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.
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
Drug | Synonyms | Arms |
---|
Cyclophosphamide | Sendoxan | Cyclophosphamide 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
Name | Type | Description | Interventions |
---|
Cyclophosphamide arm | Experimental | Dose dense cyclophosphamide (1800 Mg/m2) administered intravenously every second week. | |
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