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Combination Chemotherapy in Treating Patients With Metastatic Colorectal Cancer Previously Treated With Irinotecan

Phase 2
Completed
Conditions
Colorectal Cancer
Interventions
Registration Number
NCT00016978
Lead Sponsor
National Cancer Institute (NCI)
Brief Summary

Phase II trial to study the effectiveness of combining oxaliplatin, fluorouracil and leucovorin in treating patients who have metastatic colorectal cancer that has been previously treated with irinotecan. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

Detailed Description

OBJECTIVES:

I. Determine the tumor response rate in patients treated with oxaliplatin, fluorouracil, and leucovorin calcium for metastatic colorectal cancer previously treated with irinotecan.

II. Determine the time to tumor progression, time to treatment failure, and overall survival of patients treated with this regimen.

III. Determine the toxicity of this regimen in this patient population. IV. Assess the quality of life of patients treated with this regimen.

OUTLINE: This is a multicenter study.

Patients receive oxaliplatin IV over 2 hours on days 1 and 15 and leucovorin calcium and fluorouracil IV on days 1, 8, and 15. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving a confirmed complete response for 2 consecutive courses may discontinue study treatment at the investigators discretion. Quality of life is assessed at baseline, approximately every 6-8 weeks during treatment, and then after the last course of treatment. Patients are followed every 3 months for 5 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Arm IFOLFOX regimenPatients receive oxaliplatin IV over 2 hours on days 1 and 15 and leucovorin calcium and fluorouracil IV on days 1, 8, and 15. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving a confirmed complete response for 2 consecutive courses may discontinue study treatment at the investigators discretion. Quality of life is assessed at baseline, approximately every 6-8 weeks during treatment, and then after the last course of treatment.
Arm Ileucovorin calciumPatients receive oxaliplatin IV over 2 hours on days 1 and 15 and leucovorin calcium and fluorouracil IV on days 1, 8, and 15. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving a confirmed complete response for 2 consecutive courses may discontinue study treatment at the investigators discretion. Quality of life is assessed at baseline, approximately every 6-8 weeks during treatment, and then after the last course of treatment.
Arm IoxaliplatinPatients receive oxaliplatin IV over 2 hours on days 1 and 15 and leucovorin calcium and fluorouracil IV on days 1, 8, and 15. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving a confirmed complete response for 2 consecutive courses may discontinue study treatment at the investigators discretion. Quality of life is assessed at baseline, approximately every 6-8 weeks during treatment, and then after the last course of treatment.
Arm IfluorouracilPatients receive oxaliplatin IV over 2 hours on days 1 and 15 and leucovorin calcium and fluorouracil IV on days 1, 8, and 15. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving a confirmed complete response for 2 consecutive courses may discontinue study treatment at the investigators discretion. Quality of life is assessed at baseline, approximately every 6-8 weeks during treatment, and then after the last course of treatment.
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (24)

CentraCare Clinic

πŸ‡ΊπŸ‡Έ

Saint Cloud, Minnesota, United States

CCOP - Toledo Community Hospital Oncology Program

πŸ‡ΊπŸ‡Έ

Toledo, Ohio, United States

Rapid City Regional Hospital

πŸ‡ΊπŸ‡Έ

Rapid City, South Dakota, United States

CCOP - Metro-Minnesota

πŸ‡ΊπŸ‡Έ

Saint Louis Park, Minnesota, United States

CCOP - Sooner State

πŸ‡ΊπŸ‡Έ

Tulsa, Oklahoma, United States

CCOP - Sioux Community Cancer Consortium

πŸ‡ΊπŸ‡Έ

Sioux Falls, South Dakota, United States

Allan Blair Cancer Centre

πŸ‡¨πŸ‡¦

Regina, Saskatchewan, Canada

Medcenter One Health System

πŸ‡ΊπŸ‡Έ

Bismarck, North Dakota, United States

Altru Health Systems

πŸ‡ΊπŸ‡Έ

Grand Forks, North Dakota, United States

CCOP - Merit Care Hospital

πŸ‡ΊπŸ‡Έ

Fargo, North Dakota, United States

CCOP - Wichita

πŸ‡ΊπŸ‡Έ

Wichita, Kansas, United States

CCOP - Ann Arbor Regional

πŸ‡ΊπŸ‡Έ

Ann Arbor, Michigan, United States

Mayo Clinic Cancer Center

πŸ‡ΊπŸ‡Έ

Rochester, Minnesota, United States

CCOP - Missouri Valley Cancer Consortium

πŸ‡ΊπŸ‡Έ

Omaha, Nebraska, United States

CCOP - Cedar Rapids Oncology Project

πŸ‡ΊπŸ‡Έ

Cedar Rapids, Iowa, United States

CCOP - Scottsdale Oncology Program

πŸ‡ΊπŸ‡Έ

Scottsdale, Arizona, United States

CCOP - Carle Cancer Center

πŸ‡ΊπŸ‡Έ

Urbana, Illinois, United States

CCOP - Illinois Oncology Research Association

πŸ‡ΊπŸ‡Έ

Peoria, Illinois, United States

Oncology Associates of Cedar Rapids

πŸ‡ΊπŸ‡Έ

Cedar Rapids, Iowa, United States

CCOP - Iowa Oncology Research Association

πŸ‡ΊπŸ‡Έ

Des Moines, Iowa, United States

Siouxland Hematology-Oncology

πŸ‡ΊπŸ‡Έ

Sioux City, Iowa, United States

CCOP - Ochsner

πŸ‡ΊπŸ‡Έ

New Orleans, Louisiana, United States

CCOP - Duluth

πŸ‡ΊπŸ‡Έ

Duluth, Minnesota, United States

CCOP - Geisinger Clinic and Medical Center

πŸ‡ΊπŸ‡Έ

Danville, Pennsylvania, United States

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