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An Observational Study to Evaluate the Safety and Efficacy of FOLFIRI / FOLFOX Plus Cetuximab as First-line Therapy in Patients With KRAS Wild-type Metastatic Colorectal Cancer
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
Cetuximab, a chimeric immunoglobulin G1 (IgG1) monoclonal antibody, has been found to potentiate the effects of chemotherapy and radiotherapy in experimental systems. The findings from clinical trials suggest a favorable risk-benefit ratio of the combination of irinotecan or oxaliplatin, infusional 5-FU/FA and biweekly cetuximab, and support the current study to demonstrate the therapeutic value of the biweekly cetuximab regimen as a combination partner for those regimens in subjects with KRAS wild-type mCRC in the first-line setting. The purpose of this study is to generate post marketing surveillance (PMS) data for cetuximab in first-line mCRC, which is mandated by the Licensing Authorities.
This is an open-label, non-randomized, prospective, multicentric Phase IV study evaluating FOLFIRI/ FOLFOX plus cetuximab in the first-line therapy of subjects with KRAS wild-type metastatic CRC. The study plans to enroll 100 subjects with KRAS wild type CRC at 20 centres across India. Tumour status, physical and laboratory examinations will be performed during the baseline visit. Subjects will be administered FOLFIRI/ FOLFOX and cetuximab according to the clinical condition in the following treatment visits. Regular safety assessments and all adverse events (AEs) will be documented throughout and until the end-of-study visit. The outcome of AEs ongoing at the final tumour assessment visit will be followed up at the end-of-study visit (If possible, 6 weeks after the last administration of study medication but before second-line anticancer treatment, and not earlier than 30 days after the end of study treatment). Skin toxicity present at the end-of-study visit will be followed up until outcome is known.
OBJECTIVES
Primary Objective:
- To evaluate the safety and tolerability of Cetuximab in combination with standard chemotherapy such as FOLFOX or FOLFIRI as first-line therapy of patients with KRAS wild-type metastatic colorectal cancer.
Secondary Objective:
- To evaluate the efficacy of Cetuximab in combination with standard chemotherapy as first-line therapy of patients with KRAS wild-type metastatic colorectal cancer.
Studietype
Inschrijving (Werkelijk)
Contacten en locaties
Studie Locaties
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Delhi, Indië, 110055
- Nothern Railway Central Hospital
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Delhi, Indië, 110076
- Indraprastha Apollo Hospital
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Delhi, Indië, 110092
- Shanti Mukand Hospital
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Delhi, Indië, 110096
- Dharamshila Cancer Hospital & Research Centre
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Andhra Pradesh
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Hyderabad, Andhra Pradesh, Indië, 500034
- Indo- American Cancer Institute & Research Centre
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Hyderabad, Andhra Pradesh, Indië, 500063
- NVS Ramakrishna's Clinic
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Secunderabad, Andhra Pradesh, Indië, 500025
- Dr. Nikhil's Clinic
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Secunderabad, Andhra Pradesh, Indië, 500025
- Nikhil Gharyalpatil's Clinic
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Andrapradesh
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Hyderabad, Andrapradesh, Indië, 500001
- Ravi Kumar's Clinic
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Hyderabad, Andrapradesh, Indië, 500008
- Ambaa Hospitals
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Hyderabad, Andrapradesh, Indië, 500059
- Swarna Sai Hospital
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Bangalore
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Mangalore, Bangalore, Indië, 575 001
- Manipal Centre For Clinical Research
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Calicut
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Kerala, Calicut, Indië, 673016
- Medical College Calicut
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Gujarat
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Ahmedabad, Gujarat, Indië, 380009
- Hemato Oncology Clinic
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Karnataka
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Hubli, Karnataka, Indië, 580020
- Kattimani Oncology Clinic
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Kashmir
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Srinagar, Kashmir, Indië, 190001
- SKIMS
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Srinagar, Kashmir, Indië, 190010
- S. K. I. M. S.
