A Multicenter, Single arm, Open Label Clinical Trial to Evaluate the Safety and Health-Related Quality of Life of Aflibercept in Patients with Metastatic Colorectal Cancer (mCRC) Previously Treated with an Oxaliplatin-Containing Regime
- Conditions
- metastatic colorectal cancercolorectal cancer.10017990
- Registration Number
- NL-OMON37124
- Lead Sponsor
- Sanofi-aventis
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 10
Histologically or cytologically proven adenocarcinoma of the colon or rectum.
Metastatic disease.
Eastern Cooperative Oncology Group performance status 0-1.
One and only one prior chemotherapeutic regimen for metastatic disease. This
prior chemotherapy must be an oxaliplatin containing regimen. Patients must
have progressed during or after the oxaliplatin based chemotherapy. Patients
relapsed within 6 months of completion of oxaliplatin adjuvant chemotherapy are
eligible.
Prior therapy with irinotecan,
Inadequate bone marrow, liver and renal function: neutrophils < 1.5x109/L
platelets < 100x109/L, hemoglobin < 9.0 g/dL, total bilirubin >1.5 x upper normal
limit (ULN), transaminases >3 x ULN (unless liver metastasis are present),
alkaline phosphatase >3 x ULN (unless liver metastasis are present), serum
creatinine > 1.5 x ULN.
Less than 4 weeks from prior radiotherapy, prior chemotherapy, prior major
surgery (or until the surgical wound is fully healed).
Treatment with any investigational drug within the prior 30 days.
Treatment with concomitant anticonvulsivant agents that are CYP3A4 inducers
(phenytoin, phenobarbital, carbamazepine), unless discontinued >7 days.
History of brain metastases, uncontrolled spinal cord compression
carcinomatous meningitis or new evidence of brain or leptomeningeal disease,
Prior malignancy (other than colorectal) including prior malignancy from which the
patient has been disease free for < 5 years (except adequately treated basal or
squamous cell skin cancer or carcinoma in situ of the cervix).
Any of the following within 6 months prior to study inclusion: myocardial infarction,
severe/unstable angina pectoris, coronary/peripheral artery bypass graft, severe
congestive heart failure, stroke or transient ischemic attack.
Any of the following within 3 months prior study inclusion: severe gastrointestinal
bleeding/hemorrhage, treatment resistant peptic ulcer disease, erosive
oesophagitis or gastritis, infectious or inflammatory bowel disease, diverticulitis,
pulmonary embolism or other uncontrolled thromboembolic event.
Occurrence of deep vein thrombosis within 4 weeks, prior to study inclusion.
Known dihydropyrimidine dehydrogenase deficiency.
Predisposing colonic or small bowel disorders in which the symptoms were
uncontrolled.
Prior history of chronic enteropathy, inflammatory enteropathy, chronic diarrhea,
unresolved bowel obstruction/sub-obstruction, more than hemicolectomy,
extensive small intestine resection with chronic diarrhea.
Known Gilbert*s syndrome.
Unresolved or unstable toxicity from any prior anti cancer therapy at the time of
inclusion.
History of anaphylaxis or known intolerance to atropine sulphate or loperamide or
appropriate antiemetics to be administered in conjunction with FOLFIRI
(irinotecan, 5-Fluorouracil, leucovorin).
Severe acute or chronic medical condition, which could impair the ability of the
patient to participate to the study.
Urine protein-creatinine ratio (UPCR) >1 on morning spot urinalysis or proteinuria
> 500 mg/24-h.
Uncontrolled hypertension within 3 months prior to study inclusion.
Patients on anticoagulant therapy with unstable dose of warfarin and/or having an
out-of-therapeutic range INR within the 4 weeks prior to study inclusion.
Evidence of clinically significant bleeding predisposition or underlying
coagulopathy, non-healing wound.
Pregnant or breast-feeding women.
Patients with reproductive potential who do not agree to use an accepted
effective method of contraception.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>- Number of patients reporting adverse events up to 30 days after the end of<br /><br>treatment.<br /><br>- Number of patients reporting laboratory abnormalities up to 30 days after the<br /><br>end of treatment.</p><br>
- Secondary Outcome Measures
Name Time Method <p>Health-Related Quality of Life (HRQL) assessed by using changes from baseline<br /><br>in scores derived from the 3 HRQL questionnaires (EQ-5D, EORTC QLQ-C30 and<br /><br>EORTC QLQ-CR-29), every 4 weeks.</p><br>