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Individualised choise of 1.line chemotherapy of metastatic colo-rectal cancer. Can the blood test: TIMP-1 help the doctor to choose the best chemotherapy for the individual patient?

Conditions
Metastatic colon or rectal cancer
MedDRA version: 14.1Level: PTClassification code 10027457Term: Metastases to liverSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA version: 14.1Level: PTClassification code 10010035Term: Colorectal cancer stage IVSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2011-005495-42-DK
Lead Sponsor
Kell Osterlind
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
210
Inclusion Criteria

Histologically proven colon or rectal cancer
Metastatic disease primary (stage IV) or due to relapse of previous (resected) stage I-III disease
At least 1 measurable lesion
18 years of age or older
WHO performance status <3
Expected survival >3 months
Hgb>6.1 mmol/L, WBC>2.9, platelets>99
Kidney and liver function tests below certain defined upper limits
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 90
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 120

Exclusion Criteria

Previous chemotherapy (including adjuvant after primary surgery)
Previous cancer (except non melanoma skin cancer)
Allergy to any of the therapeutical substances
Neuropathy (e.g. alcoholic or diabetic)
Recent myocardial infarction or stroke
Uncontrollable hypertension

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary end point(s): Progression free survival (PFS);Timepoint(s) of evaluation of this end point: CT scan every 9 weeks. Endpoint achieved at CT scan proving progression;Main Objective: Aim is to investigate whether or not the cancer marker plasma TIMP-1 is related to probability of treatment response on chemotherapy with or without irinotecan;Secondary Objective: To investigate if addition of bevacizumab day 22 has specific impact on the initial effect of the chemotherapy as reflected in changes in plasma TIMP-1 and two other markers
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): Sequence of plasma TIMP-1 values days 0, 21, 42 and 63;Timepoint(s) of evaluation of this end point: Please se former cell
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