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Madhya Pradesh
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Bhopal, Madhya Pradesh, Indië, 462001
- Dr. T. P. Sahoo's Clinic
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Maharashtra
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Mumbai, Maharashtra, Indië, 400014
- BND Onco Centre
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Mumbai, Maharashtra, Indië, 400071
- Joy Hospital
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Pune, Maharashtra, Indië, 411001
- Ruby Hall Clinic
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Mizoram
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Aizwal, Mizoram, Indië, 796 009
- Grace Nursing Home
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Mumbai
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Bandra, Mumbai, Indië, 400050
- Lilavati Hospital
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Mahim, Mumbai, Indië, 400016
- S.L.Raheja Hospital
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New Delhi
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Delhi, New Delhi, Indië, 110044
- Apollo Cancer Institute
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Delhi, New Delhi, Indië, 110085
- Rajiv Gandhi Cancer Institute & Research
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Punjab
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Amritsar, Punjab, Indië, 143004
- Fortis Escorts Hospital
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Chandigarh, Punjab, Indië, 160101
- Dr. Rajeev Bedi's Clinic
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Ludhiana, Punjab, Indië, 141001
- D.M.C Hospital
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Mohali, Punjab, Indië, 160071
- IVY Hospital
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Rajasthan
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Jaipur, Rajasthan, Indië, 302004
- SMS Hospital
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Jaipur, Rajasthan, Indië, 302004
- Cancer Clinic
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Jaipur, Rajasthan, Indië, 302006
- Bhagwan Mahaveer Cancer Hospital
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Jaipur, Rajasthan, Indië, 302030
- Bhagwan Mahaveer Cancer Hospital & Research Centre
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Jodhpur, Rajasthan, Indië, 3420003
- Vyas Cancer Care
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Tamilnadu
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Trivandrum, Tamilnadu, Indië, 695011
- TC 14/ 764 Sreemangalam
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Uttar Pradesh
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Ghaziabad, Uttar Pradesh, Indië, 201014
- Shati Gopal Hospital
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Lucknow, Uttar Pradesh, Indië, 226007
- Annapurna Medical and Cancer Relief Society
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West Bengal
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Kolkata, West Bengal, Indië, 700026
- Chittaranjan National Cancer Institute
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Kolkata, West Bengal, Indië, 700054
- Apollo Gleneagles Cancer Hospital
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Kind
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Bemonsteringsmethode
Studie Bevolking
Beschrijving
Inclusion Criteria:
- Subjects with histologically confirmed, adenocarcinoma of the colon or rectum (mCRC)
- Subjects with KRAS wild-type status of tumour tissue
- Chemotherapy naïve subjects
- Subject who have signed written informed consent (as per institutional protocol)
Exclusion Criteria:
- As per summary of product characteristics of cetuximab
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
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Safety and tolerability evaluated based on the incidence and severity of AEs.
Tijdsspanne: From baseline to follow-up visit for any ongoing AEs
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From baseline to follow-up visit for any ongoing AEs
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Response rate
Tijdsspanne: Baseline to End-of-Study Visit
|
Disease Control Rate (DCR), Progression Free Survival (PFS)and Overall Survival (OS)
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Baseline to End-of-Study Visit
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Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Studie directeur: Rajiv Rana, MD, Merck Ltd., India
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
- Ziekten van het spijsverteringsstelsel
- Neoplasmata per site
- Gastro-intestinale neoplasmata
- Neoplasmata van het spijsverteringsstelsel
- Gastro-intestinale aandoeningen
- Colon Ziekten
- Darmziekten
- Intestinale neoplasmata
- Rectale ziekten
- Neoplasmata
- Colorectale neoplasmata
- Antineoplastische middelen
- Antineoplastische middelen, immunologisch
- Cetuximab
Andere studie-ID-nummers
- EMR 062202-517
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