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SU011248 in Combination With Irinotecan and Cetuximab as a Second Line Regimen for Stage IV Colorectal Cancer

Primary Purpose

Colorectal Carcinoma

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
SU011248
Irinotecan
Cetuximab
Sponsored by
Massachusetts General Hospital
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Carcinoma focused on measuring Sutent

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Histologic proof of adenocarcinoma of the colon or rectum with evidence of metastatic disease. The site of the primary lesion must be or have been confirmed endoscopically, radiologically, or surgically to be or have been in the large bowel Patients must have received one (and only one) prior chemotherapy regimen for metastatic disease using 5-FU/LV or Xeloda in combination with oxaliplatin and Avastin. > 4 weeks must have elapsed from the time of major surgery > 2 weeks must have elapsed from the time of minor surgery > 4 weeks must have elapsed from the time of major radiotherapy Normal organ and marrow function Measurable disease be RECIST criteria Older than 18 years of age ECOG performance status of 0-1 Life expectancy > 12 weeks Exclusion Criteria: Previous treatment with irinotecan, cetuximab or SU011248 Any of the following within the 12 months prior to study drug administration: severe/unstable angina; myocardial infarction; symptomatic congestive heart failure; cerebrovascular accident; or transient ischemic attack. Known brain metastases or carcinomatous meningitis Uncontrolled serious medical or psychiatric illness NCI CTCAE grade 3 or greater hemorrhage within 4 weeks of starting study treatment Uncontrolled hypertension Diagnosis of any secondary malignancies with the last 5 years, except for adequately treated basal cell carcinoma, squamous cell skin cancer, localized prostate cancer with a normal PSA within the past 3 months, in situ bladder cancer, or in situ cervical cancer Pregnant or breastfeeding Concurrent treatment on another clinical trial

Sites / Locations

  • Massachusetts General Hospital
  • Beth Israel Deaconess Medical Center
  • Dana-Farber Cancer Institute

Outcomes

Primary Outcome Measures

To determine the maximum tolerated dose of SU011248 when given in combination with irinotecan and cetuximab in patients with previously treated locally advanced, locally recurrent, or metastatic colorectal adenocarcinoma
To determine the response rate of SU011248 when given in combination with irinotecan and cetuximab in this patient population.

Secondary Outcome Measures

To evaluate the toxicities of this combination of drugs in this patient population
to assess overall survival, progression-free survival, time to progression and duration of response.

Full Information

First Posted
August 4, 2006
Last Updated
February 16, 2017
Sponsor
Massachusetts General Hospital
Collaborators
Beth Israel Deaconess Medical Center, Dana-Farber Cancer Institute
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1. Study Identification

Unique Protocol Identification Number
NCT00361244
Brief Title
SU011248 in Combination With Irinotecan and Cetuximab as a Second Line Regimen for Stage IV Colorectal Cancer
Official Title
A Phase I/II Study of SU011248 (Sutent) in Combination With Irinotecan and Cetuximab as a Second Line Regimen for Patients With Stage IV Colorectal Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
February 2017
Overall Recruitment Status
Terminated
Why Stopped
Slow Accrual
Study Start Date
July 2006 (Actual)
Primary Completion Date
October 2007 (Actual)
Study Completion Date
August 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Massachusetts General Hospital
Collaborators
Beth Israel Deaconess Medical Center, Dana-Farber Cancer Institute

