Randomized, Double-Blind, Phase II Study of FOLFOX/Bevacizumab With Onartuzumab (MetMAb) Versus Placebo as First-Line Treatment for Patients With Metastatic Colorectal Cancer
Overview
- Phase
- Phase 2
- Intervention
- 5-FU
- Conditions
- Colorectal Cancer
- Sponsor
- Genentech, Inc.
- Enrollment
- 194
- Locations
- 23
- Primary Endpoint
- Progression-free survival: time from randomization to tumor progression or death, tumor assessments according to RECIST criteria
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
This randomized, double-blind, placebo-controlled study will evaluate the efficacy and safety of FOLFOX/bevacizumab with onartuzumab (MetMAb) versus placebo as first-line treatment in patients with metastatic colorectal cancer.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adult patients, \>/= 18 years of age
- •Histologically or cytologically confirmed adenocarcinoma of the colon or rectum in patients with metastatic (Stage IV) disease
- •Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- •Measurable disease by RECIST criteria
- •Adequate organ system function, as defined by protocol
Exclusion Criteria
- •Prior systemic or radiation therapy for metastatic colorectal cancer
- •Adjuvant chemotherapy (and/or chemoradiation) for colorectal cancer within 12 months prior to date of diagnosis of metastatic disease
- •Previously untreated brain metastases
- •History of hypersensitivity to active or inactive excipients of any component of treatment, or known dipyrimidine dehydrogenase deficiency
- •Evidence of bleeding diathesis or significant coagulopathy (in the absence of therapeutic anticoagulation)
- •History of hematemesis or hemoptysis \</= 1 months prior to study enrollment
- •Significant cardiovascular disease or disorder
- •History of abdominal fistula or gastrointestinal perforation \</= 6 months prior to Day 1
- •Positive for hepatitis B, hepatitis C or HIV infection
- •Other active cancers or history of treatment for invasive cancer within the last 5 years, except for non-melanoma skin cancer
Arms & Interventions
A
Intervention: 5-FU
A
Intervention: FOLFOX regimen
A
Intervention: bevacizumab [Avastin]
A
Intervention: leucovorin
A
Intervention: onartuzumab [MetMAb]
B
Intervention: 5-FU
B
Intervention: FOLFOX regimen
B
Intervention: Placebo
B
Intervention: bevacizumab [Avastin]
B
Intervention: leucovorin
Outcomes
Primary Outcomes
Progression-free survival: time from randomization to tumor progression or death, tumor assessments according to RECIST criteria
Time Frame: up to 4 years
Secondary Outcomes
- Response rate (complete response + partial response)(up to 4 years)
- Overall survival(up to 4 years)
- Safety: Incidence of adverse events(up to 4 years)
- Time to treatment failure: from randomization to treatment discontinuation for any reason including disease progression, treatment toxicity, and death(up to 4 years)