A Non-Interventional Follow-Up to the VELOUR Study - Translational Research
A Non-Interventional Follow-Up to the VELOUR Study (Multicentre International Study of Aflibercept Versus Placebo in Combination With FOLFIRI for Metastatic Colorectal Cancer) - Translational Research
This is a follow-on study to the VELOUR trial (NCT00561470). The aim of this study is to acquire the archived colorectal cancer and metastasized tissue tumour blocks of patients who have participated in the VELOUR study.
These samples will be analysed to find proteins or markers which represent how an individual may be responding to treatment. The identification of these markers may help provide personalised and more effective treatment programs for patients with similar conditions in the future.
研究概览
地位
条件
详细说明
The VELOUR trial (NCT00561470) has demonstrated the efficacy of aflibercept as a second line treatment in combination with fluorouracil, leucovorin, irinotecan (FOLFIRI)for metastatic colorectal cancer (mCRC) patients refractory to a first line oxaliplatin based chemotherapy regimen (Van Cutsem E., JCO 30 (2012):pp3499-3506). The FDA has approved Aflibercept (Zaltrap) for the treatment of metastatic colorectal cancer in combination with FOLFIRI on August 3rd 2012 and by European Medical Agency (EMEA) on November 15th 2012.
While the VELOUR study confirmed the benefits of using aflibercept in combination with FOLFIRI, the availability of biomarkers accurately predicting patients responding to this combination would further improve clinical utility of this drug. The molecular profiling of the Formaldehyde fixed paraffin embedded (FFPE) clinical tumor samples and serial plasma samples obtained from patients involved in VELOUR study and subsequent analysis of the molecular and clinical data would provide an invaluable opportunity to discover and potentially validate such biomarkers.
As blocks were not collected as part of the VELOUR trial, this protocol deals primarily with the steps that will be taken to gain ethics and consent in each of the participating countries and how the blocks will then be sourced and acquired, finally deposited in a biobank situated in KULeuven.
A VELOUR Translational Research Consortium (VTRC) has been formed by the Catholic University of Leuven (KULeuven)and Almac Diagnostics for the realisation of this study. The number of blocks available based on the surgical list held for the trial is estimated at 1030 (84% of complete trial cohort) and from a profiling viewpoint it has been calculated that the minimum number of blocks acceptable for processing and biomarker identification / validation is 500.
Due to the specific interest in angiogenesis, the VTRC consortium will aim to source blocks with both tumor and surrounding stromal tissue which will then be macro-dissected with the aim to generate data for both the tumor and surrounding angiogenic stroma. The project will generate gene expression, immunohistochemistry (IHC) and mutational data for these samples. In addition single nucleotide polymorphisms (SNP) data will be generated from non-tumor tissue, focusing on polymorphisms that demonstrate an association with disease or response outcome to therapy. Pre-processing and in silico evaluation of all data generated will support the outcome objectives of this study.
研究类型
注册 (实际的)
联系人和位置
学习地点
-
-
-
Odense C、丹麦、5000
- Odense Universitetshospital
-
-
-
-
-
Moscow、俄罗斯联邦、115478
- NN Blokhin Russian Cancer Research Center
-
-
-
-
-
Parktown、南非、2193
- Donald Gordon Medical Centre Wits University
-
-
-
-
-
Seoul、大韩民国、138-736
- Asan Medical Center
-
Seoul、大韩民国、135-710
- Samsung Medical Center Hematology and Oncology
-
-
-
-
-
Wien、奥地利、1090
- Medizinische Universität Wien
-
-
-
-
-
Sao Paulo、巴西、01308050
- Hospital Sírio E Libanês
-
-
-
-
-
Heraklion, Crete、希腊、71110
- University Hospital Of Heraklion Voutes
-
-
-
-
-
Halle、德国、06120
- Universitaetsklinikum Halle (Saale)
-
-
-
-
-
Milano、意大利、20133
- IRCCS
-
-
-
-
-
Oslo、挪威、0407
- Oslo Universitetssykehus HF
-
-
-
-
-
Leuven、比利时、3000
- UZ Leuven UZ Gasthuisberg 3000 Leuven
-
-
-
-
Western Australia
-
Nedlands、Western Australia、澳大利亚、6009
- Sir Charles Gairdner Hospital
-
-
-
-
-
Tartu、爱沙尼亚、51014
- SA Põhja Eesti
-
-
-
-
-
Uppsala、瑞典、751 85
- Akademiska Sjukhuset Onkologiska Kliniken
-
-
-
-
-
Cluj Napoca、罗马尼亚、400015
- Spitalul Universitar CF
-
-
-
-
Pennsylvania
-
Philadelphia、Pennsylvania、美国、19107
- Thomas Jefferson University Hospital
-
-
-
-
-
Greater London、英国、HA6 2RN
- Mount Vernon Hospital
-
-
-
-
-
Sittard-Geleen、荷兰、6162
- Orbis Medisch Centrum
-
-
-
-
-
Barcelona、西班牙、08035
- Hospital Vall d'hebrón
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- Patients who have participated in the VELOUR trial
Exclusion Criteria:
- Patients who have not participated in the VELOUR trial
学习计划
研究是如何设计的?
设计细节
队列和干预
团体/队列 |
|---|
|
FOLFIRI + Aflibercept
Non-interventional study.
No drugs administered.
In this arm 612 patients from the VELOUR trial
|
|
FOLFIRI + Placebo
Non-interventional study.
614 patients from the FOLFIRI + placebo arm in the VELOUR trial.
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Primary colorectal cancer tumor blocks
大体时间:Two years
|
Identify and acquire as many archived primary tumor blocks as possible of patients with mCRC treated in The VELOUR trial.
Process the acquired samples as part of a translation research program.
|
Two years
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Metastatic tumor blocks
大体时间:Two years
|
Identify and acquire as many archived metastatic tumor tissue blocks as possible of patients with mCRC treated in The VELOUR trial.
Process the acquired samples as part of a translation research program.Process the acquired samples as part of a translation research program
|
Two years
|
其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Residual blood samples
大体时间:Two years
|
Acess as many residual blood samples (plasma, serum) collected in the frame of the VELOUR study as possible.
Process the samples to determine markers relevant to angiogenesis factors, response to aflibercept and other markers which will be defined by the steering committee.
|
Two years
|
合作者和调查者
赞助
调查人员
- 首席研究员:Sabine Tejpar, MD, PhD、KU Leuven
研究记录日期
研究主要日期
学习开始
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.