- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00075595
Fluorouracil, Leucovorin, and Irinotecan in Treating Patients With Recurrent or Refractory Metastatic Unresectable Colorectal Cancer
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.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
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.
Undersøgelsestype
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
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-
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Dijon, Frankrig, 21000
- Hopital Drevon
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Lille, Frankrig, 59037
- Centre Hospital Universitaire Hop Huriez
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Lyon, Frankrig, 69008
- Clinique Saint Jean
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Marseille, Frankrig, 13008
- Hopital Saint Joseph
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Montfermeil, Frankrig, 93370
- Intercommunal Hospital
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Neuilly Sur Seine, Frankrig, F-92202
- American Hospital of Paris
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Paris, Frankrig, 75015
- Hôpital Europeén Georges Pompidou
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Paris, Frankrig, 75018
- Hopital Bichat - Claude Bernard
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Paris, Frankrig, 75970
- Hôpital Tenon
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Paris, Frankrig, 75571
- Hopital Saint Antoine
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Pontoise, Frankrig, 95300
- Clinique Ste - Marie
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Reims, Frankrig, F-51100
- Polyclinique de Courlancy
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Saint Brieuc, Frankrig, F-22015
- Clinique Armoricaine de Radiologie
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Strasbourg, Frankrig, 67010
- Clinique de l'Orangerie
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Suresnes, Frankrig, 92151
- Centre Medico-Chirurgical Foch
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
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
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Maskning: Ingen (Åben etiket)
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
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Tid til progression
|
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Time to death from progression
|
Sekundære resultatmål
Resultatmål |
|---|
|
Objektiv reaktion
|
|
Tid til behandlingssvigt
|
|
Varighed af svar
|
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Samlet overlevelsesrate
|
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Stabilization rate
|
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Incidence of grade 3 or 4 toxicity
|
Samarbejdspartnere og efterforskere
Efterforskere
- May Mabro, MD, Hôpital Foch
Datoer for undersøgelser
Studer store datoer
Studiestart
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Sygdomme i fordøjelsessystemet
- Neoplasmer
- Neoplasmer efter sted
- Gastrointestinale neoplasmer
- Neoplasmer i fordøjelsessystemet
- Gastrointestinale sygdomme
- Tyktarmssygdomme
- Tarmsygdomme
- Intestinale neoplasmer
- Endetarmssygdomme
- Kolorektale neoplasmer
- Lægemidlers fysiologiske virkninger
- Molekylære mekanismer for farmakologisk virkning
- Enzymhæmmere
- Antimetabolitter, Antineoplastisk
- Antimetabolitter
- Antineoplastiske midler
- Immunsuppressive midler
- Immunologiske faktorer
- Beskyttelsesagenter
- Topoisomerasehæmmere
- Mikronæringsstoffer
- Vitaminer
- Calciumregulerende hormoner og midler
- Topoisomerase I-hæmmere
- Modgift
- Vitamin B kompleks
- Fluorouracil
- Leucovorin
- Irinotecan
- Kalk
- Levoleucovorin
Andre undersøgelses-id-numre
- CDR0000347378
- FRE-GERCOR-FOLFIRI3-C00-2
- EU-20333
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