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Phase 2 Study of ABT-869 in Combination With mFOLFOX6 Versus Bevacizumab in Combination With mFOLFOX6 to Treat Advanced Colorectal Cancer

Primary Purpose

Advanced Colorectal Cancer, Adenocarcinoma of the Colon, Adenocarcinoma of the Rectum

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ABT-869
bevacizumab
oxaliplatin
folinic acid
fluorouracil
ABT-869
Sponsored by
AbbVie (prior sponsor, Abbott)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Colorectal Cancer

Eligibility Criteria

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

Inclusion Criteria:

Subject must be >/= 18 years of age. Subject (male or female) must be diagnosed with adenocarcinoma of the colon or rectum. Subject must have metastatic disease or locally recurrent disease that is not amenable to surgical resection with curative intent.

Subject must have received one prior chemotherapy regimen containing irinotecan or a fluoropyrimidine for locally recurrent or metastatic colon or rectal cancer.

Subject has experienced progressive disease during or following the previous anti-tumor treatment.

Subject may have received prior adjuvant treatment for colorectal cancer. Subject has measurable disease by RECIST criteria (randomized portion only). Eastern Cooperative Oncology Group (ECOG) Performance Score of 0-1. Subject must have adequate bone marrow, renal and hepatic function. Subject must have Partial Thromboplastin Time (PTT) < 1.5 x Upper Limit of Normal (ULN) and International Normalized Ratio (INR) < 1.5.

Exclusion Criteria:

Subject has received more than one prior therapy in the metastatic setting. Lead-in Cohort only: The subject may have received more than one prior therapy in the metastatic setting.

Subject has received cytotoxic chemotherapy within 21 days prior to Study Day 1.

Subject has received non-cytotoxic, anti-cancer therapy within 21 days or within a period defined by 5 half lives whichever is shorter, prior to Study Day 1.

Subject has not recovered to less than or equal to Grade 1 clinically significant adverse effects/toxicities of the previous therapy.

Subject has received prior treatment with a tyrosine kinase inhibitor targeting VEGF or PDGF.

Subject has received prior treatment with oxaliplatin in the metastatic setting. Lead-in cohort only: Prior treatment with oxaliplatin will be allowed provided that any neuropathy as a result of the oxaliplatin treatment has resolved to less than or equal to Grade 1.

Subject has had major surgery within 28 days of Study Day 1. Subject has had radiotherapy within 14 days of Study Day 1. Subject has a history of hypersensitivity to recombinant murine monoclonal antibodies, oxaliplatin or other platinum-containing compounds, fluorouracil, or folinic acid.

Subject has a known intolerance to bevacizumab. Subject has untreated brain or meningeal metastases. Subject is receiving therapeutic anticoagulation therapy . Subject has a history of/or currently exhibits clinically significant cancer related events of bleeding.

Subject currently exhibits symptomatic or persistent, uncontrolled hypertension.

Subject has a history of myocardial infarction, stroke, or transient ischemic attack within six months of Study Day 1.

History of another active cancer within the past 5 years except cervical cancer in situ, in situ carcinoma of the bladder, squamous cell or basal cell carcinoma of the skin.

Sites / Locations

  • Site Reference ID/Investigator# 11341
  • Site Reference ID/Investigator# 20801
  • Site Reference ID/Investigator# 8360
  • Site Reference ID/Investigator# 18581
  • Site Reference ID/Investigator# 23443
  • Site Reference ID/Investigator# 18023
  • Site Reference ID/Investigator# 23646
  • Site Reference ID/Investigator# 18026
  • Site Reference ID/Investigator# 18022
  • Site Reference ID/Investigator# 26662
  • Site Reference ID/Investigator# 24245
  • Site Reference ID/Investigator# 23265
  • Site Reference ID/Investigator# 21083
  • Site Reference ID/Investigator# 22465
  • Site Reference ID/Investigator# 22141
  • Site Reference ID/Investigator# 22289
  • Site Reference ID/Investigator# 22286
  • Site Reference ID/Investigator# 22287
  • Site Reference ID/Investigator# 18281
  • Site Reference ID/Investigator# 18283
  • Site Reference ID/Investigator# 18282
  • Site Reference ID/Investigator# 20281
  • Site Reference ID/Investigator# 20141
  • Site Reference ID/Investigator# 17946
  • Site Reference ID/Investigator# 38284
  • Site Reference ID/Investigator# 23908
  • Site Reference ID/Investigator# 22324
  • Site Reference ID/Investigator# 23724
  • Site Reference ID/Investigator# 23964
  • Site Reference ID/Investigator# 23303
  • Site Reference ID/Investigator# 23302
  • Site Reference ID/Investigator# 17962
  • Site Reference ID/Investigator# 17964
  • Site Reference ID/Investigator# 23304
  • Site Reference ID/Investigator# 17961
  • Site Reference ID/Investigator# 23305
  • Site Reference ID/Investigator# 24422
  • Site Reference ID/Investigator# 25063
  • Site Reference ID/Investigator# 25065
  • Site Reference ID/Investigator# 24423
  • Site Reference ID/Investigator# 22809
  • Site Reference ID/Investigator# 22807
  • Site Reference ID/Investigator# 22804
  • Site Reference ID/Investigator# 22801
  • Site Reference ID/Investigator# 22803
  • Site Reference ID/Investigator# 22800

