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Clinical Trials/NCT01108107
NCT01108107
Completed
Phase 2

Neoadjuvant Chemotherapy and Biological Treatment for Patients With Locally Advanced Colon Cancer

Vejle Hospital3 sites in 1 country76 target enrollmentApril 2010

Overview

Phase
Phase 2
Intervention
Oxaliplatin
Conditions
Colon Cancer
Sponsor
Vejle Hospital
Enrollment
76
Locations
3
Primary Endpoint
The frequency of patients requiring adjuvant chemotherapy based on the histological evaluation of the preparation from the operation.
Status
Completed
Last Updated
10 years ago

Overview

Brief Summary

This study will investigate

  • the effect of preoperative combination chemotherapy in patients with locally advanced colon cancer with mutation in the KRAS, BRAF or PIK3CA gene
  • the effect of preoperative combination chemotherapy in combination with biological treatment in patients without mutation in the KRAS, BRAF or PIK3CA gene.
Registry
clinicaltrials.gov
Start Date
April 2010
End Date
March 2015
Last Updated
10 years ago
Study Type
Interventional
Study Design
Factorial
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Histologically verified locally advanced T3 or T4 colon cancer assessed by CT scan
  • Analysis of KRAS, BRAF, PIK3CA
  • Age ≥18 år
  • Performance status ≤ 2
  • Hematology
  • ANC ≥ 1.5x10\^9/l. Thrombocytes ≥ 100x10\^9/l.
  • Biochemistry
  • Bilirubinaemia ≤ 3 x UNL. ALAT ≤ 5 x UNL
  • Consent to translational research
  • Fertile women must present a negative pregnancy test and use secure birth control during and 3 months after treatment.

Exclusion Criteria

  • Clinically significant cardiovascular disease (including myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) ≤ 1 year before enrollment, active severe infections or other concurrent disease.
  • Peripheral neuropathy NCI grade \>1
  • Other malignant disease within 5 years prior to enrollment, except basal cell squamous carcinoma of the skin and cervical carcinoma-in-situ
  • Other investigational treatment within 30 days prior to treatment start
  • History of interstitial lung disease e.g. pneumonitis or pulmonary fibrosis or evidence of interstitial lung disease on baseline chest CT scan.
  • Bleeding tumors
  • Hypersensitivity to one or more of the substances

Arms & Interventions

Chemotherapy only

Chemotherapy only, if mutations in KRAS, BRAF or PIK3CA gene

Intervention: Oxaliplatin

Chemotherapy only

Chemotherapy only, if mutations in KRAS, BRAF or PIK3CA gene

Intervention: Capecitabine

Chemotherapy + biological treatment

Addition of biological treatment, if no mutations in KRAS, BRAF, and PIK3CA genes.

Intervention: Oxaliplatin

Chemotherapy + biological treatment

Addition of biological treatment, if no mutations in KRAS, BRAF, and PIK3CA genes.

Intervention: Capecitabine

Chemotherapy + biological treatment

Addition of biological treatment, if no mutations in KRAS, BRAF, and PIK3CA genes.

Intervention: Panitumumab

Outcomes

Primary Outcomes

The frequency of patients requiring adjuvant chemotherapy based on the histological evaluation of the preparation from the operation.

Time Frame: Within 1 week after surgery

Secondary Outcomes

  • Recurrence free survival(Up to 2 years.)
  • Overall survival(Up to 2 years.)

Study Sites (3)

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