MedPath

S0030: Capecitabine in Treating Older Patients W/Metastatic or Recurrent Colorectal Cancer That Cannot Be Surgically Removed

Phase 2
Completed
Conditions
Colorectal Cancer
Interventions
Registration Number
NCT00049335
Lead Sponsor
SWOG Cancer Research Network
Brief Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.

PURPOSE: Phase II trial to study the effectiveness of capecitabine in treating older patients who have metastatic or recurrent colorectal cancer that cannot be surgically removed.

Detailed Description

OBJECTIVES:

* Determine the feasibility of enrolling patients aged 70 and over with unresectable metastatic or recurrent colorectal cancer to a structured phase II study.

* Determine the anticancer efficacy of capecitabine, in terms of objective response rate (confirmed and unconfirmed, complete and partial responses) and 2-year survival, in these patients.

* Determine the toxicity and tolerability of this drug in these patients.

* Determine the feasibility of using standardized self-report measures of comorbidity, depression, and functional status of patients treated with this drug.

* Determine the clinical pharmacology of this drug in these patients.

* Determine whether patients under 60 years of age treated with this drug have clinical pharmacologic parameters similar to those reported in the literature.

OUTLINE: This is a multicenter study. Patients are stratified according to age (70 and over vs 18 to 59).

Patients receive oral capecitabine twice daily on days 1-14. Treatment repeats every 21 days for up to 18 courses in the absence of disease progression or unacceptable toxicity.

Patients are followed every 6 months for 3 years.

PROJECTED ACCRUAL: A total of 80 patients (60 patients aged 70 and over, 20 patients aged 18 to 59) will be accrued for this study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
29
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
CapecitabinecapecitabineCapecitabine 1,000 mg/m\^2/dose (2,000 mg/m\^2/day) BID, PO, Days 1-14 of 21 day cycle.
Primary Outcome Measures
NameTimeMethod
Feasibility of enrolling patients aged 70 years or older to a Phase II trial including pharmacokinetic samplingRegistration
Secondary Outcome Measures
NameTimeMethod
Assess whether patients under 60 years have clinical pharmacologic parameters similar to those reported in the literature3 years
Efficacy of capecitabine for management of advanced colorectal cancer patients aged 70 years or older based on objective response rate and 2 year survival2 years
Toxicity3 years
Assess parameters of clinical pharmacology of capecitabine in patients aged 70 years or older including half life value(s), AUC (area under curve) and steady state levels3 years
Explore, at a preliminary level, the feasibility of studying genetic polymorphisms and gene expression levels of enzymes involved in drug metabolism and resistance to capecitabine3 years

Trial Locations

Locations (90)

MBCCOP - Gulf Coast

🇺🇸

Mobile, Alabama, United States

CCOP - Atlanta Regional

🇺🇸

Atlanta, Georgia, United States

CCOP - Central Illinois

🇺🇸

Decatur, Illinois, United States

Veterans Affairs Outpatient Clinic - Martinez

🇺🇸

Martinez, California, United States

Cardinal Bernardin Cancer Center at Loyola University Medical Center

🇺🇸

Maywood, Illinois, United States

MBCCOP - University of Illinois at Chicago

🇺🇸

Chicago, Illinois, United States

CCOP - Upstate Carolina

🇺🇸

Spartanburg, South Carolina, United States

University of Texas Medical Branch

🇺🇸

Galveston, Texas, United States

CCOP - Virginia Mason Research Center

🇺🇸

Seattle, Washington, United States

Veterans Affairs Medical Center - Seattle

🇺🇸

Seattle, Washington, United States

CCOP - Montana Cancer Consortium

🇺🇸

Billings, Montana, United States

Veterans Affairs Medical Center - Cincinnati

🇺🇸

Cincinnati, Ohio, United States

University of Texas Health Science Center at San Antonio

🇺🇸

San Antonio, Texas, United States

Veterans Affairs Medical Center - San Antonio (Murphy)

🇺🇸

San Antonio, Texas, United States

Huntsman Cancer Institute

🇺🇸

Salt Lake City, Utah, United States

Veterans Affairs Medical Center - Salt Lake City

🇺🇸

Salt Lake City, Utah, United States

MBCCOP - Hawaii

🇺🇸

Honolulu, Hawaii, United States

CCOP - Wichita

🇺🇸

Wichita, Kansas, United States

University of Mississippi Medical Center

🇺🇸

Jackson, Mississippi, United States

Cancer Research Center at Boston Medical Center

🇺🇸

Boston, Massachusetts, United States

Herbert Irving Comprehensive Cancer Center at Columbia University

🇺🇸

New York, New York, United States

CCOP - Kansas City

🇺🇸

Kansas City, Missouri, United States

CCOP - Beaumont

🇺🇸

Royal Oak, Michigan, United States

CCOP - Cancer Research for the Ozarks

🇺🇸

Springfield, Missouri, United States

CCOP - Grand Rapids

🇺🇸

Grand Rapids, Michigan, United States

St. Louis University Hospital Cancer Center

🇺🇸

Saint Louis, Missouri, United States

Veterans Affairs Medical Center - Jackson

🇺🇸

Jackson, Mississippi, United States

Providence Cancer Institute at Providence Hospital - Southfield

🇺🇸

Southfield, Michigan, United States

Veterans Affairs Medical Center - Albuquerque

🇺🇸

Albuquerque, New Mexico, United States

MBCCOP - University of New Mexico HSC

🇺🇸

Albuquerque, New Mexico, United States

CCOP - Southeast Cancer Control Consortium

🇺🇸

Goldsboro, North Carolina, United States

Cleveland Clinic Taussig Cancer Center

🇺🇸

Cleveland, Ohio, United States

CCOP - Dayton

🇺🇸

Dayton, Ohio, United States

CCOP - Western Regional, Arizona

🇺🇸

Phoenix, Arizona, United States

Veterans Affairs Medical Center - Phoenix (Carl T. Hayden)

