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Sunitinib and Capecitabine for First Line Colon Cancer

Primary Purpose

Metastatic Colorectal Cancer

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
sunitinib and capecitabine
Sponsored by
Georgetown University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Metastatic Colorectal Cancer focused on measuring colorectal cancer, sunitinib, capecitabine

Eligibility Criteria

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

Inclusion Criteria:

  • Histologically confirmed, newly diagnosed metastatic colorectal cancer
  • Measurable or evaluable disease in which surgical resection with curative intent is not possible
  • No adjuvant chemotherapy within 6 months of enrollment
  • No prior sunitinib or other receptor tyrosine kinase inhibitors
  • 18 years of age or greater
  • Anticipated survival of at least 6 months
  • Ambulatory with an ECOG performance status of 0 or 1 and able to maintain weight
  • Normal organ and marrow function
  • Must agree to avoid pregnancy or fathering a child through out study participation
  • Ability to understand and willingness to sign a written informed consent document

Exclusion Criteria:

  • Chemotherapy or radiotherapy within 6 months of enrollment
  • Receiving any other investigational agents
  • Known untreated brain metastases, uncontrolled seizure disorders, encephalitis, or multiple sclerosis
  • Not able to ingest oral medications with normal absorption from the GI tract
  • Uncontrolled hypertension
  • History of severe/unstable angina, heart attack, congestive heart failure, transient ischemic attack, or stroke within 6 months of enrollment
  • Cardiac dysrhythmias
  • History of clinically significant bleeding within the past 6 months, including gross hemoptysis or hematuria, or underlying coagulopathy
  • History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months of study enrollment
  • Current treatment with therapeutic doses of coumadin
  • Concurrent malignancy other than colorectal cancer
  • Known dihydropyrimidine dehydrogenase deficiency
  • Uncontrolled intercurrent illness including ongoing or active infection or psychiatric illness that would limit compliance with study requirements.
  • Pregnant and nursing women

Sites / Locations

  • Lombardi Cancer Center at Georgetown University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

sunitinib and cepecitabine

Arm Description

Administration of sunitinib and capecitabine

Outcomes

Primary Outcome Measures

Progression-free Survival
Progression-free survival (PFS) will be measured as the number of months between each patient's enrollment and his/her date of progression or date of death.

Secondary Outcome Measures

Full Information

First Posted
August 18, 2009
Last Updated
March 6, 2018
Sponsor
Georgetown University
Collaborators
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT00961571
Brief Title
Sunitinib and Capecitabine for First Line Colon Cancer
Official Title
A Single-Center, Phase II Trial of Sunitinib and Capecitabine in First Line Treatment of Patients With Metastatic Colorectal Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
December 2017
Overall Recruitment Status
Terminated
Why Stopped
Unanticipated side effects and futility
Study Start Date
August 2009 (undefined)
Primary Completion Date
March 2011 (Actual)
Study Completion Date
March 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Georgetown University
Collaborators
Pfizer

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is for patients with metastatic colorectal cancer who have not been treated with chemotherapy for their cancer. The purpose of this study is to find out if Capecitabine and Sunitinib can be used together to improve progression-free survival in colorectal cancer. All patients will take two medicines (Sunitinib and Capecitabine) by mouth every day until their cancer gets worse.
Detailed Description
This is a single-center, open-label, one-arm study. Patients will be stratified by prior adjuvant therapy and ECOG performance status at study entry. In this study, we propose to obtain PET scans at baseline, 2 weeks, 8 weeks and 24 weeks from the initiation of treatment. Response at 2 weeks, 8 weeks and 24 weeks will be correlated to progression-free survival, overall survival and response according to RECIST criteria. We will collect plasma and urine samples from enrolled patients before and four weeks after sunitinib treatment. The samples will be analyzed and results correlated with patient clinical outcomes in order to explore the underlying mechanism of sunitinib induced hypertension.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metastatic Colorectal Cancer
Keywords
colorectal cancer, sunitinib, capecitabine

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
sunitinib and cepecitabine
Arm Type
Experimental
Arm Description
Administration of sunitinib and capecitabine
Intervention Type
Drug
Intervention Name(s)
sunitinib and capecitabine
Other Intervention Name(s)
Sunitinib, NSC 736511, Sutent, Capecitabine, Xeloda
Intervention Description
Sunitinib 37.5 mg po once daily Capecitabine 1000 mg po twice daily
Primary Outcome Measure Information:
Title
Progression-free Survival
Description
Progression-free survival (PFS) will be measured as the number of months between each patient's enrollment and his/her date of progression or date of death.
Time Frame
36 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed, newly diagnosed metastatic colorectal cancer Measurable or evaluable disease in which surgical resection with curative intent is not possible No adjuvant chemotherapy within 6 months of enrollment No prior sunitinib or other receptor tyrosine kinase inhibitors 18 years of age or greater Anticipated survival of at least 6 months Ambulatory with an ECOG performance status of 0 or 1 and able to maintain weight Normal organ and marrow function Must agree to avoid pregnancy or fathering a child through out study participation Ability to understand and willingness to sign a written informed consent document Exclusion Criteria: Chemotherapy or radiotherapy within 6 months of enrollment Receiving any other investigational agents Known untreated brain metastases, uncontrolled seizure disorders, encephalitis, or multiple sclerosis Not able to ingest oral medications with normal absorption from the GI tract Uncontrolled hypertension History of severe/unstable angina, heart attack, congestive heart failure, transient ischemic attack, or stroke within 6 months of enrollment Cardiac dysrhythmias History of clinically significant bleeding within the past 6 months, including gross hemoptysis or hematuria, or underlying coagulopathy History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months of study enrollment Current treatment with therapeutic doses of coumadin Concurrent malignancy other than colorectal cancer Known dihydropyrimidine dehydrogenase deficiency Uncontrolled intercurrent illness including ongoing or active infection or psychiatric illness that would limit compliance with study requirements. Pregnant and nursing women
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Aiwu Ruth He, MD
Organizational Affiliation
Georgetown University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Lombardi Cancer Center at Georgetown University
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20007
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Sunitinib and Capecitabine for First Line Colon Cancer

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