-2
- Age at least 18 years
- Adequate bone marrow, liver and renal function allowing systemic chemotherapy
- Absolute neutrophil count ≥1.5x10\^9/l and thrombocytes ≥ 100x10\^9/l.
- +4 more criteria
You may not qualify if:
- Incapacity, frailty, disability, or comorbidity to a degree that according to the investigator is not compatible with participation in the protocol
- Other active malignant disease requiring therapy
- Other systemic anti-cancer therapy (palliative radiotherapy is allowed).
- Pregnant (positive pregnancy test) or breast feeding women
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Vejle Hospitallead
Study Sites (4)
Department of Oncology, Aalborg University Hospital
Aalborg, Denmark
Department of Oncology, Rigshospitalet
Copenhagen, Denmark
Departmen of Oncology, Vejle Hospital
Vejle, Denmark
Universitätsklinikum Hamburg - Eppendorf, Universitäres Cancer Center Hamburg (UCCH)
Hamburg, Germany
Related Publications (1)
Jensen LH, Rogatto SR, Lindebjerg J, Havelund B, Abildgaard C, do Canto LM, Vagn-Hansen C, Dam C, Rafaelsen S, Hansen TF. Precision medicine applied to metastatic colorectal cancer using tumor-derived organoids and in-vitro sensitivity testing: a phase 2, single-center, open-label, and non-comparative study. J Exp Clin Cancer Res. 2023 May 5;42(1):115. doi: 10.1186/s13046-023-02683-4.
PMID: 37143108DERIVED
Study Officials
- STUDY CHAIR
Lars H Jensen, MD
Vejle Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 11, 2017
First Posted
August 16, 2017
Study Start
September 22, 2017
Primary Completion
August 23, 2021
Study Completion
March 21, 2022
Last Updated
January 18, 2023
Record last verified: 2023-01