- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00268398
Combination Chemotherapy in Treating Patients With Colorectal Cancer and Resectable Metastases (MIROX)
Essai De Phase III De Chimiotherapie Par FOLFOX 4 Ou Par Une Succession FOLFOX 7 - FOLFIRI Chez Des Patients Ayant Des Metastases Resecables D'Origine Colorectale - MIROX
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
OBJECTIVES:
Primary
- Compare the 2-year disease-free survival rate in patients treated with these regimens.
Secondary
- Compare the overall survival of patients treated with these regimens.
- Compare the tolerability of these regimens in these patients.
- Compare the quality of life of patients treated with these regimens.
- Compare the objective response rate, postoperative complication rate, and transfusing rate in patients having metastasis surgery,
- Determine the pharmacogenetics of these regimens in these patients.
OUTLINE: This is a randomized, open-label, multicenter phase III study. Patients are stratified according to prior chemotherapy (perioperative vs postoperative), prior treatment (surgery only vs radiotherapy with or without surgery), and Blumgart score (0-1 vs 2-3 vs 4-5). Patients are randomized to 1 of 2 treatment arms.
- Arm I (FOLFOX 4): Patients receive FOLFOX 4 combination chemotherapy comprising oxaliplatin 85mg/m² IV over 2 hours, leucovorin calcium IV over 2 hours, fluorouracil IV bolus /15min and fluorouracil continuously over 22 hours on day 1. Treatment repeats every 2 weeks for 12 courses in the absence of disease progression or unacceptable toxicity.
- Arm II (FOLFOX 7 and FOLFIRI): Patients receive FOLFOX 7 combination chemotherapy comprising high-dose oxaliplatin 130mg/m² IV over 2 hours and leucovorin calcium IV over 2 hours on day 1 and fluorouracil IV over 46 hours on days 1 and 2. Treatment repeats every 2 weeks for 6 courses in the absence of disease progression or unacceptable toxicity. Patients then receive FOLFIRI combination chemotherapy comprising irinotecan hydrochloride 180mg/m² IV over 30-90 minutes and leucovorin calcium and fluorouracil IV bolus /15min on day 1, and fluorouracil IV continuously over 46 hours on days 1 and 2. Treatment repeats every 2 weeks for 6 courses in the absence of disease progression or unacceptable toxicity.
Patients in both arms who have undergone prior resection of metastatic lesions may undergo surgery after 6 courses of chemotherapy or after chemotherapy is completed.
Quality of life is assessed at baseline and after courses 4, 8, and 12.
After completion of study treatment, patients are followed periodically for 5 years.
PROJECTED ACCRUAL: A total of 284 patients will be accrued for this study.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Avignon, France, 84000
- Institut Sainte Catherine
-
Avignon, France, 84902
- Hopital Duffaut
-
Beauvais, France, 60021
- C.H.G. Beauvais
-
Bordeaux, France, 33075
- Hopital Saint Andre
-
Boulogne Sur Mer, France, 62200
- Centre Hospitalier Docteur Duchenne
-
Boulogne-Billancourt, France, F-92104
- Hôpital Ambroise Paré
-
Briey, France, 54151
- Centre Hospitalier de Briey
-
Caen, France, 14076
- Centre Regional Francois Baclesse
-
Chartres, France, 28018
- Hopital Louis Pasteur
-
Clichy, France, 92118
- Hopital Beaujon
-
Colombes Cedex, France, 92701
- Louis Mourier Hospital
-
Croix, France, 59170
- Clinique du Parc
-
Dijon, France, 21000
- Hopital Drevon
-
La Roche Sur Yon, France, F-85025
- Centre Hospitalier departemental
-
La Rochelle, France, 17000
- Hopital Saint - Louis
-
Libourne, France, 33500
- Hôpital Robert Boulin
-
Lille, France, 59037
- Centre Hospital Universitaire Hop Huriez
-
Lille, France, 59000
- Polyclinique Du Bois
-
Lormont, France, 33310
- Polyclinique des Quatre Pavillons
-
Marseille, France, 13008
- Hôpital Saint Joseph
-
Metz, France, 57038
- Hopital Notre-Dame de Bon Secours
-
Montfermeil, France, 93370
- Centre Hospitalier Intercommunal Le Raincy - Montfermeil
-
Paris, France, 75015
- Hopital Europeen Georges Pompidou
-
Paris, France, 75651
- CHU Pitié-Salpêtrière
-
Paris, France, 75970
- Hôpital Tenon
-
Paris, France, 75571
- Hôpital Saint Antoine
