A Study Evaluating S 95005 Plus Bevacizumab and Capecitabine Plus Bevacizumab in Patients With Previously Untreated Colorectal Cancer Who Are Non-eligible for Intensive Therapy (TASCO1)
Metastatic Colorectal Cancer
About this trial
This is an interventional treatment trial for Metastatic Colorectal Cancer focused on measuring metastatic, colorectal, cancer, untreated, first-line, S95005 (Trifluridine/tipiracil), bevacizumab, capecitabine
Eligibility Criteria
Inclusion Criteria:
- Written informed consent obtained.
- Has ECOG (Eastern Cooperative Oncology Group) performance status of 0, 1 or 2 at the time of the randomisation.
- Has definitive histologically or cytologically confirmed adenocarcinoma of the colon or rectum.
- RAS status must have been determined (mutant or wild).
- Has at least one measurable metastatic lesion.
- No previous systemic anticancer therapy for unresectable metastatic colorectal cancer.
- Previous adjuvant (or neoadjuvant for patients with rectal cancer) chemotherapy is allowed only if if it has been completed more than 6 months before start of study treatment.
- Patient is not a candidate for combination chemotherapy with irinotecan or oxaliplatin, or for curative resection of metastatic lesions.
- Is able to take medication orally (i.e., no feeding tube).
- Has adequate organ function.
- Coagulation parameters in normal limit (or in therapeutic limit for patients treated with anticoagulant drugs).
- Women of childbearing potential must have been tested negative in a serum pregnancy test. Female participants of childbearing potential and male participants with partners of childbearing potential must agree to use a highly effective method of birth control. Women and female partners using hormonal contraceptive must also use a barrier method.
Exclusion Criteria:
- Is a pregnant or lactating female.
- Has certain serious illness or serious medical condition(s) as described in the protocol.
- Has had certain other recent treatment e.g. major surgery, field radiation, received investigational agent, within the specified time frames prior to randomisation.
- Has previously received Trifluridine/tipiracil or history of allergic reactions attributed to compounds of similar composition to Trifluridine/tipiracil or any of its excipients.
- Has rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption.
- Has contra-indication to bevacizumab or capecitabine.
Sites / Locations
- Chris O'Brien Lifehouse Oncology
- Austin Hospital Olivia Newton-John Cancer & Wellness Centre
- Western Health, Sunshine Hospital
- The Queen Elizabeth Hospital Haematology and Oncology Unit
- Grand Hôpital de Charleroi Oncologie-Hématologie
- UZ Leuven Campus Gasthuisberg Digestieve Oncologie
- CHC Saint-Joseph Oncologie-Hématoimmunopathologie
- Hospital do Câncer de Barretos - Fundação Pio XII
- Centro de Pesquisa Hospital de Caridade de Ijuí
- Instituto Nacional do Câncer - INCA Unidade de Pesquisa ClínicaInstituto Nacional do Câncer - INCA Unidade de Pesquisa Clínica
- Hospital de Base, Centro Intergrado de Pesquisa
- Instituto do Câncer do Estado de São Paulo - ICESP, Núcleo de Pesquisa
- Rigshospitalet - Dpt of Oncology
- Odense Universitetshospital - Department of Oncology
- CHU Jean Minjoz, Service d'oncologie médicale
- Hôpital Saint Antoine, oncology department
- Centre René Gauducheau, Oncologie Médicale
- Onkologische Schwerpunktpraxis Kurfürstendamm
- Schwerpunktpraxis für Hämatologie und Onkologie
- Städtisches Krankenhaus München Neuperlach, Klinik für Onkologie und Hämatologie
- Fondazione Poliambulanza Istituto Ospedaliero, Clinical Oncology
- A.O.U. SanMartino-IST, Unità Operativa Oncologia Medica 1
- A.O. Ospedale Niguarda Ca' Granda-Milano, Department of Onco-Haematology- Onoclogia Falck
- Seconda Università degli Studi di Napoli, U.O.C. di Oncologia Medica ed Ematologia
- .O.U. Pisana-Ospedale Santa Chiara, U.O. di Oncologia Medica 2
- AMC Academisch Medisch Centrum Medische Oncologie
- Amphia Ziekenhuis, Interne Geneeskunde/Oncologie, Langendijk 75
- Catharina Ziekenhuis, Interne Geneeskunde/Oncologie
- Martini Ziekenhuizen, Interne Geneeskunde/Oncologie, Van Swietenplein 1
- Tergooi Hilversum, Medische Oncologie, Van Riebeeckweg 212
- Zuyderland Medisch Centrum Interne Geneeskunde
- Sint Antonius Ziekenhuis Interne Geneeskunde/Oncologie
- VieCurie Medisch Centrum, Interne Geneeskunde, Tegelseweg 210
- Isala Klinieken, Medische oncologie, Dokter Van Heeweg 2
- Szpitale Pomorskie Sp. z o.o. Oddzial Onkologii i Radioterapii
- SP ZOZ Szpital Uniwersytecki w Krakowie Oddzial Kliniczny Onkologii
- Centralny Szpital Kliniczny MSW Klinika Onkologii i Hematologii
- NZOZ MAGODENT Oddzial Onkologii Klinicznej / Chemioterapii
- Russian Cancer Research Center n.a. NN Blokhin
- Moscow City Oncology Hospital # 62, Chemotherapy
- Russian Cancer Research Center n.a. NN Blokhin, Department of Research for New Antitumour Medicines
- Scientific Centre for Specialized Medical Care (oncological)
- Hospital Valle de Hebrón, Servicio de Oncología
- Hospital Universitario Reina Sofia, Deparatmento Oncología Médica
- Instituto Catalan De Oncología, Hospitalet de Llobregat
- Hospital Universitario Gregorio Maranon
- Hospital Ramón y Cajal, Oncología Médica
- H. Universitario La Paz Oncología Médica
- Hospital General Universitario, Oncología Médica
- Complejo Hospitalario de Navarra, Oncología Médica
- The Beatson West of Scotland Cancer Centre GI cancers
- Leicester Royal Infirmary, The HOPE Clinical Trials Unit
- Hammersmith Hospital
- Imperial healthcare NHS Trust Charing Cross Hospital
- Christie Hospital NHS Foundation Trust, GI & Endocrine
- Mount Vernon Hospital Department of Oncology
- Southampton General Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Trifluridine/tipiracil + bevacizumab
Capecitabine + bevacizumab
Trifluridine/tipiracil (S95005): film-coated tablets containing 15mg of trifluridine and 7.065mg of tipiracil hydrochloride, or 20mg of trifluridine and 9.42mg of tipiracil hydrochloride. Bevacizumab: concentrate for solution for IV infusion containing 25mg/ml of bevacizumab. Trifluridine/tipiracil was administered at 35 mg/m2/dose orally within 1 hour after completion of morning and evening meals, for 5 days on/2 days off, over 2 weeks, followed by a 14-day rest period, with bevacizumab administered intravenously at the dose of 5 mg/kg every 2 weeks at Day 1 and Day 15.This treatment cycle was repeated every 4 weeks.
Capecitabine was administered at 1250 mg/m² orally BID (bis in die)on Days 1-14 of each cycle, with bevacizumab (7.5 mg/kg, IV) administered on Day 1 of each cycle. This treatment cycle was repeated every 3 weeks