- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04833036
c-CetuIRI Versus Ersecond-line Irinotecan s-IRI-CetuIRI
Second-line Irinotecan Combined With Cetuximab (c-CetuIRI) Versus Second-line Irinotecan Three-line Irinotecan Plus Cetuximab (s-IRI-CetuIRI) in the Treatment of Oxaliplatin and 5-FU Phase II Clinical Study of Wild-type Advanced Colorectal Cancer With RAS Gene
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Weijian Guo, Professor
- Phone Number: 86-21-64175590
- Email: mingzhuhuang0718@163.com
Study Locations
-
-
Shanghai
-
ShangHai, Shanghai, China, 200032
- Recruiting
- Fudan University Cancer Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Signing informed consent;
- Age is greater than or equal to 18 years old;
- Metastatic colorectal adenocarcinoma confirmed by tissue or cytopathology;
- First-line failure to use oxaliplatin combined with fluorouracil (with or without anti-angiogenic targeting drugs);
- One or more measurable lesions, the longest diameter of the spiral CT scan is at least 10 mm, and the diameter of the conventional CT scan is at least 20 mm (the solid tumor efficacy evaluation standard, RECIST standard, version 1.1);
- The Eastern Cancer Cooperative Group (ECOG) has a general status score of 0-2;
The bone marrow capacity, liver and kidney function reached the following criteria within 7 days before screening:
Absolute neutrophil count ≥ 1.5x109 / L; hemoglobin ≥ 9.0 g / dl; platelet count ≥ 80 x 109 / L; total bilirubin ≤ 1.5 times normal upper limit (ULN); alanine aminotransferase and aspartate aminotransferase ≤ 2.5 x ULN Alkaline phosphatase ≤ 3 x ULN; serum creatinine ≤ 1.5 x ULN;
- Women of childbearing age need to take effective contraception.
- RAS, B-RAF gene wild type
Exclusion Criteria:
- Previous use of irinotecan or anti-egfr therapy for advanced colorectal cancer (e.g. Cetuximab, panizumab, etc.);
- History of HIV infection or active chronic hepatitis b or c (high copy viral DNA);
- Patients with important organ failure or other important diseases: patients with serious heart disease including congestive heart failure, uncontrolled arrhythmia, angina requiring long-term medication, heart valve disease, myocardial infarction, pericardial effusion with obvious symptoms, and refractory hypertension;A history of severe neurological or psychiatric problems;Severe infection;Active disseminated intravascular coagulation
- Active severe clinical infection;
- Symptomatic brain or meningeal metastasis (unless the patient was treated for > for 6 months, had negative imaging results within 4 weeks prior to study entry, and had stable tumour-related clinical symptoms at study entry);
- Patients whose seizures require treatment (e.g. steroids or antiepileptic therapy);
- Receiving renal dialysis;
- Have a history of other malignant tumors within 5 years, except for cured cervical carcinoma in situ or skin basal cell carcinoma, except for those whose metastasis can be confirmed by pathology to be from other tumor sources;
- Chronic intestinal diseases, infectious intestinal diseases and intestinal obstruction;
- Drug abuse and medical, psychological or social conditions may interfere with patients' participation in studies or affect the assessment of their findings;
- Any unstable condition or condition that may endanger the safety and compliance of patients;
- Pregnant or lactating women;Having fertility but not taking adequate contraceptive measures;
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: c-CetuIRI
Irinotecan combined with cetuximab
|
180 mg/m2, ivgtt d1,q2w
500 mg/m2, ivgtt d1,q2w
|
Experimental: s-IRI-CetuIRI
single irinotecan first, then irinotecan plus cetuximab sequentially after PD
|
180 mg/m2, ivgtt d1,q2w
500 mg/m2, ivgtt d1,q2w
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
PFS
Time Frame: up to 8 weeks
|
progression free survival
|
up to 8 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
ORR
Time Frame: up to 8 weeks
|
objective response rate
|
up to 8 weeks
|
OS
Time Frame: through study completion, an average of half year
|
overall survival
|
through study completion, an average of half year
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms
- Neoplasms by Site
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Colonic Diseases
- Intestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Colorectal Neoplasms
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Topoisomerase Inhibitors
- Antineoplastic Agents, Immunological
- Topoisomerase I Inhibitors
- Irinotecan
- Cetuximab
Other Study ID Numbers
- Cetu-IRI
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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