Description:
This is a phase II, randomized, multi-center, open-label, parallel-group study to evaluate
the progression-free survival during maintenance therapy.
Eligible patients will be treated within a 12-week induction therapy. Those patients
achieving CR/PR or SD at 12 weeks and qualifying for maintenance treatment and re-induction
treatment with all potential drug components, will be randomized in a ratio of 1:1 to receive
chemotherapy plus panitumumab or chemotherapy alone during maintenance. In case of
progression, re-induction treatment will be started.
Title
- Brief Title: Maintenance Therapy With 5-FU/FA Plus Panitumumab vs. 5-FU/FA Alone After Prior Induction and Re-induction After Progress for 1st-line Treatment of Metastatic Colorectal Cancer
- Official Title: Randomized Phase II Study for Evaluation of Efficacy and Safety of Maintenance Treatment With 5-FU/FA Plus Panitumumab vs. 5-FU/FA Alone After Prior Induction Treatment With mFOLFOX6 Plus Panitumumab and Re-induction With mFOLFOX6 Plus Panitumumab in Case of Progression for First-line Treatment of Patients With Metastatic Colorectal Cancer
Clinical Trial IDs
- ORG STUDY ID:
AIO-KRK-0212
- SECONDARY ID:
2012-005422-30
- SECONDARY ID:
PanaMa_DE-2009-0003
- NCT ID:
NCT01991873
Conditions
- Metastatic Colorectal Cancer
Interventions
Drug | Synonyms | Arms |
---|
Maintenance Chemotherapy | Folinic acid + 5-FU (5-Fluorouracil) | Maintenance Chemotherapy + Panitumumab |
Panitumumab (Within maintenance phase) | Vectibix | Maintenance Chemotherapy + Panitumumab |
mFOLFOX6 (Within re-induction phase) | Oxaliplatin + Folinic acid + 5-FU (5-Fluorouracil) | Maintenance Chemotherapy + Panitumumab |
Panitumumab (Within re-induction phase) | Vectibix | Maintenance Chemotherapy + Panitumumab |
Purpose
This is a phase II, randomized, multi-center, open-label, parallel-group study to evaluate
the progression-free survival during maintenance therapy.
Eligible patients will be treated within a 12-week induction therapy. Those patients
achieving CR/PR or SD at 12 weeks and qualifying for maintenance treatment and re-induction
treatment with all potential drug components, will be randomized in a ratio of 1:1 to receive
chemotherapy plus panitumumab or chemotherapy alone during maintenance. In case of
progression, re-induction treatment will be started.
Trial Arms
Name | Type | Description | Interventions |
---|
Maintenance Chemotherapy + Panitumumab | Experimental | Maintenance therapy:
Panitumumab 6 mg/kg prior to administration of chemotherapy Folinic acid 400 mg/m2 over 2 hours on day 1 5-FU 2400mg/m2 46h continuous infusion day 1 - day 2 Repeat on day 15
Re-induction upon progression:
Panitumumab 6 mg/kg prior to administration of mFOLFOX6 chemotherapy.
mFOLFOX6: Oxaliplatin 85 mg/m2 over 2 hours on day 1 Folinic acid 400 mg/m2 over 2 hours on day 1 5-FU 2400mg/m2 46h continuous infusion day 1 - day 2 Repeat on day 15 | - Maintenance Chemotherapy
- Panitumumab (Within maintenance phase)
- mFOLFOX6 (Within re-induction phase)
- Panitumumab (Within re-induction phase)
|
Maintenance Chemotherapy w/o Panitumumab | Experimental | Maintenance therapy:
Folinic acid 400 mg/m2 over 2 hours on day 1 5-FU 2400mg/m2 46h continuous infusion day 1 - day 2 Repeat on day 15
Re-induction upon progression:
Panitumumab 6 mg/kg prior to administration of mFOLFOX6 chemotherapy.
