A Phase II Trial Of IRESSA (NSC 715055, IND 61187) In Combination With 5-FU/LV/ CPT-11 In Patients With Advanced Or Recurrent Colorectal Cancer
试验速览
- 阶段
- 2 期
- 状态
- 终止
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Grade 3 or 4 toxicity, graded using the NCI CTC version 2.0
研究概览
简要总结
Phase II trial to study the effectiveness of combining gefitinib with fluorouracil, leucovorin, and irinotecan in treating patients who have advanced or recurrent colorectal cancer. Biological therapies such as gefitinib may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining gefitinib with fluorouracil, leucovorin, and irinotecan may kill more tumor cells
详细描述
OBJECTIVES:
I. Determine the safety of gefitinib, fluorouracil, leucovorin calcium, and irinotecan in patients with advanced or recurrent colorectal cancer.
II. Determine the major side effects of this regimen in these patients. III. Determine the response rate, progression-free survival, and overall survival of patients treated with this regimen.
IV. Correlate response and other measures of outcome with epidermal growth factor receptor expression and the expression of genes that impact upon pathways of fluoropyrimidine cytotoxicity in patients treated with this regimen.
OUTLINE: This is a non-randomized, open-label, multi-center study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Histologically confirmed advanced (stage IV) or recurrent adenocarcinoma of the colon or rectum
- •Must have available tissue for immunohistochemical analysis
- •At least one unidimensionally measurable lesion
- •At least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan
- •Tumor marker (carcinoembryonic antigen) elevation alone is insufficient for study entry
- •No known brain metastases
- •Performance status - ECOG 0-2
- •Granulocyte count at least 1,500/mm^3
- •Platelet count at least 100,000/mm^3
- •Bilirubin no greater than 1.5 times upper limit of normal (ULN)
- •AST less than 2 times ULN (5 times ULN if liver involvement of tumor)
- •Creatinine no greater than 1.5 times ULN
- •No symptomatic congestive heart failure
- •No unstable angina pectoris
- •No cardiac arrhythmia
- •Not pregnant or nursing
- •Fertile patients must use effective contraception
- •HIV negative
- •No other severe or uncontrolled concurrent illness that would adversely impact the safety or efficacy of study therapy
- •No ongoing or active infection
- •No other prior malignancy unless curatively treated and no evidence of recurrence
- •No history of allergic reactions attributed to compounds of similar chemical or biologic composition to gefitinib
- •No psychiatric illness or social situation that would preclude study compliance
- •No prior chemotherapy for advanced disease
- •More than 4 weeks since other prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered
- •More than 4 weeks since prior radiotherapy and recovered
- •At least 6 months since prior adjuvant therapy
- •No prior epidermal growth factor receptor inhibitor
- •No other concurrent investigational agents
- •No other concurrent anticancer therapy
- •No concurrent phenytoin, carbamazepine, barbiturates, rifampin, rifapentine, oxacarbazepine, modafinil, griseofulvin, or Hypericum perforatum
排除标准
- 未提供
研究组 & 干预措施
Treatment (irinotecan, gefitinib, leucovorin, fluorouracil)
Patients receive oral gefitinib daily beginning on day 1, irinotecan IV over 90 minutes on days 1 and 15, and leucovorin calcium IV over 2 hours and fluorouracil IV over 3-5 seconds followed by a 22-hour infusion on days 1, 2, 15, and 16. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
干预措施: irinotecan hydrochloride (Drug)
Treatment (irinotecan, gefitinib, leucovorin, fluorouracil)
Patients receive oral gefitinib daily beginning on day 1, irinotecan IV over 90 minutes on days 1 and 15, and leucovorin calcium IV over 2 hours and fluorouracil IV over 3-5 seconds followed by a 22-hour infusion on days 1, 2, 15, and 16. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
干预措施: gefitinib (Drug)
Treatment (irinotecan, gefitinib, leucovorin, fluorouracil)
Patients receive oral gefitinib daily beginning on day 1, irinotecan IV over 90 minutes on days 1 and 15, and leucovorin calcium IV over 2 hours and fluorouracil IV over 3-5 seconds followed by a 22-hour infusion on days 1, 2, 15, and 16. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
干预措施: leucovorin calcium (Drug)
Treatment (irinotecan, gefitinib, leucovorin, fluorouracil)
Patients receive oral gefitinib daily beginning on day 1, irinotecan IV over 90 minutes on days 1 and 15, and leucovorin calcium IV over 2 hours and fluorouracil IV over 3-5 seconds followed by a 22-hour infusion on days 1, 2, 15, and 16. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
干预措施: fluorouracil (Drug)
结局指标
主要结局
Grade 3 or 4 toxicity, graded using the NCI CTC version 2.0
时间窗: Up to 2 years
Response rate
时间窗: Up to 2 years
95% confidence interval will be determined.
次要结局
未报告次要终点