A Study of Xeloda (Capecitabine) in Patients With Metastatic Colorectal Cancer
An Open-Label Randomized Phase III Study of Intermittent Oral Capecitabine in Combination With Intravenous Oxaliplatin (Q3W) ("XELOX") Versus Bolus and Continuous Infusion Fluorouracil/ Intravenous Leucovorin With Intravenous Oxaliplatin (Q2W) ("FOLFOX4") as Treatment for Patients With Metastatic Colorectal Cancer Who Have Received Prior Treatment With CPT-11 in Combination With 5-FU/LV as First Line Therapy
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Effettivo)
Iscrizione
Fase
Fase
- Fase 3
Contatti e Sedi
Luoghi di studio
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Bruxelles, Belgio, 1070
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Bruxelles, Belgio, 1000
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Gent, Belgio, 9000
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Kortrijk, Belgio, 8500
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Mont-godinne, Belgio, 5530
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Alberta
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Edmonton, Alberta, Canada, T6G 1Z2
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Newfoundland and Labrador
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St. John's, Newfoundland and Labrador, Canada, A1B 3V6
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Nova Scotia
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Halifax, Nova Scotia, Canada, B3H 1V7
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Ontario
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London, Ontario, Canada, N6A 4L6
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Oshawa, Ontario, Canada, L1G 2B9
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Ottawa, Ontario, Canada, K1H 1C4
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Saint Catherines, Ontario, Canada, L2R 2Z7
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Thunder Bay, Ontario, Canada, P7A 7T1
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Toronto, Ontario, Canada, M5G 2M9
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Weston, Ontario, Canada, M9N 1N8
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Quebec
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Laval, Quebec, Canada, H7M 3L9
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Levis, Quebec, Canada, G6V 3Z1
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Montreal, Quebec, Canada, H1T 2M4
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Montreal, Quebec, Canada, H2W 1S6
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Montreal, Quebec, Canada, H4J 1C5
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Quebec City, Quebec, Canada, G1R 2J6
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Saskatchewan
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Regina, Saskatchewan, Canada, S4T 7T1
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Buchun, Corea, Repubblica di, 420-021
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Seoul, Corea, Repubblica di, 138-736
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Seoul, Corea, Repubblica di, 110-744
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Seoul, Corea, Repubblica di, 120-752
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Seoul, Corea, Repubblica di, 133-792
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Seoul, Corea, Repubblica di, 137-040
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Split, Croazia, 21000
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Zagreb, Croazia, 10000
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Tampere, Finlandia, 36280
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Turku, Finlandia, 20520
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Avignon, Francia, 84082
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Bordeaux, Francia, 33076
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Bordeaux, Francia, 33075
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Chambray-lès-tours, Francia, 37044
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Limoges, Francia, 87042
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Nimes, Francia, 30029
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Pessac, Francia, 33604
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Rouen, Francia, 76031
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Tübingen, Germania, 72076
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Heraklion, Grecia, 71110
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Thessaloniki, Grecia, 56439
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Beer Sheva, Israele, 8410101
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Jerusalem, Israele, 91031
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Kfar Saba, Israele, 44281
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Petach Tikva, Israele, 49100
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Ramat-gan, Israele, 52621
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Rehovot, Israele, 76100
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Tel Aviv, Israele, 6423906
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Bergamo, Italia, 24128
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Cattolica, Italia, 47841
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Rimini, Italia, 47900
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Udine, Italia, 33100
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Bialystok, Polonia, 15-073
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Krakow, Polonia, 31-501
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Warszawa, Polonia, 02-781
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Warszawa, Polonia, 04-394
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San Juan, Porto Rico, 00921-3201
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Denbigh, Regno Unito, LL18 5UJ
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Manchester, Regno Unito, M20 4BX
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Merseyside, Regno Unito, CH63 45Y
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Preston, Regno Unito, PR2 9HT
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Belgrade, Serbia, 11000
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Bratislava, Slovacchia, 831 01
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Ljubljana, Slovenia, 1000
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Barcelona, Spagna, 08907
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Leganes, Spagna, 28911
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Madrid, Spagna, 28041
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Madrid, Spagna, 28035
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Palma de Mallorca, Spagna, 07014
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California
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Bakersfield, California, Stati Uniti, 93309
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Colorado
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Colorado Springs, Colorado, Stati Uniti, 80903
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District of Columbia
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Washington, District of Columbia, Stati Uniti, 20007-2197
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Indiana
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Terre Haute, Indiana, Stati Uniti, 47802
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Missouri
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St Louis, Missouri, Stati Uniti, 63136
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Montana
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Billings, Montana, Stati Uniti, 59101
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New York
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Nyack, New York, Stati Uniti, 10960
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Texas
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Dallas, Texas, Stati Uniti, 75204
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Cape Town, Sud Africa, 7500
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Durban, Sud Africa, 4001
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Pietermaritzburg, Sud Africa, 3201
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Port Elizabeth, Sud Africa, 6001
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Pretoria, Sud Africa, 0001
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Kueishan, Taiwan
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Tainan, Taiwan, 704
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Taipei, Taiwan, 104
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria:
- adult patients >=18 years of age;
- metastatic colorectal cancer;
- >=1 target lesion;
- failed first-line chemotherapy with 5-fluorouracil and irinotecan.