mFOLFOX6 chemotherapy: Oxaliplatin 85 mg/m2 over 2 hours on day 1 Folinic acid 400 mg/m2 over 2 hours on day 1 5-FU 2400mg/m2 46h continuous infusion day 1 - day 2 Repeat on day 15 | - Maintenance Chemotherapy
- mFOLFOX6 (Within re-induction phase)
- Panitumumab (Within re-induction phase)
|
Eligibility Criteria
Inclusion Criteria:
- Signed written informed consent
- Male or female ≥ 18 years of age
- Histologically proven metastatic colorectal cancer
- Molecular testing showing RAS wild-type in colorectal carcinoma cells
- Life expectancy > 12 weeks
- At least one measurable lesion according to RECIST 1.1
- Adequate bone marrow, liver, kidney, organ and metabolic function
- Bone marrow function:
- leukocyte count ≥ 3.0 × 109/L
- ANC ≥ 1.5 × 109/L
- platelet count ≥ 100 × 109/L
- hemoglobin ≥ 9 g/dL or 5.59 mmol/L (may be transfused or treated with
erythropoietin to maintain/ exceed this level)
- Hepatic function:
- Total bilirubin ≤ 1.5 × UNL
- ALT and AST ≤ 2.5 × UNL (or ≤ 5 × UNL in presence of liver metastases)
- AP ≤ 5 × UNL
- Renal function:
- Creatinine clearance ≥ 50 mL/min according to Cockcroft-Gault formula or serum
creatinine ≤ 1.5 × UNL
- Metabolic function:
- Magnesium ≥ lower limit of normal
- Calcium ≥ lower limit of normal
- ECOG performance status 0 - 1
- Women of child-bearing potential must have a negative pregnancy test
Exclusion Criteria:
- Previous treatment for colorectal cancer in the metastatic setting
- Previous EGFR-targeting therapy < 6 months after end of adjuvant therapy
- Known brain metastases unless adequately treated (surgery or radiotherapy) with no
evidence of progression and neurologically stable off anticonvulsants and steroids
- Chronic inflammatory bowel disease
- Peripheral neuropathy ≥ NCI-CTCAE V 4.03 grade 2
- Other previous malignancies with the exception of a history of previous curatively
treated basal cell carcinoma of the skin or pre-invasive carcinoma of the cervix or
other curatively treated malignant disease without recurrence after at least 5 years
of follow-up
- Significant disease that, in the investigator's opinion, would exclude the patient
from the study
- History of cardiac disease; defined as:
- Congestive heart failure > New York Heart Association (NYHA) class 2
- Active coronary artery disease (myocardial infarction more than 6 months prior to
start of study treatment is allowed)
- Cardiac arrhythmias requiring anti-arrhythmic therapy (beta-blockers or digoxin
are permitted)
- Uncontrolled hypertension (defined as blood pressure ≥ 160 mmHg systolic and/or ≥
90 mmHg diastolic on medication)
- Patients with interstitial lung disease, e.g., pneumonitis or pulmonary fibrosis or
evidence of interstitial lung disease on baseline chest CT scan
- Known HIV, hepatitis B or C infection
- Known hypersensitivity reaction to any of the study components
- Radiotherapy, major surgery or any investigational drug 30 days before registration
- Pregnancy or lactation or planning to be pregnant during treatment and within 6 months
after the end of treatment
- Subject (male or female) is not willing to use highly effective methods of
contraception (per institutional standard) during treatment and for at least an
additional 6 months after the end of treatment
- Known alcohol or drug abuse
- Any condition that is unstable or could jeopardize the safety of the patient and his
compliance in the study
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Progression-free survival |
Time Frame: | Until end of follow-up (24 months after randomization) |
Safety Issue: | |
Description: | Progression-free survival during maintenance therapy defined as time from randomization until disease progression or death, whatever occurs first. |
Secondary Outcome Measures
Measure: | failure of treatment strategy |
Time Frame: | Until end of follow up (24 months after randomization) |
Safety Issue: | |
Description: | Time from randomization until failure (death/ progression) of treatment strategy |
Measure: | Progression-free survival of re-induction |
Time Frame: | From start of re-induction therapy until progress or end of follow-up (24 months after randomization) |
Safety Issue: | |
Description: | Progression-free survival during re-induction therapy |
Measure: | Objective response after 12 weeks of induction chemotherapy |
Time Frame: | 12 weeks after start of induction chemotherapy |
Safety Issue: | |
Description: | Objective response after 12 weeks of induction chemotherapy |
Measure: | Objective best response during maintenance and re-induction |
Time Frame: | Start of maintenance- until end of re-inductin therapy (expected average of 8 months) |
Safety Issue: | |
Description: | Objective best response during maintenance and re-induction |
Measure: | Overall survival |
Time Frame: | Until end of follow-up (24 months after randomization) |
Safety Issue: | |
Description: | Overall survival measured from time of randomization and from time of registration |
Measure: | Safety |
Time Frame: | Until end of follow-up (24 months after randomization) |
Safety Issue: | |
Description: | Overall safety |
Measure: | Health and skin related Quality of life |
Time Frame: | Until end of follow-up (24 months after randomization) |
Safety Issue: | |
Description: | Health and skin related Quality of life |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | AIO-Studien-gGmbH |
Trial Keywords
- metastatic colorectal cancer
- maintenance therapy
- Panitumumab
- Vectibix®
Last Updated
March 6, 2019