Fluorouracil, Leucovorin, and Irinotecan in Treating Patients With Recurrent or Refractory Metastatic Unresectable Colorectal Cancer

January 3, 2009 updated by: GERCOR - Multidisciplinary Oncology Cooperative Group

Phase II Study of 5FU/Folinic Acid and Irinotecan as Second or Third Line Treatment in Patients With Metastatic, Unresectable, Colorectal Cancer

RATIONALE: Drugs used in chemotherapy, such as fluorouracil, leucovorin, and irinotecan, use different ways to stop tumor cells from dividing so they stop growing or die. Giving more than one chemotherapy drug may kill more tumor cells.

PURPOSE: This phase II trial is studying how well giving fluorouracil together with leucovorin and irinotecan works in treating patients with recurrent or refractory metastatic unresectable colorectal cancer.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

OBJECTIVES:

Primary

  • Determine the time to progression and time to death from progression in patients with recurrent or refractory metastatic unresectable colorectal cancer treated with fluorouracil, leucovorin calcium, and irinotecan.

Secondary

  • Determine the objective response and stabilization rate in patients treated with this regimen.
  • Determine the time to treatment failure in patients treated with this regimen.
  • Determine the duration of response in patients treated with this regimen.
  • Determine overall survival rate in patients treated with this regimen.
  • Determine the incidence of grade 3 or 4 toxicity in patients treated with this regimen.

OUTLINE: This is an open-label, multicenter study.

Patients receive leucovorin calcium IV over 2 hours on day 1, irinotecan IV over 1 hour on days 1 and 3, and fluorouracil IV continuously over 46 hours beginning on day 1. Courses repeat every 2 weeks in the absence of disease progression or unacceptable toxicity.

Patients are followed every 3 months.

PROJECTED ACCRUAL: A total of 78 patients will be accrued for this study within 18 months.

Study Type

Interventional

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • France
      • Dijon, France, 21000
        • Hopital Drevon
      • Lille, France, 59037
        • Centre Hospital Universitaire Hop Huriez
      • Lyon, France, 69008
        • Clinique Saint Jean
      • Marseille, France, 13008
        • Hopital Saint Joseph
      • Montfermeil, France, 93370
        • Intercommunal Hospital
      • Neuilly Sur Seine, France, F-92202
        • American Hospital of Paris
      • Paris, France, 75015
        • Hôpital Europeén Georges Pompidou
      • Paris, France, 75018
        • Hopital Bichat - Claude Bernard
      • Paris, France, 75970
        • Hôpital Tenon
      • Paris, France, 75571
        • Hopital Saint Antoine
      • Pontoise, France, 95300
        • Clinique Ste - Marie
      • Reims, France, F-51100
        • Polyclinique de Courlancy
      • Saint Brieuc, France, F-22015
        • Clinique Armoricaine de Radiologie
      • Strasbourg, France, 67010
        • Clinique de l'Orangerie
      • Suresnes, France, 92151
        • Centre Medico-Chirurgical Foch

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 80 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

DISEASE CHARACTERISTICS:

  • Histologically confirmed colorectal adenocarcinoma

    • Metastatic, unresectable disease

  • Meets 1 of the following criteria:

    • At least 1 unidimensionally measurable metastatic lesion at least 10 mm by spiral scan OR 20 mm by conventional scan
    • Evaluable disease
    • Evidence of disease (e.g., ascites or bone metastases) by imaging techniques

  • Progressive disease as defined by 1 of the following criteria:

    • Progressive disease while receiving first-line chemotherapy
    • Recurrent disease within 6 months after completing adjuvant chemotherapy
  • No symptomatic brain metastases

PATIENT CHARACTERISTICS:

Age

  • 18 to 80

Performance status

  • WHO 0-2

Life expectancy

  • At least 3 months

Hematopoietic

  • Absolute neutrophil count ≥ 1,500/mm^3
  • Platelet count ≥ 100,000/mm^3

Hepatic

  • Bilirubin < 1.5 times upper limit of normal (ULN)
  • Alkaline phosphatase < 3 times ULN

Renal

  • Not specified

Cardiovascular

  • No uncontrolled angina
  • No myocardial infarction within the past 6 months

Gastrointestinal

  • No chronic diarrhea grade 2 or greater
  • No unresolved fully or partially obstructed intestine

Other

  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • No other underlying disease or medical condition that would preclude study participation
  • No other prior malignancy except curatively treated basal cell cancer or carcinoma in situ of the cervix
  • No psychological, social, familial, or geographical condition that would preclude study follow-up

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • See Disease Characteristics
  • No prior irinotecan

Endocrine therapy

  • Not specified

Radiotherapy

  • At least 3 weeks since prior radiotherapy

Surgery

  • At least 3 weeks since prior surgery

Other

  • No other concurrent clinical trial participation

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Masking: None (Open Label)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time to progression
Time to death from progression

Secondary Outcome Measures

Outcome Measure
Objective response
Time to treatment failure
Duration of response
Overall survival rate
Stabilization rate
Incidence of grade 3 or 4 toxicity

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

GERCOR - Multidisciplinary Oncology Cooperative Group

Investigators

  • May Mabro, MD, Hôpital Foch

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

June 1, 2002

Study Registration Dates

First Submitted

January 9, 2004

First Submitted That Met QC Criteria

January 11, 2004

First Posted (Estimate)

January 12, 2004

Study Record Updates

Last Update Posted (Estimate)

January 6, 2009

Last Update Submitted That Met QC Criteria

January 3, 2009

Last Verified

August 1, 2007

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • CDR0000347378
  • FRE-GERCOR-FOLFIRI3-C00-2
  • EU-20333

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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