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Active Comparator

Arm Label

A

B

C

Arm Description

Open-label to Bevacizumab plus mFOLFOX6

Open-label to High-dose ABT-869 arm plus mFOLFOX6

Open-label to low-dose ABT-869 arm plus mFOLFOX6

Outcomes

Primary Outcome Measures

Progression-free survival

Secondary Outcome Measures

Overall survival
12-month overall survival rate
Objective response rate

Full Information

First Posted
June 27, 2008
Last Updated
May 7, 2013
Sponsor
AbbVie (prior sponsor, Abbott)
Collaborators
Genentech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00707889
Brief Title
Phase 2 Study of ABT-869 in Combination With mFOLFOX6 Versus Bevacizumab in Combination With mFOLFOX6 to Treat Advanced Colorectal Cancer
Official Title
An Open-Label, Randomized Phase 2 Study of ABT-869 in Combination With mFOLFOX6 (Oxaliplatin, 5-Fluorouracil, and Folinic Acid) Versus Bevacizumab in Combination With mFOLFOX6 as Second-line Treatment of Subjects With Advanced Colorectal Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
May 2013
Overall Recruitment Status
Completed
Study Start Date
October 2008 (undefined)
Primary Completion Date
May 2012 (Actual)
Study Completion Date
May 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AbbVie (prior sponsor, Abbott)
Collaborators
Genentech, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To determine the effect of ABT-869 plus mFOLFOX6 compared to bevacizumab plus mFOLFOX6 on disease progression in advanced colorectal cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Colorectal Cancer, Adenocarcinoma of the Colon, Adenocarcinoma of the Rectum

