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临床试验/EUCTR2006-004030-32-AT
EUCTR2006-004030-32-AT进行中(未招募)1 期

Randomised study for efficiency of FOLFIRI in combination with Cetuximab vs. Bevacizumab in first-line-therapy of metastatic colorectal cancer - FIRE-3

Klinikum der Ludwig-Maximilians Universität München, Klinikum Großhadern0 个研究点目标入组 568 人开始时间: 2009年9月17日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
568

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • -Histologically confirmed adenocarcinoma of colon and rectum
  • -confirmation of a K-RAS wild type status (in the primary tumor or in metastasis)
  • -general condition: 0-2 (ECOG/ WHO)
  • -suitable for application of chemotherapy
  • -written informed consent (first and second-line therapy)
  • -Age 18- 75
  • -clinical or ambulant treatment
  • -Life expectancy > 3 months
  • -minimum one measurable indicator leasion according to RECIST. Evaluation of tumor manifestation 2 weeks or less before study entry.
  • -Male or female patients with reproductive potential must use an approved contraceptive method
  • -Leucocytes = 3,0 x 10\9/L with Neutrophils = 1,5 x 10\9/L, Thrombocytes = 100 10\9/L, Hemoglobin = 5,6 mmol/L equivalent to 9 g/dL
  • -Serum bilirubin = 1,5x upper NL
  • -ALAT and ASAT = 2,5 x upper NL, in case of liver metastases ALAT and ASAT = 5 x upper NL.
  • -Serum creatinine = 1,5 x upper NL
  • -An operation has to take place 4 weeks before study entry; a fine needle biopsy must have been performed more than 1 week ago. Wounds must have completely healed. The necessity of a big operation in the course of the study is not to be expected. An exception is a resection of liver metastases. If there should be the option of a secondary curative operation Bevacizumab has to be discontinued 6 to 8 weeks before operation.
  • -relevant toxicitys of therapies prior must have abated
  • 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 30
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 70

排除标准

  • - confirmation of a K-RAS mutation
  • - previous exposure to EGFR-targeting therapy
  • - previous treatment with Bevacizumab
  • - prior chemotherapy of colorectal cancer, except adjuvant chemotherapy which was terminated at least 6 month before study entry
  • - experimental medical treatment within 30 days before study entry
  • - known hypersensitivity to elements of the study drug
  • - pregnant (exclusion diagnosis by beta-hCG-test) or breast-feeding women
  • - clinically relevant coronary disease or myocardial infarction within 12 months before study entry or enhanced risk of uncontrolled arrhythmia
  • - acute or subacute intestinal obstruction or chronical-inflammatory enteritis during anamnesis or chronical diarrhea
  • - symptomatic peritoneal carcinosis
  • - serious, non-healing wounds, ulcera or bone fracture
  • - uncontrolled hypertonia
  • - pronounced proteinuria
  • - arterial thromboembolism or haemorrhage within 6 months before study entry (except tumor bleeding before tumorresection)
  • - hemorrhagic diathesis or thrombotic tendency
  • - therapeutic anticoagulation (marcumar-therapy, PTT-effective heparinization)
  • - known DPD-insufficience (special screening not necessary)
  • - known glucuronisation defect (Gilbert´s disease) (special screening not necessary)
  • - secondary malignancies during anamnesis within the last 5 years except curatively treated basalioma or in situ carcinoma of the cervix
  • - known alcohol- or drug abuse
  • - clinical or psychological disorders that would prohibit to give a valid informed consent or to perform the study
  • - a significant concomitant disorder which excludes the patient´s participation in from the study in the opinion of the responsible physician
  • - absent or constricted legal capacity

研究者

发起方
Klinikum der Ludwig-Maximilians Universität München, Klinikum Großhadern

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