FOLFIRI + Panitumumab First-line Treatment in Elderly Patients With Unresectable Metastatic Colorectal Cancer, RAS/BRAF Wild-type and Good Performance Status (OPALO)
Colorectal Neoplasms, Colorectal Carcinoma, Colorectal Cancer Metastatic
About this trial
This is an interventional treatment trial for Colorectal Neoplasms focused on measuring Clinical Trial, Phase II, Elderly, Aged, Disease-Free Survival, Safety, Tolerability, Chemotherapy regimen, Monoclonal antibody, FOLFIRI, Panitumumab, RAS/BRAF Wild-type
Eligibility Criteria
Inclusion Criteria:
- Males or females ≥ 70 years,
- Able to understand, sign and date an informed consent form approved by the IEC,
- Histologically confirmed colorectal carcinoma with metastatic disease,
- RAS/BRAF wild-type status in solid biopsy confirmed prior to inclusion of the study,
- No previous treatment for metastatic disease,
- Patients starting therapy with FOLFIRI + panitumumab with a treatment aim other than achieving potential resectability of the disease,
- Independence in activities of daily living (ADL) based on the Katz Index and in instrumental activities of daily living (IAL) based on the Lawton Index,
- Having no or only one comorbidity according to the Charlson Comorbidity Index. The following ones are not considered comorbidities as long as it is provided they are adequately controlled with medication: gastroduodenal ulcer, diabetes without target organs' damage, chronic respiratory disease and connective tissue disease.
- Presence of at least one unidimensional measurable lesion ≥ 10 mm according to RECIST criteria (version 1.1),
- ECOG (Eastern Cooperative Oncology Group) performance status of 0-1,
- Adequate bone marrow function: neutrophils ≥ 1.5 x 10^9/l; platelets ≥ 100 x 10^9/l; haemoglobin ≥ 9 g/dl,
Hepatic, renal and metabolic function as follows:
- Total bilirubin count ≤ 1.5 x ULN; ALT and AST < 5 x ULN;
- Renal function, calculated creatinine clearance or 24-hour creatinine clearance ≥ 50 ml/min;
- Magnesium > LLN
Exclusion Criteria:
- Diagnosed or suspected central nervous system (CNS) metastasis,
- Patients with initially resectable metastases at the time of diagnosis of metastatic disease.
- History or presence of another malignancy, with the exception of curatively treated in situ carcinoma of the cervix or non-melanoma skin cancer or any curatively treated solid tumour, with no active disease or administration of treatment within 5 years prior to inclusion in the study,
- Prior treatment with irinotecan,
- Prior adjuvant chemotherapy for colorectal cancer terminated less than 6 months before metastatic disease was diagnosed,
- Prior anti-epidermal growth factor receptor (EGFR) antibody therapy (eg, cetuximab), anti- vascular endothelial growth factor (VEGF) or treatment with small molecule EGFR inhibitors (eg, erlotinib),
- Unresolved toxicities from prior systemic treatment that, in the investigator's opinion, make the patient unsuitable for inclusion,
- Hormone therapy, immunotherapy with experimental or approved antibodies/proteins (e.g. bevacizumab) ≤ 30 days prior to inclusion,
- Evidence of previous acute hypersensitivity reaction of any grade to any of the components of the treatment,
- History of interstitial lung disease or pulmonary fibrosis or signs of interstitial lung disease or pulmonary fibrosis on baseline CT,
- Presence of geriatric syndromes, defined as dementia, repeated falls, fecal incontinence or urinary incontinence,
- Acute or subacute bowel obstruction and/or active bowel disease or another bowel disease causing chronic diarrhoea (defined as diarrhoea of grade ≥ 2 according to the NCI (National Cancer Institute) Common Terminology Criteria for Adverse Events (CTCAE version 4.03),
- Significant cardiovascular disease, including unstable angina pectoris or myocardial infarction within 12 months prior to inclusion in the study,
- History of Gilbert's syndrome or dihydropyrimidine dehydrogenase deficiency,
- Positive test result for human immunodeficiency virus, hepatitis C virus, chronic active hepatitis B infection,
- Treatment for systemic infection within 14 days prior to the start of the study treatment,
- Clinically significant sensory peripheral neuropathy,
- Any concurrent disease that may increase the risk associated with study participation or may interfere with the interpretation of study results,
- Any investigational product within 30 days prior to inclusion,
- Surgery (not including diagnostic biopsy or the placement of a central line) and/or radiotherapy within 28 days prior to inclusion in the study,
- Males whose partner is of child-bearing age and who does not agree to use adequate contraceptive precautions, i.e. double-barrier methods (e.g. diaphragm plus condom) or abstinence for the duration of the study and for 1 month after the last administration of the study drug,
- Subjects who do not agree or are unable to meet the study requirements,
- Psychological, familial, sociological or geographical conditions potentially hampering compliance with the study protocol and the follow-up schedule. Such conditions should be discussed with the patient before enrolment in the clinical trial
Sites / Locations
- ICO L´Hospitalet de Llobregat - Hospital Durán i Reynals
- Hospital Sant Joan Despí-Moises Broggi
- Hospital Universitario Puerta de Hierro-Majadahonda
- Hospital Universitario Rey Juan Carlos
- Hospital Clínic
- Hospital General Universitario de Elda
- Hospital Universitario Arnau de Vilanova
- Hospital Universitario la Paz
- Hospital General Universitario Morales Meseguer
- Hospital Universitario Son Espases
- Hospital Parc Taulí
- Hospital Clínico Universitario Lozano Blesa
Arms of the Study
Arm 1
Experimental
FOLFIRI + panitumumab
All patients will receive panitumumab plus FOLFIRI for disease control in 14-day cycles until disease progression, unacceptable toxicity, investigator's decision or patient withdrawal of consent, at the following doses: Panitumumab: 6 mg/kg administered by intravenous (IV) infusion over 60 min on days 1 and 14 of every cycle just before administration of chemotherapy FOLFIRI Irinotecan: 150 mg/m2 as IV infusion over 90 min on day 1of first treatment cycle. If tolerance of this first dose is good, it will be scaled to a full dose of 180 mg/m2 starting from the second treatment cycle. Folinic acid: (leucovorin) 200-400 mg/m2 IV over 2 hours on day 1 5-FU: 400 mg/m2 bolus followed by 2400 mg/m2 IV continuous infusion over 46-48 hours on days 1 and 2