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
159 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A
Arm Type
Active Comparator
Arm Description
Open-label to Bevacizumab plus mFOLFOX6
Arm Title
B
Arm Type
Active Comparator
Arm Description
Open-label to High-dose ABT-869 arm plus mFOLFOX6
Arm Title
C
Arm Type
Active Comparator
Arm Description
Open-label to low-dose ABT-869 arm plus mFOLFOX6
Intervention Type
Drug
Intervention Name(s)
ABT-869
Intervention Description
12.5 mg QD, tablets taken orally days 1-14 of every 14-day cycle
Intervention Type
Drug
Intervention Name(s)
bevacizumab
Intervention Description
10 mg/kg QD, IV on Day 1 of each 14-day cycle
Intervention Type
Drug
Intervention Name(s)
oxaliplatin
Other Intervention Name(s)
mFOLFOX6 regimen
Intervention Description
85 mg/m2 IV, 120 minutes on Day 1 of each 14-day cycle
Intervention Type
Drug
Intervention Name(s)
folinic acid
Other Intervention Name(s)
mFOLFOX6 regimen
Intervention Description
400 mg/m2 IV, 120 minutes on Day 1 of each 14-day cycle
Intervention Type
Drug
Intervention Name(s)
fluorouracil
Other Intervention Name(s)
mFOLFOX6 regimen
Intervention Description
400 mg/m2 IV bolus on Day 1 of each 14-day cycle; followed by 2400 mg/m2 IV infusion 46-48 hours
Intervention Type
Drug
Intervention Name(s)
ABT-869
Intervention Description
7.5 mg QD tablets taken orally days 1-14 of every 14-day cycle
Primary Outcome Measure Information:
Title
Progression-free survival
Time Frame
Radiographic evaluation every 2 months, clinial evaluation every 2 weeks
Secondary Outcome Measure Information:
Title
Overall survival
Time Frame
from randomization until patient death or alive at 5 years
Title
12-month overall survival rate
Time Frame
from randomization until patient death or alive at 5 years
Title
Objective response rate
Time Frame
from randomization until patient death or alive at 5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject must be >/= 18 years of age. Subject (male or female) must be diagnosed with adenocarcinoma of the colon or rectum. Subject must have metastatic disease or locally recurrent disease that is not amenable to surgical resection with curative intent. Subject must have received one prior chemotherapy regimen containing irinotecan or a fluoropyrimidine for locally recurrent or metastatic colon or rectal cancer. Subject has experienced progressive disease during or following the previous anti-tumor treatment. Subject may have received prior adjuvant treatment for colorectal cancer. Subject has measurable disease by RECIST criteria (randomized portion only). Eastern Cooperative Oncology Group (ECOG) Performance Score of 0-1. Subject must have adequate bone marrow, renal and hepatic function. Subject must have Partial Thromboplastin Time (PTT) < 1.5 x Upper Limit of Normal (ULN) and International Normalized Ratio (INR) < 1.5. Exclusion Criteria: Subject has received more than one prior therapy in the metastatic setting. Lead-in Cohort only: The subject may have received more than one prior therapy in the metastatic setting. Subject has received cytotoxic chemotherapy within 21 days prior to Study Day 1. Subject has received non-cytotoxic, anti-cancer therapy within 21 days or within a period defined by 5 half lives whichever is shorter, prior to Study Day 1. Subject has not recovered to less than or equal to Grade 1 clinically significant adverse effects/toxicities of the previous therapy. Subject has received prior treatment with a tyrosine kinase inhibitor targeting VEGF or PDGF. Subject has received prior treatment with oxaliplatin in the metastatic setting. Lead-in cohort only: Prior treatment with oxaliplatin will be allowed provided that any neuropathy as a result of the oxaliplatin treatment has resolved to less than or equal to Grade 1. Subject has had major surgery within 28 days of Study Day 1. Subject has had radiotherapy within 14 days of Study Day 1. Subject has a history of hypersensitivity to recombinant murine monoclonal antibodies, oxaliplatin or other platinum-containing compounds, fluorouracil, or folinic acid. Subject has a known intolerance to bevacizumab. Subject has untreated brain or meningeal metastases. Subject is receiving therapeutic anticoagulation therapy . Subject has a history of/or currently exhibits clinically significant cancer related events of bleeding. Subject currently exhibits symptomatic or persistent, uncontrolled hypertension. Subject has a history of myocardial infarction, stroke, or transient ischemic attack within six months of Study Day 1. History of another active cancer within the past 5 years except cervical cancer in situ, in situ carcinoma of the bladder, squamous cell or basal cell carcinoma of the skin.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mark D. McKee, MD
Organizational Affiliation
AbbVie
Official's Role
Study Director
Facility Information:
Facility Name
Site Reference ID/Investigator# 11341
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27599-7305