Exclusion Criteria:
- previous treatment with oxaliplatin;
- progressive or recurrent disease during or within 6 months of completion of first-line chemotherapy;
- >=1 previous chemotherapeutic agent or systemic anticancer regimen for metastatic disease.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
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Sperimentale: XELOX
Participants received XELOX (oxaliplatin and capecitabine).
Oxaliplatin was administered 130 mg/m^2 intravenous (IV) infusion over 2 hours (every 3 weeks [Day 1]) before the first dose of capecitabine.
Capecitabine was administered orally within 30 minutes after the end of a meal (breakfast and dinner) at a dose of 1000 mg/m^2 twice-daily (equivalent to a total daily dose of 2000 mg/m^2), with first dose the evening of Day 1 and last dose the morning of Day 15, given as intermittent treatment (3-week cycles consisting of 2 weeks of treatment followed by 1 week without treatment) for up to 8 cycles (24-weeks).
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1000mg/m2 po bid nei giorni 1-15 di ogni ciclo di 3 settimane
As prescribed, in 3 week cycles
As prescribed, in 2 week cycles
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Comparatore attivo: FOLFOX-4
Participants received FOLFOX-4 (combination of oxaliplatin, leucovorin [LV] and 5-fluorouracil [5-FU] combination).
Oxaliplatin was administered as an 85 mg/m^2 IV infusion over 2 hours (on Day 1 only); with LV infusion as 200mg/m^2 over 2 hours followed by 5-FU, given as 400mg/m^2 bolus injection over 2-4 minutes, and then as a 600 mg/m^2 continuous infusion over 22 hours.
On Day 2, Leucovorin 200 mg/m^2 (alone), followed by 5-FU 400 mg/m^2 bolus injection over 2-4 minutes, and 5-FU 600 mg/m^2 continuous infusion was repeated over 22 hours.
It was (2-week cycles comprising 48 hours of infusion and 12 days of rest) for up to 12 cycles (24- weeks).
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As prescribed, in 3 week cycles
As prescribed, in 2 week cycles
As prescribed, in 2 week cycles
As prescribed, in 2 week cycles
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Progression Free Survival
Lasso di tempo: Up to 3 years
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Progression free survival (PFS) is defined as the time from the date of randomization to the day of documented disease progression or death from any cause.
It was based on tumor assessments made according to the Response Evaluation Criteria In Solid Tumors (RECIST) version 1.0, wherein progressive disease (PD) was defined as at least a 20% increase in the sum of the longest diameter (LD) of the target lesions (TLs), taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more new lesions or unequivocal progression of existing non-target lesions.
Participants with neither disease progression nor death were censored at the last date of the last tumor assessment confirming that they had not progressed.
Participants with no tumor assessments after baseline but who were still alive at the time of the clinical cut-off were censored at date of randomization
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Up to 3 years
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Progression Free Survival Based on Independent Review Committee Assessment
Lasso di tempo: Up to 3 years
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Progression free survival (PFS) is defined as the time from the date of randomization to the day of documented disease progression or death from any cause.
It was based on tumor assessments made according to the RECIST version 1.0, wherein PD was defined as at least a 20% increase in the sum of the LD of the TLs, taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more new lesions or unequivocal progression of existing non-TLs.
Participants with neither disease progression nor death were censored at the last date of the last tumor assessment confirming that they had not progressed.
Participants with no tumor assessments after baseline but who were still alive at the time of the clinical cut-off were censored at date of randomization.
This PFS evaluation was based on Independent Review Committee Assessment.
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Up to 3 years
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Progression Free Survival Based on Treatment Analysis- Intent To Treat Population
Lasso di tempo: Up to 3 years
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Progression free survival (PFS) is defined as the time from date of randomization to day of documented disease progression or death from any cause.
It was based on tumor assessments made according to the RECIST version 1.0, wherein PD was defined as at least a 20% increase in the sum of LD of the TLs, taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more new lesions or unequivocal progression of existing non-TLs.
Participants with neither disease progression nor death were censored at the last date of the last tumor assessment confirming that they had not progressed.
Participants with no tumor assessments after baseline but who were still alive at the time of the clinical cut-off were censored at date of randomization.
PFS was analyzed using an on-treatment approach included only disease progression and death that occurred no later than 28 days after the last confirmed intake of study medication in the primary study treatment phase.
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Up to 3 years
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Progression Free Survival Based on Treatment Analysis- Per Population
Lasso di tempo: Up to 3 years
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Progression free survival (PFS) is defined as the time from the date of randomization to the day of documented disease progression or death from any cause.
