A Multicenter Phase II Study of the Capecitabine, Oxaliplatin and Bevacizumab as First-line Treatment in Elderly Patients With Metastatic Colorectal Cancer
Overview
- Phase
- Phase 2
- Intervention
- Oxaliplatin
- Conditions
- Metastatic Colorectal Cancer
- Sponsor
- Hellenic Oncology Research Group
- Enrollment
- 46
- Locations
- 6
- Primary Endpoint
- Overall response rate
- Status
- Completed
- Last Updated
- 16 years ago
Overview
Brief Summary
This trial will evaluate the efficacy and safety of the capecitabine and oxaliplatine plus bevacizumab combination as first-line treatment in elderly patients with metastatic colorectal cancer.
Detailed Description
Capecitabine, oxaliplatin and bevacizumab are well known active agents in the treatment of mCRC. The treatment of elderly patients with mCRC is an area of investigation. The role of comprehensive geriatric assessment in treatment efficacy and tolerance is an area of investigation.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Histologically or cytologically confirmed adenocarcinoma of the colon or rectum
- •Existence of two-dimensional measurable disease. The measurable disease should not have been irradiated.
- •Absence or irradiated and stable central nervous system metastatic disease.
- •Life expectancy of more than 3 months.
- •Age ≥ 70 years.
- •Performance status (WHO) ≤
- •Adequate bone marrow function (Absolute neutrophil count \>1000/mm3, Platelet count \>100000/mm3, Hemoglobin \>9gr/mm3).
- •Adequate liver (Bilirubin \<1.5 times upper limit of normal and SGOT/SGPT \<2 times upper limit of normal).
- •Creatinine clearance (Cockcroft-Gault formula) \>30ml/min.
- •No other invasive malignancy within the past 5 years except nonmelanoma skin cancer.
Exclusion Criteria
- •Prior chemotherapy for metastatic disease.
- •History of thromboembolic disease or myocardial infraction within the last 6 months.
- •Peripheral neuropathy ≥ grade
- •Bowel obstruction or chronic diarrhea.
- •Psychiatric illness or social situation that would preclude study compliance.
- •Other concurrent uncontrolled illness.
- •Other concurrent investigational agents.
Arms & Interventions
XELOX/Avastin
Capecitabine Oxaliplatin Bevacizumab
Intervention: Oxaliplatin
XELOX/Avastin
Capecitabine Oxaliplatin Bevacizumab
Intervention: Capecitabine
XELOX/Avastin
Capecitabine Oxaliplatin Bevacizumab
Intervention: Bevacizumab
Outcomes
Primary Outcomes
Overall response rate
Time Frame: 2 - 4 months
Secondary Outcomes
- Time to tumor progression(1 year)
- Overall survival(1 year)
- Toxicity profile(Toxicity assessment on each cycle)