Country
United States
Facility Name
Site Reference ID/Investigator# 20801
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
Site Reference ID/Investigator# 8360
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232-6307
Country
United States
Facility Name
Site Reference ID/Investigator# 18581
City
Bedford Park
ZIP/Postal Code
5042
Country
Australia
Facility Name
Site Reference ID/Investigator# 23443
City
Herston
ZIP/Postal Code
4029
Country
Australia
Facility Name
Site Reference ID/Investigator# 18023
City
Bonheiden
ZIP/Postal Code
2820
Country
Belgium
Facility Name
Site Reference ID/Investigator# 23646
City
Brussels
ZIP/Postal Code
1200
Country
Belgium
Facility Name
Site Reference ID/Investigator# 18026
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Site Reference ID/Investigator# 18022
City
Roeselare
ZIP/Postal Code
8800
Country
Belgium
Facility Name
Site Reference ID/Investigator# 26662
City
Jau
ZIP/Postal Code
17210-120
Country
Brazil
Facility Name
Site Reference ID/Investigator# 24245
City
Porto Alegre
ZIP/Postal Code
90610-000
Country
Brazil
Facility Name
Site Reference ID/Investigator# 23265
City
Barrie
ZIP/Postal Code
L4M 6M2
Country
Canada
Facility Name
Site Reference ID/Investigator# 21083
City
Edmonton
ZIP/Postal Code
T6G 1Z2
Country
Canada
Facility Name
Site Reference ID/Investigator# 22465
City
Ottawa
ZIP/Postal Code
K1H 8L6
Country
Canada
Facility Name
Site Reference ID/Investigator# 22141
City
Nachod
ZIP/Postal Code
54769
Country
Czech Republic
Facility Name
Site Reference ID/Investigator# 22289
City
Heraklion
ZIP/Postal Code
71110
Country
Greece
Facility Name
Site Reference ID/Investigator# 22286
City
Thessaloniki
ZIP/Postal Code
54007
Country
Greece
Facility Name
Site Reference ID/Investigator# 22287
City
Thessaloniki
ZIP/Postal Code
56403
Country
Greece
Facility Name
Site Reference ID/Investigator# 18281
City
Seoul
ZIP/Postal Code
110-744
Country
Korea, Republic of
Facility Name
Site Reference ID/Investigator# 18283
City
Seoul
ZIP/Postal Code
135-710
Country
Korea, Republic of
Facility Name
Site Reference ID/Investigator# 18282
City
Seoul
ZIP/Postal Code
138-736
Country
Korea, Republic of
Facility Name
Site Reference ID/Investigator# 20281
City
Wellington South
ZIP/Postal Code
6021
Country
New Zealand
Facility Name
Site Reference ID/Investigator# 20141
City
Olsztyn
ZIP/Postal Code
10513
Country
Poland
Facility Name
Site Reference ID/Investigator# 17946
City
Warsaw
ZIP/Postal Code
02-781
Country
Poland
Facility Name
Site Reference ID/Investigator# 38284
City
Warsaw
ZIP/Postal Code
04-125
Country
Poland
Facility Name
Site Reference ID/Investigator# 23908
City
Aveiro
ZIP/Postal Code
3814-501
Country
Portugal
Facility Name
Site Reference ID/Investigator# 22324
City
Coimbra
ZIP/Postal Code
3001-651
Country
Portugal
Facility Name
Site Reference ID/Investigator# 23724
City
Faro
ZIP/Postal Code
8000-386
Country
Portugal
Facility Name
Site Reference ID/Investigator# 23964
City
Lisbon
ZIP/Postal Code
1099-023
Country
Portugal
Facility Name
Site Reference ID/Investigator# 23303
City
Baia Mare
ZIP/Postal Code
430031
Country
Romania
Facility Name
Site Reference ID/Investigator# 23302
City
Brasov
ZIP/Postal Code
500117
Country
Romania
Facility Name
Site Reference ID/Investigator# 17962
City
Bucharest
ZIP/Postal Code
022328
Country
Romania
Facility Name
Site Reference ID/Investigator# 17964
City
Bucharest
ZIP/Postal Code
022328
Country
Romania
Facility Name
Site Reference ID/Investigator# 23304
City
Bucharest
ZIP/Postal Code
050098
Country
Romania
Facility Name
Site Reference ID/Investigator# 17961
City
Cluj Napoca
ZIP/Postal Code
400015
Country
Romania
Facility Name
Site Reference ID/Investigator# 23305
City
Craiova
ZIP/Postal Code
200385
Country
Romania
Facility Name
Site Reference ID/Investigator# 24422
City
Moscow
ZIP/Postal Code
115478
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 25063
City
Moscow
ZIP/Postal Code
115478
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 25065
City
Moscow
ZIP/Postal Code
117997
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 24423
City
Moscow
ZIP/Postal Code
143423
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 22809
City
A Coruna
ZIP/Postal Code
15006
Country
Spain
Facility Name
Site Reference ID/Investigator# 22807
City
Barcelona
ZIP/Postal Code
08907
Country
Spain
Facility Name
Site Reference ID/Investigator# 22804
City
Madrid
ZIP/Postal Code
28034
Country
Spain
Facility Name
Site Reference ID/Investigator# 22801
City
Madrid
ZIP/Postal Code
28050
Country
Spain
Facility Name
Site Reference ID/Investigator# 22803
City
Pamplona Navarra
ZIP/Postal Code
31008
Country
Spain
Facility Name
Site Reference ID/Investigator# 22800
City
Santander
ZIP/Postal Code
39008
Country
Spain

12. IPD Sharing Statement

Learn more about this trial

Phase 2 Study of ABT-869 in Combination With mFOLFOX6 Versus Bevacizumab in Combination With mFOLFOX6 to Treat Advanced Colorectal Cancer

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