Phase II Study Evaluating the Efficacy and the Safety of Regorafenib in Patients Aged More Than 70 Years Old With a Metastatic Colorectal Adenocarcinoma .
Overview
- Phase
- Phase 2
- Intervention
- Regorafenib 160 mg
- Conditions
- Colorectal Adenocarcinoma
- Sponsor
- Federation Francophone de Cancerologie Digestive
- Enrollment
- 43
- Locations
- 16
- Primary Endpoint
- Percentage of Patients With a Tumoral Control Rate at 2 Months
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Multicenter prospective phase II study evaluating regorafenib in older patients with metastatic colorectal cancer
Investigators
Eligibility Criteria
Inclusion Criteria
- •Metastatic colorectal cancer with histological proof
- •Measurable disease according RECIST 1.1
- •Age ≥ 70 years
- •Biological values Haemoglobin ≥ 9 g/dL, PNN ≥ 1500/mm3, platelets≥ 100 000/mm3, bilirubin ≤ 1,5N, ASAT, ALAT et PAL ≤ 2,5N (≤ 5N if hepatic metastases), lipase ≤1,5N, TP≥ 70%, Creatinine clairance ≥ 30 mL/min
- •Patient without response to 5FU chemotherapy or anti-vegf treatment or anti EGFR treatment (if RAS wild-type), in progression during this treatment or treatment stopped because of toxicities
- •Geriatric Questionnaires answered
- •Life-expectancy ≥ 3 months
- •Informed Consent Signed
Exclusion Criteria
- •Not able to swallow tablets (crushed tablets are not allowed)
- •Previous treatment with regorafenib or other multikinase treatment
- •Other cancer during the last 5 years, excepted in-situ cervix cancer, skin cancer non melanoma and cancer of the bladder curatively treated
- •Radiotherapy: with extended fields in the last 4 weeks, with limited fields in the last 2 weeks previous inclusion
- •Toxicity \> grade 1 not resolved with previous treatment
- •Major surgery in the 28 days before the inclusion
- •Non cicatrized injury, ulcer or bone fracture
- •Congestive Cardiac insufficiency classe \>2 (NYHA)
- •Unstable angor in the last 3 months
- •Myocardial Infraction in the 6 months before inclusion
Arms & Interventions
Regorafenib 160 mg
Intervention: Regorafenib 160 mg
Outcomes
Primary Outcomes
Percentage of Patients With a Tumoral Control Rate at 2 Months
Time Frame: 2 months after the start of treatment
Tumor control rate is defined as the percentage of patients with complete tumor response, partial tumor response, or tumor stability on regorafenib therapy at 2 months after initiation of therapy as determined by the investigator per Response Evaluation Criteria In Solid Tumors Criteria (RECIST V1.1 criteria) for target lesions and assessed by CT-Scan: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Stability : neither complete or partial response nor progression.
Secondary Outcomes
- Overall Survival(Up to approximatively 1 year after the end of the treatment)