🇺🇸

Phoenix, Arizona, United States

University of California Davis Cancer Center

🇺🇸

Sacramento, California, United States

University of Colorado Cancer Center at University of Colorado Health Sciences Center

🇺🇸

Aurora, Colorado, United States

Veterans Affairs Medical Center - Denver

🇺🇸

Denver, Colorado, United States

Veterans Affairs Medical Center - Tampa (Haley)

🇺🇸

Tampa, Florida, United States

CCOP - Michigan Cancer Research Consortium

🇺🇸

Ann Arbor, Michigan, United States

University of Michigan Comprehensive Cancer Center

🇺🇸

Ann Arbor, Michigan, United States

Barbara Ann Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

Veterans Affairs Medical Center - Detroit

🇺🇸

Detroit, Michigan, United States

Josephine Ford Cancer Center at Henry Ford Health System

🇺🇸

Detroit, Michigan, United States

Oklahoma University Medical Center

🇺🇸

Oklahoma City, Oklahoma, United States

Cancer Institute at Oregon Health and Science University

🇺🇸

Portland, Oregon, United States

Veterans Affairs Medical Center - Portland

🇺🇸

Portland, Oregon, United States

Veterans Affairs Medical Center - Tucson

🇺🇸

Tucson, Arizona, United States

Arizona Cancer Center at University of Arizona Health Sciences Center

🇺🇸

Tucson, Arizona, United States

City of Hope Comprehensive Cancer Center

🇺🇸

Duarte, California, United States

Arkansas Cancer Research Center at University of Arkansas for Medical Sciences

🇺🇸

Little Rock, Arkansas, United States

Veterans Affairs Medical Center - Little Rock

🇺🇸

Little Rock, Arkansas, United States

Veterans Affairs Medical Center - Loma Linda (Pettis)

🇺🇸

Loma Linda, California, United States

USC/Norris Comprehensive Cancer Center and Hospital

🇺🇸

Los Angeles, California, United States

Jonsson Comprehensive Cancer Center, UCLA

🇺🇸

Los Angeles, California, United States

CCOP - Bay Area Tumor Institute

🇺🇸

Oakland, California, United States

Chao Family Comprehensive Cancer Center at University of California Irvine Cancer Center

🇺🇸

Orange, California, United States

CCOP - Santa Rosa Memorial Hospital

🇺🇸

Santa Rosa, California, United States

MBCCOP - Howard University Cancer Center

🇺🇸

Washington, District of Columbia, United States

Veterans Affairs Medical Center - Chicago (Westside Hospital)

🇺🇸

Chicago, Illinois, United States

Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center

🇺🇸

Kansas City, Kansas, United States

Veterans Affairs Medical Center - Wichita

🇺🇸

Wichita, Kansas, United States

Veterans Affairs Medical Center - Hines

🇺🇸

Hines, Illinois, United States

Veterans Affairs Medical Center - Lexington

🇺🇸

Lexington, Kentucky, United States

Markey Cancer Center at University of Kentucky Chandler Medical Center

🇺🇸

Lexington, Kentucky, United States

MBCCOP - LSU Health Sciences Center

🇺🇸

New Orleans, Louisiana, United States

Tulane Cancer Center at Tulane University Hospital and Clinic

🇺🇸

New Orleans, Louisiana, United States

Veterans Affairs Medical Center - Shreveport

🇺🇸

Shreveport, Louisiana, United States

Veterans Affairs Medical Center - New Orleans

🇺🇸

New Orleans, Louisiana, United States

Louisiana State University Health Sciences Center - Shreveport

🇺🇸

Shreveport, Louisiana, United States

NYU School of Medicine's Kaplan Comprehensive Cancer Center

🇺🇸

New York, New York, United States

CCOP - St. Louis-Cape Girardeau

🇺🇸

Saint Louis, Missouri, United States

James P. Wilmot Cancer Center at University of Rochester Medical Center

🇺🇸

Rochester, New York, United States

CCOP - Columbus

🇺🇸

Columbus, Ohio, United States

Charles M. Barrett Cancer Center at University Hospital

🇺🇸

Cincinnati, Ohio, United States

Veterans Affairs Medical Center - Dayton

🇺🇸

Dayton, Ohio, United States

CCOP - Columbia River Oncology Program

🇺🇸

Portland, Oregon, United States

Veterans Affairs Medical Center - Charleston

🇺🇸

Charleston, South Carolina, United States

Veterans Affairs Medical Center - Memphis

🇺🇸

Memphis, Tennessee, United States

Hollings Cancer Center at Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

Harrington Cancer Center

🇺🇸

Amarillo, Texas, United States

CCOP - Greenville

🇺🇸

Greenville, South Carolina, United States

University of Tennessee Cancer Institute at Methodist Central Hospital

🇺🇸

Memphis, Tennessee, United States

University of Texas - MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

Brooke Army Medical Center

🇺🇸

Fort Sam Houston, Texas, United States

Veterans Affairs Medical Center - Temple

🇺🇸

Temple, Texas, United States

CCOP - Scott and White Hospital

🇺🇸

Temple, Texas, United States

CCOP - Northwest

🇺🇸

Tacoma, Washington, United States

Puget Sound Oncology Consortium

🇺🇸

Seattle, Washington, United States

Veterans Affairs Medical Center - Amarillo

🇺🇸

Amarillo, Texas, United States

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