Clinical Trials /

The p53 Colorectal Cancer Trial

NCT03149679

Description:

Single center, open labeled, phase 2 clinical trial, where patients with metastatic colorectal cancer are selected for treatment with dose dense Cyclophosphamide every second week based on TP53 mutation status; i.e. only patients with TP53 mutated tumors may be included in the treatment arm.

Related Conditions:
  • Colorectal Carcinoma
Recruiting Status:

Terminated

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: The p53 Colorectal Cancer Trial
  • Official Title: Treatment of Patients With Metastatic Colorectal Cancer Harboring TP53 Mutations With Dose-dense Cyclophosphamide - the p53 Colorectal Cancer Trial

Clinical Trial IDs

  • ORG STUDY ID: 2016/1637
  • NCT ID: NCT03149679

Conditions

  • Colorectal Cancer Metastatic
  • Colorectal Cancer Stage IV
  • TP53 Gene Mutation

Interventions

DrugSynonymsArms
CyclophosphamideSendoxanCyclophosphamide arm

Purpose

Single center, open labeled, phase 2 clinical trial, where patients with metastatic colorectal cancer are selected for treatment with dose dense Cyclophosphamide every second week based on TP53 mutation status; i.e. only patients with TP53 mutated tumors may be included in the treatment arm.

Trial Arms

NameTypeDescriptionInterventions
Cyclophosphamide armExperimentalDose dense cyclophosphamide (1800 Mg/m2) administered intravenously every second week.
  • Cyclophosphamide

Eligibility Criteria

        Inclusion Criteria:

          -  Metastatic colorectal cancer patients for whom conventional therapy has failed;
             defined as 2 lines of chemotherapy including oxaliplatin or irinotecan- containing
             regimens as well as an EGFR inhibitor if applicable.

          -  Tumor lesion suitable for biopsy

          -  Age >18 years

          -  Clinically or radiologically measurable tumor deposits according to the RECIST
             criteria

          -  WHO performance status 0-1

          -  Radiology studies (CT thorax/abdomen/pelvis) and echo cor and ECG must be performed
             within 28 days prior to registration.

          -  Before patient registration in the trial, written informed consent must be given
             according to national and local regulations.

          -  Blood test requirements:

        Neutrophils > 1.0 e9/L Platelets > 75 e9/L Bilirubin < 20 µmol / L. Serum creatinine < 1.5
        x ULN

        Exclusion Criteria:

          -  Co-morbidity including, but not limited to, impaired renal-, liver or bone marrow
             function, that based on the assessment of the treating physician, may preclude the use
             of cyclophosphamide at actual doses.

          -  Known hypersensitivity to the study drug, its metabolites or any excipients in the
             infusion solution.

          -  Psychological, familial, sociological or geographical condition(s) potentially
             hampering compliance with the study protocol and follow-up schedule; those conditions
             should be discussed with the patient before registration in the trial

          -  Pregnant or lactating patients cannot be included.

          -  Clinical evidence of serious coagulopathy. Prior arterial/venous thrombosis or
             embolism does not exclude patients from inclusion, unless patient is considered unfit
             by study oncologist.

          -  Patient not able to give an informed consent or comply with study regulations as
             deemed by study investigator.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Objective response rate (ORR)
Time Frame:4 months
Safety Issue:
Description:Partial response (PR) or complete response (CR) as defined by the RECIST criteria

Secondary Outcome Measures

Measure:Possible molecular markers of therapy response/resistance and survival outcome beyond TP53 mutations will be examined.
Time Frame:10 years
Safety Issue:
Description:Tissue and blood sampling at baseline and whenever treatment is changed
Measure:Number of patients with treatment response among patients harboring TP53 mutations belonging to particular mutation subgroups
Time Frame:10 years
Safety Issue:
Description:Tissue and blood sampling at baseline and whenever treatment is changed
Measure:Clinical benefit rate (CBR)
Time Frame:5 years
Safety Issue:
Description:Stable disease (SD) >6 months, PR or CR
Measure:Recurrence-free and overall survival, compared to historical data
Time Frame:All patients will be followed for 5 years or until death to record survival outcome
Safety Issue:
Description:Survival analyses
Measure:Safety and tolerability of the study treatment including recording of number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Time Frame:Every second week during the treatment period from start of treatment, and thereafter every second month for 5 years or until death
Safety Issue:
Description:Clinical examination and blood samples

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Terminated
Lead Sponsor:Haukeland University Hospital

Trial Keywords

  • Cyclophosphamide
  • Colorectal Cancer Metastatic
  • TP53 Gene Mutation

Last Updated

January 22, 2021