Bevacizumab Plus Fluorouracil and Leucovorin in Treating Patients With Locally Advanced or Metastatic Stage IV Colorectal Cancer That Has Progressed After Standard Chemotherapy
- Conditions
- Colorectal Cancer
- Registration Number
- NCT00066846
- Lead Sponsor
- National Cancer Institute (NCI)
- Brief Summary
RATIONALE: Bevacizumab may stop the growth of tumor cells by blocking the enzymes necessary for cancer cell growth. Drugs used in chemotherapy such as fluorouracil and leucovorin use different ways to stop tumor cells from dividing so they stop growing or die. Combining bevacizumab with fluorouracil and leucovorin may kill more tumor cells.
PURPOSE: Phase II trial to study the effectiveness of combining bevacizumab with fluorouracil and leucovorin in treating patients who have locally advanced or metastatic stage IV colorectal cancer that has progressed after standard chemotherapy.
- Detailed Description
OBJECTIVES:
* Determine the response rate of patients treated with bevacizumab, fluorouracil, and leucovorin calcium for stage IV colorectal cancer that has progressed after standard chemotherapy.
* Determine the time to progression and overall survival of patients treated with this regimen.
* Determine the safety of administering "bolus" and continuous infusion fluorouracil and leucovorin calcium in patients treated with this regimen.
OUTLINE: This is an open-label, multicenter study. Patients receive 1 of 2 treatment regimens.
* Regimen I: Patients receive bevacizumab IV on days 1, 15, 29, and 42 (every 2 weeks) and leucovorin calcium (CF) IV over 2 hours and fluorouracil (5-FU) IV bolus on days 1, 8, 15, 22, 29, and 36.
* Regimen II: Patients receive bevacizumab as in regimen I and CF IV over 2 hours and 5-FU IV bolus followed by a continuous infusion over 22 hours on days 1, 2, 15, 16, 29, 30, 43, and 44.
For both regimens, courses repeat every 8 weeks in the absence of disease progression or unacceptable toxicity.
Patients are followed for tumor response and survival.
PROJECTED ACCRUAL: Various NCI-designated Clinical Cancer Centers and other medical institutions across the United States will participate in this study. A total of 35-125 patients will be accrued for this study within 3 months.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- Not specified
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (33)
Loyola University Medical Center
🇺🇸Maywood, Illinois, United States
Fletcher Allen Health Care - University Health Center Campus
🇺🇸Burlington, Vermont, United States
Siouxland Hematology-Oncology
🇺🇸Sioux City, Iowa, United States
Cancer Care of Maine
🇺🇸Bangor, Maine, United States
St. Mary's/Duluth Clinic Cancer Center
🇺🇸Duluth, Minnesota, United States
Kimmel Cancer Center of Thomas Jefferson University - Philadelphia
🇺🇸Philadelphia, Pennsylvania, United States
Holden Comprehensive Cancer Center
🇺🇸Iowa City, Iowa, United States
Roswell Park Cancer Institute
🇺🇸Buffalo, New York, United States
Robert H. Lurie Comprehensive Cancer Center, Northwestern University
🇺🇸Chicago, Illinois, United States
Sioux Valley Clinics - Oncology
🇺🇸Sioux Falls, South Dakota, United States
Massey Cancer Center
🇺🇸Richmond, Virginia, United States
Jonsson Comprehensive Cancer Center, UCLA
🇺🇸Los Angeles, California, United States
CCOP - Atlanta Regional
🇺🇸Atlanta, Georgia, United States
Meritcare Roger Maris Cancer Center
🇺🇸Fargo, North Dakota, United States
Providence Alaska Medical Center
🇺🇸Anchorage, Alaska, United States
Lombardi Cancer Center
🇺🇸Washington, District of Columbia, United States
USC/Norris Comprehensive Cancer Center and Hospital
🇺🇸Los Angeles, California, United States
Ireland Cancer Center
🇺🇸Cleveland, Ohio, United States
CCOP - Virginia Mason Research Center
🇺🇸Seattle, Washington, United States
Seattle Cancer Care Alliance
🇺🇸Seattle, Washington, United States
Southern Nevada Cancer Research Foundation
🇺🇸Las Vegas, Nevada, United States
University of Mississippi Medical Center
🇺🇸Jackson, Mississippi, United States
CCOP - Montana Cancer Consortium
🇺🇸Billings, Montana, United States
Norris Cotton Cancer Center
🇺🇸Lebanon, New Hampshire, United States
CCOP - Wichita
🇺🇸Wichita, Kansas, United States
New York Weill Cornell Cancer Center at Cornell University
🇺🇸New York, New York, United States
Abramson Cancer Center of the University of Pennsylvania
🇺🇸Philadelphia, Pennsylvania, United States
Yale Comprehensive Cancer Center
🇺🇸New Haven, Connecticut, United States
University of Colorado Cancer Center at University of Colorado Health Sciences Center
🇺🇸Aurora, Colorado, United States
Saint Joseph Mercy Health System
🇺🇸Ann Arbor, Michigan, United States
Duke Comprehensive Cancer Center
🇺🇸Durham, North Carolina, United States
Comprehensive Cancer Center at Wake Forest University
🇺🇸Winston-Salem, North Carolina, United States
University of Oklahoma Health Sciences Center
🇺🇸Oklahoma City, Oklahoma, United States