Efficacy of Chemotherapy, Associated to Either Cetuximab or Bevacizumab, in KRAS Wild-type Metastatic Colorectal Cancer Patients With Progressive Disease After Receiving First-line Treatment With Bevacizumab
Colorectal Cancer
About this trial
This is an interventional treatment trial for Colorectal Cancer focused on measuring Adenocarcinoma, Metastatic, Second-line treatment, Progressive disease after first-line treatment with bevacizumab, Non-mutated (wild-type) KRAS.
Eligibility Criteria
Inclusion Criteria:
- Histologically or cytologically proven adenocarcinoma of the colon expressing non-mutated (wild-type) KRAS.
- Progressive metastatic disease after first-line treatment with chemotherapy alone: based on 5-FU (iv or per os) with irinotecan or oxaliplatin associated to bevacizumab.
- Prior adjuvant chemotherapy (of the primary tumor) with fluoropyrimidine and oxaliplatin is allowed if the time interval between the end of this chemotherapy and the beginning of the first-line metastatic treatment is ≥ 6 months.
- Measurable disease (at least one measurable metastatic lesion) according to the RECIST V1.1 criteria (the lesion should not be located in a previous field of radiation).
- Previous radiotherapy is authorized if discontinued ≥ 15 days prior to randomization and if the measurable metastatic lesions are outside the radiation area.
- Sites of disease evaluated within 28 days prior to randomization with thoracic-abdominal-pelvic CT scan (or abdominal-pelvic MRI plus Chest Xray)
- Age ≥18 years
- Patient with ECOG 0 or 1
- Life Expectancy ≥ 3 months
- Hematologic function (polynuclear neutrophiles ≥ 1.5.109/L ; platelets ≥ 100.109/L ; hemoglobin ≥ 9 g/dL
- Hepatic transaminases ≤ 2.5 times upper limit of normal (ULN) (≤ 5 ULN in case of hepatic metastases), alkaline phosphatases ≤ 2.5 ULN (≤ 5 ULN in case of hepatic metastases), total bilirubinemia ≤ 1.5 ULN
- Renal function (creatinemia ≤1.5 ULN; creatine clearance ≥ 50 mL/mn (Cockcroft and Gault) ; urine test strip < 2+. If proteinuria is ≥ +2 at inclusion, the serum urea test must be redone and show proteinuria ≤ 1 g/L within 24 h)
- Completion of the EORTC QLQ-C30 quality of life form
- Negative pregnancy test for women of child-bearing age
- Information given to the patient and signed informed consent
- Public Health insurance coverage
Exclusion Criteria:
- Known meningeal or brain metastases
- Pre-treatment with anti-EGFR
- Specific contraindication or known hypersensitivity to one treatment product
- Patient with known allergy or hypersensitivity to monoclonal antibodies (bevacizumab, cetuximab
- Clinically significant affection of the coronaries or myocardial infarction within 6 months prior to inclusion.
- Peripheral neuropathy of grade > 1 (CTCAE scale version 4.0).
- Known depletion of the dihydropyrimidine dehydrogenase (DPD).
- Acute intestinal obstruction or sub-obstruction, history of inflammatory intestinal disease or extended resection of the small intestine. Presence of a colic prosthesis.
- Uncontrolled Arterial hypertension (systolic pressure > 150 mmHg and/or diastolic pressure > 100 mmHg with and without antihypertensive medication. Patients with high hypertension are eligible if antihypertensive medication lowers their arterial pressure to the level of acceptability specified by the inclusion criteria.
- History of hypertensive crisis or hypertensive encephalopathy
- Other concomitant malignancy or history cancer (except carcinoma in situ of the cervix, or non melanoma skin cancer, with curative intent treatment, when considered in complete remission for at least 5 years before randomization.
- Any treatment including an experimental drug, or participation in another clinical trial within 28 days preceding inclusion.
- Persons deprived of liberty or under guardianship.
- Psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule.
Sites / Locations
- Centre rené Gauducheau
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Arm A : bevacizumab + fluoropyrimidine-based chemotherapy
Arm B : cetuximab + fluoropyrimidine-based chemotherapy
Every 2 weeks : - mFOLFOX6 : Oxaliplatin 85 mg/m2 over 120 mn IV on D1, Folinic Acide 400 mg/m² (racemic) (or 200 mg/m² if L-folinic acid) over 2 h IV on D1, 5-fluoro-uracil 400 mg/m² in bolus IV on D1 and 5-fluoro-uracil 2400 mg/m² in infusion IV over 46 h. OR - FOLFIRI : Irinotecan 180 mg/m2 en 90 mn IV on day D1, Folinic acid 400 mg/m² (racemic) (or 200 mg/m² if L-folinic acid) over 2 h IV on D1, 5-fluoro-uracil 400 mg/m² in bolus IV on D1 and 5-fluoro-uracil 2400 mg/m² in infusion IV over 46 h. AND Bevacizumab 5 mg/kg IV every 2 weeks.
Every 2 weeks : - mFOLFOX6 : Oxaliplatin 85 mg/m2 over 120 mn IV on D1, Folinic Acide 400 mg/m² (racemic) (or 200 mg/m² if L-folinic acid) over 2 h IV on D1, 5-fluoro-uracil 400 mg/m² in bolus IV on D1 and 5-fluoro-uracil 2400 mg/m² in infusion IV over 46 h. OR - FOLFIRI : Irinotecan 180 mg/m2 en 90 mn IV on day D1, Folinic acid 400 mg/m² (racemic) (or 200 mg/m² if L-folinic acid) over 2 h IV on D1, 5-fluoro-uracil 400 mg/m² in bolus IV on D1 and 5-fluoro-uracil 2400 mg/m² in infusion IV over 46 h. AND Cetuximab : 500 mg/m² IV every 2 weeks