It was based on tumor assessments made according to the RECIST version 1.0, wherein PD was defined as at least a 20% increase in the sum of the LD of the TLs, taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more new lesions or unequivocal progression of existing non-TLs.
Participants with neither disease progression nor death were censored at the last date of the last tumor assessment confirming that they had not progressed.
Participants with no tumor assessments after baseline but who were still alive at the time of the clinical cut-off were censored at date of randomization
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Up to 3 years
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Best Overall Response, Investigators' Assessments
Lasso di tempo: Up to 3 years
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Best overall response is best response recorded from start of treatment until disease progression/recurrence where responses include complete response (CR), partial response (PR), or stable disease (SD).
CR was defined as disappearance of all TLs, non-TLs along with normalization of tumor marker level.
PR is at least 30% decrease in sum of the LD of TLs, taking as reference baseline sum LD.
SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking reference of smallest sum LD since treatment started.
It was dependent on achievement of measurement and confirmation criteria.
BOR .i.e.
CR or PR was confirmed by repeat assessments performed within 4 weeks.
For SD, follow-up assessments had to meet the SD criteria at least once after study entry within 6 to 8 weeks.
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Up to 3 years
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Best Overall Response, Independent Review Committee Assessment
Lasso di tempo: Up to 3 years
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Best overall response is best response recorded from start of treatment until disease progression/recurrence where responses include CR, PR, or SD.
CR was defined as disappearance of all TLs, non-TLs along with normalization of tumor marker level.
PR is at least 30% decrease in sum of the LD of TLs, taking as reference baseline sum LD.
SD defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking reference of smallest sum LD since treatment started.
It was dependent on achievement of measurement and confirmation criteria.
BOR .i.e.
CR or PR was confirmed by repeat assessments performed within 4 weeks, for SD, follow-up assessments had to meet the SD criteria at least once after study entry within 6 to 8 weeks.
This PFS evaluation was based on Independent Review Committee Assessment.
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Up to 3 years
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Overall Survival
Lasso di tempo: Up to 3 years
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Overall survival was measured as the time from the date of randomization to the date of death.
Participant who were not reported to have died at the time of the analysis were censored using the date they were last known to be alive.
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Up to 3 years
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Time To Response
Lasso di tempo: Up to 3 years
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Time to response (TOR) (best response of CR or PR) was measured as the time from randomization to the first date on which the measurement criteria for CR or PR (whichever status was recorded first) were met.
CR for TLs was defined as disappearance of all TLs and for non-TLs as disappearance of all non-TLs and normalization of tumor marker level.
PR was defined as at least 30% decrease in the sum of the LD of TLs, taking as reference the baseline sum LD.
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Up to 3 years
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Duration Of Response
Lasso di tempo: Up to 3 years
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Duration of response (DOR) is defined as the time when CR or PR was first met up to first date that PD or death is documented.
CR is defined as disappearance of all TLs and non TLs, PR is defined as at least 30% decrease in the sum of the LD of TLs, taking as reference the baseline sum LD.
PD was defined as at least a 20% increase in the sum of the LD of the TLs, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions for the TLs or the appearance of one or more new lesions and/or unequivocal progression of existing non-TLs.
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Up to 3 years
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Time To Treatment Failure
Lasso di tempo: Up to 3 years
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Time to treatment failure was defined as the time from the date of randomization to the first occurrence of adverse event (AE), insufficient therapeutic response, death, failure to return, or refusing treatment/being uncooperative/withdrawing consent.
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Up to 3 years
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Number of Participants With Marked Post-baseline Laboratory Abnormalities by Trial Treatment
Lasso di tempo: Up to 3 years
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Laboratory abnormalities were defined as those values that were outside the Roche defined reference range and showed a clinically relevant change from baseline.
All laboratory parameters were categorized according to the National Cancer Center Common Toxicity Criteria (NCI-CTCAE) grading system.
Incidence of Grade 1 to 4 laboratory abnormalities are presented in the table below.
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Up to 3 years
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Collaboratori e investigatori
Sponsor
Sponsor
Studiare le date dei record
Studia le date principali
Inizio studio
Inizio studio
Completamento primario (Effettivo)
Completamento primario
Completamento dello studio (Effettivo)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Stima)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
- Malattie dell'apparato digerente
- Neoplasie
- Neoplasie per sede
- Neoplasie gastrointestinali
- Neoplasie dell'apparato digerente
- Malattie gastrointestinali
- Malattie del colon
- Malattie intestinali
- Neoplasie intestinali
- Malattie del retto
- Neoplasie colorettali
- Effetti fisiologici delle droghe
- Meccanismi molecolari dell'azione farmacologica
- Antimetaboliti, Antineoplastici
- Antimetaboliti
- Agenti antineoplastici
- Agenti protettivi
- Micronutrienti
- Vitamine
- Antidoti
- Complesso di vitamina B
- Capecitabina
- Oxaliplatino
- Leucovorin
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- NO16967
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