Intra-arterial Hepatic Bevacizumab and Systemic Chemotherapy (BEVIAC)
Intra-arterial Hepatic Bevacizumab and Systemic Chemotherapy in Hepatic Metastases of Metastatic Colorectal Cancer: a Phase II Multicentric Study With Patients in Progression After First Line Systemic Chemotherapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Val de Marne
-
Villejuif, Val de Marne, France, 94805
- Institut Gustave Roussy
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Liver metastases of colon cancer or rectal predominant (histological evidence obtained on the primary tumor or liver metastases)
- Isolated (no extra-hepatic metastasis, primary tumor resected)
- No access to curative hepatectomy (R0 resection foreseeable or not leaving less than 30% residual non-tumor liver normally vascularized), or requiring complex hepatectomy, very large (5 or more segments) and / or risked (class II CPP)
- which at least one measurable by RECIST (>2 cm, or >1 cm if Computed tomography (CT) spiraled)
- Or extra-hepatic disease of small size potentially accessible to a resection (one or two lung metastases, lymphadenopathy localized accessible to curative resection)
- colon or rectal primary tumor : resected or asymptomatic
- Progression after first line chemotherapy to treat the metastatic disease, all types of treatment allowed except intra-arterial Bevacizumab
- Age >18 years <75 years
- Performance status WHO 0 or 1
- Life expectancy >3 months
- Bilirubin <1.5 times the upper limit of normal (N), ASAT and ALAT <5N, creatinine <1.5 N neutrophils >1.5 x 10^9/L, platelets ≥100 x 10^9/L, hemoglobin >9g/dL. Patients may be included even if they were transfused
- CT (or MRI) reference for the measurement of metastases performed within 28 days before the first treatment cycle
- Information of the patient or legal representative signing the informed consent
- Affiliated to a social security system
Exclusion Criteria:
- Symptomatic colon or rectal primary tumor (sub-occlusion, significant hemorrhage, major rectal syndrome)
- Extra-hepatic metastases other than small size disease potentially accessible after resection
- Grade 3-4 allergy to one of the treatment compounds
- Two lines of prior chemotherapy. One line is allowed for metastatic disease but must have been started more than 6 months after completion of adjuvant treatment.
- Participation during or within 30 days before study to another therapeutic trial with an experimental molecule
- Concomitant cancer systemic treatment using immunotherapy, chemotherapy or hormone
- Symptomatic CHD or myocardial infarction within 6 months prior entry into the study, cardiac arrhythmia uncontrolled despite treatment
- Uncontrolled hypertension (blood pressure >150/100 mm Hg despite hypertensive treatment)
- Heart Failure >Grade II of the New York Heart Association (NYHA) (class II-III-IV)severe renal failure
- History and / or presence of bleeding disorders and/or thrombotic <6 months
- Uncontrolled Serious illness, uncontrolled active infection or other serious underlying condition which may prevent the patient to receive treatment
- Pregnancy (or positive pregnancy test at baseline), lactation or no contraception effective for men or women of childbearing age
- Occlusion or sub-bowel obstruction or history of inflammatory bowel disease
- Other cancer within 5 years prior to entry into the trial or concomitant (except in situ cancer of the cervix or skin basal-cell carcinoma properly treated)
- Legal inability (persons deprived of liberty or under guardianship)
- Inability to sign the consent or submit to medical test for geographical, social or psychological reasons.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Patients with metastatic CRC
|
Every 3 weeks : 7.5 mg/kg intra arterial in 2 hours at D1
Every 3 weeks: 2000 mg/m²/d in 2 times/d from D1 to D4
Every 3 weeks: 200mg/m² in 30mn IV at D1 (if oxaliplatin in first line) or oxaliplatin 130mg/m² in 2h IV at D1 (if irinotecan in first line)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Efficiency of treatment based on objective response rate
Time Frame: Every 9 weeks from the start to tumoral progression
|
Every 9 weeks from the start to tumoral progression
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Treatment toxicity based on NCI-CTC v4.0
Time Frame: Every 3 weeks from the start to tumoral progression or toxicity preventing further processing
|
Every 3 weeks from the start to tumoral progression or toxicity preventing further processing
|
|
Progression Free Survival
Time Frame: Every 9 weeks form the start to tumoral progression
|
Every 9 weeks form the start to tumoral progression
|
|
Hepatic metastasis resection rate
Time Frame: Assessed up 6 months after the end of treatment
|
Assessed up 6 months after the end of treatment
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Total area under the curve of contrast-enhanced liver ultrasound
Time Frame: Assessed up in baseline, D7, D14, W4, W7 and every 9 weeks up to progression
|
Assessed up in baseline, D7, D14, W4, W7 and every 9 weeks up to progression
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Michel Ducreux, MD-PhD, Gustave Roussy, Cancer Campus, Grand Paris
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Intestinal Diseases
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Colonic Diseases
- Colorectal Neoplasms
- Amino Acids, Peptides, and Proteins
- Proteins
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Nucleic Acids, Nucleotides, and Nucleosides
- Camptothecin
- Alkaloids
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Deoxycytidine
- Cytidine
- Pyrimidine Nucleosides
- Pyrimidines
- Nucleosides
- Uracil
- Pyrimidinones
- Deoxyribonucleosides
- Fluorouracil
- Capecitabine
- Bevacizumab
- Irinotecan
Other Study ID Numbers
Other Study ID Numbers
- 2011-005559-15
- CSET 2011/1827 (Other Identifier: Institut Gustave Roussy)
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