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Clinical Trials/EUCTR2009-011882-10-FR
EUCTR2009-011882-10-FRActive, not recruitingNot Applicable

Intensified methotrexate, vinblastine, doxorubicin and cisplatin (I-MVAC) with or without panitumumab as first-line treatment of advanced urothelial carcinoma in patients without H-Ras nor K-Ras mutations. Randomised phase II study.

FNCLCC (Fédération Nationale des Centres de Lutte Contre le Cancer)0 sitesStarted: January 4, 2010Last updated:
Conditions
Drugs

Trial Snapshot

Phase
Not Applicable
Status
Active, not recruiting
Sponsor

Study Overview

Brief Summary

No summary available.

Study Design

Study Type
Interventional clinical trial of medicinal product

Eligibility Criteria

Sex
All

Inclusion Criteria

  • 1. Primary tumour of the bladder or upper urinary tract
  • 2. Histologically confirmed infiltrating urothelial carcinoma (epidermoid and/or glandular forms are accepted)
  • 3. Patients without H-Ras nor K-Ras mutations
  • 4. Advanced disease defined by a locally advanced stage (T4 and/or N+) ineligible for surgical
  • resection, or a metastatic stage (M1)
  • 5. Patients with at least 1 evaluable lesion as per RECIST criteria (version 1.1)
  • 6. 18 = age = 75 years
  • 7. General condition 0 or 1 as per the WHO scale
  • 8. Absence of previous chemotherapy for advanced disease (chemotherapy with gemcitabine and platinum salt delivered as an adjuvant is accepted if this ended more than a year ago)
  • 9. Haematological function: Haemoglobin > 11 g/dl, neutrophils = 1500/mm3, platelets =
  • 100,000/mm3
  • 10. Liver function: Grade* 0 ASAT and ALAT (< grade* 3 for liver metastases), grade* 0 alkaline
  • phosphatases, normal bilirubin
  • 11. Renal function: calculated (or measured) creatinine clearance > 60 ml/min
  • 12. Patients covered by a social security scheme
  • 13. Patient having read the information sheet and signed the informed consent form.
  • * CTC AE v4.0
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

Exclusion Criteria

  • 1. Pure adenocarcinoma or pure epidermoid carcinoma or mixed or pure small-cell neuroendocrine carcinoma
  • 2. Previous treatment with one of the following molecules: methotrexate, vinblastine, doxorubicin or EGF-R inhibitor
  • 3. History of interstitial pneumonitis or pulmonary fibrosis
  • 4. History of cardiovascular disease (including myocardial infarction, unstable angina, symptomatic congestive heart failure, uncontrolled serious cardiac arrhythmia) in the year prior to randomisation (= 1 year)
  • 5. Ventricular ejection fraction < 50%
  • 6. Blood calcium and/or magnesium = grade* 1
  • 7. History of cancer in the 5 years prior to entry in the trial other than basal cell skin cancer or in situ epithelioma of the cervix,
  • 8. Treatment with radiotherapy for analgesic purposes (unless treatment was discontinued at least 15 days prior to inclusion in the trial)
  • 9. Potential allergy to panitumumab
  • 10. Male or female patients not agreeing to use an effective method of contraception throughout the
  • duration of treatment and for 6 months after treatment discontinuation
  • 11. Pregnant women, or female subjects liable to become pregnant or currently breast-feeding,
  • 12. Patient already included in another therapeutic trial on an investigational medicinal product,
  • 13. Persons deprived of their freedom or under judicial protection (including guardianship),
  • 14. Unable to receive medical follow-up during the trial owing to geographical, social or psychological reasons.
  • * CTC AE v4.0

Investigators

Sponsor
FNCLCC (Fédération Nationale des Centres de Lutte Contre le Cancer)

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