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A Phase II Study of Bi-weekly XELIRI with Bevacizumab for patient with Metastatic Colorectal Cancer as second-line chemotherapy

Phase 2
Conditions
advanced and/or recurrent colorectal cancer
Registration Number
JPRN-UMIN000009280
Lead Sponsor
PO Japan Southwest Oncology Research Support Organization(JSWOG)
Brief Summary

51 patients were enrolled in this study. Median PFS was 5.5 months, and median OS was 13.5 months. The RR was 14.6%, and the DCR was 66.7%. Hypertension was the most common Grade 3 adverse event (27.5%), followed by neutropenia (17.6%). Only two patients suffered from grade 3 hand-foot syndrome. In mCRC patients, biweekly CAPIRI + bevacizumab appears effective and feasible as a second-line chemotherapy with relatively low toxicities, and has potential as a useful substitute for FOLFIRI + bevacizumab.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
51
Inclusion Criteria

Not provided

Exclusion Criteria

(1) Massive pleural effusion or ascites that required drainage (2) Severe liver disease (3) Severe renal function disorder, 2+ or higher proteinuria within 2 weeks prior to enrollment (4) Severe renal failure (5) Metastases to the CNS (6) History of active double cancer within 5 years (7) Complication of cerebrovascular disease or symptoms within 1 year (8) Patient receiving surgical procedure or such as skin-open biopsy, trauma surgery, or other more intensive surgeries within 4 weeks or aspiration biopsy within a week (9) Radiation therapy within 4 weeks before enrollment (10) Administering antithrombotic drug within 10 days before enrollment (11) bleeding diathesis or receiving anticoagulant drug(except Aspirin under 325mg/day) (12) A bleeding tendency, coagulation disorder or abnormal coagulation factor (13) Uncontrollable peptic ulcer (14) History of gastrointestinal perforation within 1 year. (15) Patient with untreated traumatic bone fracture (16) Uncontrollable hypertension (17) Serious heart disease (18) History of severe allergy with 5-FU (19) Uncontrollable diarrhea (20) Interstitial pneumonitis (21) Inability of oral Agent intake (22) Requiring novel immunosuppressant and steroid (23) Receiving atazanavir sulfate (24) Severe infection disease (25) Treatment history of CPT-11 (26) Other conditions not suitable for this study

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
progression free survival and safety
Secondary Outcome Measures
NameTimeMethod
overall survival,time to progression, and safety,Response rate,Dose Intensity,and Analysis of the safety and efficacy of CPT-11-containing regimens based on genetic polymorphisms UGT1As
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