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to determine the safety of SU011248 and the highest dose of this drug that can be given safely in combination with the chemotherapy drugs irinotecan and cetuximab. Laboratory studies have shown that SU011248 may block the growth of blood vessels in tumors, which may prevent tumors from growing any further. Other studies have demonstrated the possibility that SU011248 may enhance the anti-tumor activity of other chemotherapy drugs such as irinotecan and cetuximab.
Detailed Description
Participants will be given a supply of SU011248 capsules to take at home in the morning for two weeks. After taking the capsules for two weeks, there will be a one-week rest period. Irinotecan will be administered on days 1 and 8 of every 21-day cycle as an intravenous infusion over 90 minutes. Cetuximab will be administered intravenously on days 1, 8 and 15 of every 21-day cycle. The first treatment of cetuximab is a larger dose. Beginning with the second treatment, the participant will receive a smaller dose of cetuximab. Blood work will be repeated at every clinic visit on days 1 and 8. During cycle 1, blood will also be drawn on day 15. Tumor assessments will be repeated after 6 weeks, 12 weeks, and every 9 weeks thereafter, and will be assessed by both a CT scan of the abdomen, pelvis, and a chest x-ray. MUGA scans will be repeated every 4 cycles (12 weeks). Participants may continue to receive cycles of study treatment as long as their disease does not progress and they do not experience any serious side effects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Carcinoma
Keywords
Sutent

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
6 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
SU011248
Intervention Description
Given orally in the morning for two weeks followed by a one week rest period (one cycle equals 21 days). Participants may continue to receive study treatment as long as their disease does not progress and they do not experience any serious side effects.
Intervention Type
Drug
Intervention Name(s)
Irinotecan
Intervention Description
Given intravenously on days 1 and 8 of each 21-day cycle. Participants may continue to receive study treatment as long as their disease does not progress and they do not experience any serious side effects.
Intervention Type
Drug
Intervention Name(s)
Cetuximab
Intervention Description
Given intravenously on days 8 and 15 of each 21-day cycle. Participants may continue to receive study treatment as long as their disease does not progress and they do not experience any serious side effects.
Primary Outcome Measure Information:
Title
To determine the maximum tolerated dose of SU011248 when given in combination with irinotecan and cetuximab in patients with previously treated locally advanced, locally recurrent, or metastatic colorectal adenocarcinoma
Time Frame
1 year
Title
To determine the response rate of SU011248 when given in combination with irinotecan and cetuximab in this patient population.
Secondary Outcome Measure Information:
Title
To evaluate the toxicities of this combination of drugs in this patient population
Time Frame
1 year
Title
to assess overall survival, progression-free survival, time to progression and duration of response.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologic proof of adenocarcinoma of the colon or rectum with evidence of metastatic disease. The site of the primary lesion must be or have been confirmed endoscopically, radiologically, or surgically to be or have been in the large bowel Patients must have received one (and only one) prior chemotherapy regimen for metastatic disease using 5-FU/LV or Xeloda in combination with oxaliplatin and Avastin. > 4 weeks must have elapsed from the time of major surgery > 2 weeks must have elapsed from the time of minor surgery > 4 weeks must have elapsed from the time of major radiotherapy Normal organ and marrow function Measurable disease be RECIST criteria Older than 18 years of age ECOG performance status of 0-1 Life expectancy > 12 weeks Exclusion Criteria: Previous treatment with irinotecan, cetuximab or SU011248 Any of the following within the 12 months prior to study drug administration: severe/unstable angina; myocardial infarction; symptomatic congestive heart failure; cerebrovascular accident; or transient ischemic attack. Known brain metastases or carcinomatous meningitis Uncontrolled serious medical or psychiatric illness NCI CTCAE grade 3 or greater hemorrhage within 4 weeks of starting study treatment Uncontrolled hypertension Diagnosis of any secondary malignancies with the last 5 years, except for adequately treated basal cell carcinoma, squamous cell skin cancer, localized prostate cancer with a normal PSA within the past 3 months, in situ bladder cancer, or in situ cervical cancer Pregnant or breastfeeding Concurrent treatment on another clinical trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andrew X. Zhu, MD
Organizational Affiliation
Massachusetts General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Beth Israel Deaconess Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
Dana-Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States

12. IPD Sharing Statement

Learn more about this trial

SU011248 in Combination With Irinotecan and Cetuximab as a Second Line Regimen for Stage IV Colorectal Cancer

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