-
Pessac, France, 33604
- Hopital Haut Leveque
-
Reims, France, F-51100
- Polyclinique de Courlancy
-
Saint Martin Boulogne, France, 62280
- Clinique Specialise du Littoral-Cote d'Opale
-
Sainte Foy Les Lyon, France, 69110
- Clinique Charcot
-
Senlis, France, 60309
- C.H. Senlis
-
Suresnes, France, 92151
- Hopital Foch
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
MAIN ELIGIBILITY CRITERIA
DISEASE CHARACTERISTICS:
- Histologically confirmed adenocarcinoma of the colon or rectum
- Resectable or resected metastatic disease,
PATIENT CHARACTERISTICS:
- WHO performance status 0-2
- Alkaline phosphatase ≤ 5 times upper limit of normal (ULN)
- Bilirubin ≤ 2 times normal
- Creatinine ≤ 135 mmol/L or creatinine clearance ≥ 60 mL/min
- SGOT and SGPT ≤ 3 times ULN
- No peripheral neuropathy that affects normal functions
- No unresolved complications from prior surgery
PRIOR CONCURRENT THERAPY:
- At least 1 year since prior FOLFOX 4 or FOLFIRI regimen in the adjuvant setting
- No concurrent participation in another clinical trial
- Recovered from prior therapy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: FOLFOX4
|
folinic acid 200 mg/m² (day 1&2) oxaliplatin 85 mg/m² (day 1) bolus 5FU 400 mg/m² (day 1&2) continuous 5FU 600mg/m² (day 1 to 2)
|
Experimental: FOLFOX7 followed by FOLFIRI
|
FOLFOX7 folinic acid 400 mg/m² (day 1) oxaliplatin 130 mg/m² (day 1) continuous 5FU 3000mg/m² (day 1 to 2) FOLFIRI folinic acid 400 mg/m² (day 1) irinotecan 180 mg/m² (day 1) bolus 5FU 400 mg/m² (day 1) continuous 5FU 2400mg/m² (day 1 to 2) |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
disease-free survival
Time Frame: 2-year
|
2-year
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Tolerability
Time Frame: 2-year
|
2-year
|
Overall survival
Time Frame: 2-year, 3-year, 5-year
|
2-year, 3-year, 5-year
|
Quality of life
Time Frame: 2-year
|
2-year
|
Pharmacogenetics
Time Frame: 2-year
|
2-year
|
Collaborators and Investigators
Investigators
- Study Chair: Mohamed Hebbar, MD, Centre Hospital Universitaire Hop Huriez
Publications and helpful links
General Publications
- Hamidou Z, Chibaudel B, Hebbar M, Hug de Larauze M, Andre T, Louvet C, Brusquant D, Garcia-Larnicol ML, de Gramont A, Bonnetain F. Time to Definitive Health-Related Quality of Life Score Deterioration in Patients with Resectable Metastatic Colorectal Cancer Treated with FOLFOX4 versus Sequential Dose-Dense FOLFOX7 followed by FOLFIRI: The MIROX Randomized Phase III Trial. PLoS One. 2016 Jun 16;11(6):e0157067. doi: 10.1371/journal.pone.0157067. eCollection 2016.
- Hebbar M, Chibaudel B, Andre T, Mineur L, Smith D, Louvet C, Dutel JL, Ychou M, Legoux JL, Mabro M, Faroux R, Auby D, Brusquant D, Khalil A, Truant S, Hadengue A, Dalban C, Gayet B, Paye F, Pruvot FR, Bonnetain F, Landi B, Flesch M, Carola E, Martin P, Vaillant E, de Gramont A; Group Cooperateur Multidisciplinaire en Oncologie (GERCOR) Group. FOLFOX4 versus sequential dose-dense FOLFOX7 followed by FOLFIRI in patients with resectable metastatic colorectal cancer (MIROX): a pragmatic approach to chemotherapy timing with perioperative or postoperative chemotherapy from an open-label, randomized phase III trial. Ann Oncol. 2015 Feb;26(2):340-7. doi: 10.1093/annonc/mdu539. Epub 2014 Nov 17. Erratum In: Ann Oncol. 2015 May;26(5):1040. Taieb, J [removed]; Brucker, P [removed].
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Pathologic Processes
- Neoplasms
- Neoplasms by Site
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Colonic Diseases
- Intestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Neoplastic Processes
- Colorectal Neoplasms
- Neoplasm Metastasis
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Protective Agents
- Topoisomerase Inhibitors
- Micronutrients
- Vitamins
- Topoisomerase I Inhibitors
- Antidotes
- Vitamin B Complex
- Hematinics
- Fluorouracil
- Oxaliplatin
- Leucovorin
- Irinotecan
- Levoleucovorin
- Folic Acid
Other Study ID Numbers
- CDR0000453815
- GERCOR-C02-1
- GERCOR-C02-1-MIROX
- EU-20567
- SANOFI-GERCOR-C02-1
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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