Treatment After Irinotecan-based Frontline Therapy: Maintenance With Erbitux (in Patients wtRAS mCRC)

Phase 2

Completed

• Conditions: Metastatic Colorectal Cancer
• Interventions: Drug: FOLFIRI and cetuximab; Drug: Cetuximab

• Registration Number: NCT02404935
• Lead Sponsor: UNICANCER

Brief Summary

National multicentric phase II trial evaluating whether single agent cetuximab is effective as maintenance therapy after 8 cycles of first line FOLFIRI plus cetuximab in mCRC patients with KRAS and NRAS wild-type genes, assessed by progression-free survival at 6 months after start of maintenance therapy.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-11-22
• Study First Submitted: 2015-03-23
• Study First Submitted QC: 2015-03-31
• Study First Posted: 2015-04-01
• Primary Completion: 2020-11-01
• Study Completion: 2021-10-25
• Status Verified: 2022-03
• Last Update Submitted: 2022-03-23
• Last Update Posted: 2022-03-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 139

Inclusion Criteria

1. Histologically confirmed colorectal cancer
2. KRAS and NRAS wild-type genes after analysis of mutation status from the primary tumour or metastasis
3. Non resectable metastatic disease in a curative intent
4. No prior chemotherapy except for fluoropyrimidines with or without oxaliplatin-based adjuvant treatment, at least 6 months before inclusion
5. At least one measurable tumour target (higher than 20 mm) according to RECIST criteria, which has never been irradiated
6. Life expectancy above 3 months
7. Performance Status ≤2 (WHO)
8. Patient ≥18 years-old
9. Acceptable blood test
10. Patient having signed a written informed consent form

Exclusion Criteria

1. Known and/or symptomatic brain metastases
2. Known allergy to one of treatment components
3. Neurological or psychiatric condition which could interfere with good treatment compliance
4. Current anti-tumour treatment : chemotherapy or targeted therapy or radiotherapy ≤ 14 days before randomisation
5. Other severe conditions such as: respiratory failure. History of interstitial lung disease e.g. pneumonitis or pulmonary fibrosis or evidence of interstitial lung disease on baseline chest CT scan
6. Clinically significant cardiovascular disease (including myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) 6 months before enrollment/randomization
7. Concomitant severe infection
8. History of cancer (except skin cancer other than melanoma or an in situ cervical epithelioma or other solid tumour treated for curative purposes without signs of the condition and with no treatment administered in the 5 years before randomisation.)
9. Patient already included in another clinical trial with an investigational molecule
10. Prior treatment with anti-EGFr antibodies (e.g. panitumumab (Vectibix® or cetuximab / Erbitux® ) or treatment with small EGFr inhibitor molecules (e.g., erlotinib / Tarceva®)
11. Pregnant female, likely to be or currently breastfeeding, or planning to become pregnant within 6 months after the end of treatment or absence of effective contraception for males and females of childbearing age during treatment and for 6 months (male or female) after the end of treatment
12. Those deprived of their freedom or under guardianship
13. Impossibility of undergoing trial's medical follow-up for geographical, social or psychological reasons

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Arm B observation	FOLFIRI and cetuximab	observation until progression
Arm A cetuximab	FOLFIRI and cetuximab	cetuximab 500 mg/m2 (every 2 weeks) until progression
Arm A cetuximab	Cetuximab	cetuximab 500 mg/m2 (every 2 weeks) until progression

Primary Outcome Measures

Name	Time	Method
Progression Free Survival at 6 months	6 months after start of maintenance therapy	Endpoints will include Progression assessed by CT Scan according to RECIST 1.1 criteria and Death from any cause

Trial Locations

Locations (46)

Centre Hospitalier d'Auxerre; 🇫🇷 Auxerre, France

Centre Hospitalier Intercommunal Cote Basque; 🇫🇷 Bayonne, France

Centre Hospitalier de Beauvais; 🇫🇷 Beauvais, France

Clinqiue Tivoli; 🇫🇷 Bordeaux, France

Centre Hospitalier de Béziers; 🇫🇷 Béziers, France

Centre Hospitalier Estaing; 🇫🇷 Clermont-Ferrand, France

Clinique du Mousseau; 🇫🇷 Evry, France

Clinique du Cap d'Or; 🇫🇷 La Seyne-sur-Mer, France

Centre Oscar Lambret; 🇫🇷 Lille, France

Clinique Mutualiste de l'Estuaire; 🇫🇷 Saint Nazaire, France

Polyclinique de l'Ormeau; 🇫🇷 Tarbes, France

Institut Bergonie; 🇫🇷 Bordeaux, France

Centre Hospitalier d'Orléans La Source; 🇫🇷 Orléans, France

Institut Sainte Catherine; 🇫🇷 Avignon, France

Gustave Roussy; 🇫🇷 Villejuif, Ile De France, France

CHU- Hôpital Sud; 🇫🇷 Amiens, France

Centre Hospitalier Universitaire d'Angers; 🇫🇷 Angers, France

Centre Hospitalier de Blois; 🇫🇷 Blois, France

Hôpital Avicenne; 🇫🇷 Bobigny, France

Hôpital Côte de nacre; 🇫🇷 Caen, France

Centre François Baclesse; 🇫🇷 Caen, France

Centre Hospitalier Jean Rougier; 🇫🇷 Cahors, France

Centre Hospitalier de la Dracénie; 🇫🇷 Draguignan, France

Hôpital du Bocage; 🇫🇷 Dijon, France

Centre Hospitalier Intercommunal; 🇫🇷 Frejus, France

Centre hospitalier Départemental de Vendée - Les Oudairies; 🇫🇷 La Roche-sur-Yon, France

CHU de Limoges - Hôpital Dupuytren; 🇫🇷 Limoges, France

Hôpital Bicêtre; 🇫🇷 Le Kremlin Bicêtre, France

Clinique Francois Chenieux; 🇫🇷 Limoges, France

Centre Léon Bérard; 🇫🇷 Lyon, France

Hôpital Privé Clairval; 🇫🇷 Marseille, France

Institut Paoli Calmettes; 🇫🇷 Marseille, France

Centre de Cancérologie du Grand Montpellier - Clinique Clementville; 🇫🇷 Montpellier, France

Centre Hospitalier Montelimar; 🇫🇷 Montelimar, France

Centre Antoine Lacassagne; 🇫🇷 Nice, France

Institut régional du Cancer Montpellier; 🇫🇷 Montpellier, France

Polyclinique Francheville; 🇫🇷 Perigueux, France

Centre Hospitalier Lyon Sud; 🇫🇷 Pierre Bénite, France

Centre Hospitalier de Romans; 🇫🇷 Romans, France

Hôpital Saint Jean; 🇫🇷 Perpignan, France

CHU - Robert Debre; 🇫🇷 Reims, France

Centre Hospitalier Hôpital Victor Provo; 🇫🇷 Roubaix, France

Hôpital Saint Gregoire; 🇫🇷 Saint Gregoire, France

CHU Saint Etienne - Hôpital Nord; 🇫🇷 Saint-Priest-en-Jarez, France

Centre Paul Strauss; 🇫🇷 Strasbourg, France

Centre Hospitalier Intercommunal de Toulon; 🇫🇷 Toulon, France