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A Study of Xeloda (Capecitabine) Compared With 5-Fluorouracil in Combination With Low-Dose Leucovorin in Patients Who Have Undergone Surgery for Colon Cancer

Primary Purpose

Colorectal Cancer

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
5-Fluorouracil
Leucovorin
Capecitabine [Xeloda]
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Cancer

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: adult patients 18-75 years of age; histologically confirmed colon cancer with potentially curative resection of the tumor within 8 weeks before study initiation. Exclusion Criteria: previous chemotherapy

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Capecitabine

5-Fluorouracil + Leucovorin

Arm Description

Participants received capecitabine 1250 milligram per square meter (mg/m ^ 2) orally, twice a day, for 14 days, followed by a 7-day rest period without treatment, as an intermittent therapy in a 3-week cycle for 8 cycles (24 weeks).

Participants received leucovorin 20 mg/m ^ 2 followed by 5-fluorouracil at 425 mg/m ^ 2, by rapid intravenous injection, daily, from Days 1 to 5 of the first week in each 4-week cycle for 6 cycles (24 weeks).

Outcomes

Primary Outcome Measures

Disease-free Survival
Participants with disease-free survival were reported. Disease-free survival was assessed as the number of days between randomization and the first time at which relapse, a new occurrence of colon cancer, or death was recorded, or the last time at which a participant was known to be disease free (censoring time).

Secondary Outcome Measures

Relapse-Free Survival
Participants with relapse-free survival were reported. Relapse-free survival was assessed as the number of days between randomization and the first time at which relapse, a new occurrence of colon cancer, or death was recorded, or the last time at which a participants was known to be disease free (censoring time), excluding deaths that were not related to treatment or to disease progression.
Overall Survival
Participants with overall survival were reported. Overall survival was assessed as the number of days between randomization and death or the last time at which a participant was known to be alive (censoring time).
Mean Change From Baseline in Global Health Status at Week 25
Global health status was assessed as a sub scale of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30. It was scored on a scale of 0-100; where higher score indicates better quality of life. Wherever the scores for the participants were not available, the last value carried forward (LVCF) were used.
Number of Participants With Abnormalities for Blood Chemistry and Hematological Parameters
Laboratory abnormalities were categorized according to the National Cancer Institute of Canada Common Toxicity Criteria (NCIC - CTC) grading system (May 1991 revised) as Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (life- threatening). Participants with abnormalities in hemoglobin, granulocytes, lymphocytes, neutrophils, neutrophils/granulocytes, platelets, white blood cell, potassium, serum creatinine, sodium, total bilirubin, alanine transaminase, aspartate aminotransferase, alkaline phosphatase, calcium (hyper), and calcium (hypo) with Grades 1-4 were presented.
Number of Participants With Any Adverse Events and Serious Adverse Events
An Adverse Event (AE) is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered to be related to the medicinal product. An Serious Adverse Events (SAEs) is any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or results in a congenital anomaly/birth defect.

Full Information

First Posted
February 2, 2001
Last Updated
May 16, 2016
Sponsor
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT00009737
Brief Title
A Study of Xeloda (Capecitabine) Compared With 5-Fluorouracil in Combination With Low-Dose Leucovorin in Patients Who Have Undergone Surgery for Colon Cancer
Official Title
An Open-Label Randomized Phase III Study Comparing Xeloda (Capecitabine) With IV Bolus 5-Fluorouracil in Combination With Low-Dose Leucovorin as Adjuvant Chemotherapy in Patients Who Underwent Surgery for Dukes C Colon Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
May 2016
Overall Recruitment Status
Completed
Study Start Date
November 1998 (undefined)
Primary Completion Date
April 2004 (Actual)
Study Completion Date
April 2004 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche

4. Oversight

5. Study Description

Brief Summary
This 2 arm study will compare the safety and efficacy of oral Xeloda, or 5-fluorouracil in combination with leucovorin, in patients who have undergone surgery for colon cancer. Patients will be randomized to receive either Xeloda 1250mg/m2 po bid on days 1-14 every 21 days, or leucovorin 20mg/m2 iv + 5-fluorouracil 425mg/m2 iv daily from day 1 to day 5 every 28 days. The anticipated time on study treatment is 3-12 months, and the target sample size is 500+ individuals.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
1987 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Capecitabine
Arm Type
Experimental
Arm Description
Participants received capecitabine 1250 milligram per square meter (mg/m ^ 2) orally, twice a day, for 14 days, followed by a 7-day rest period without treatment, as an intermittent therapy in a 3-week cycle for 8 cycles (24 weeks).
Arm Title
5-Fluorouracil + Leucovorin
Arm Type
Active Comparator
Arm Description
Participants received leucovorin 20 mg/m ^ 2 followed by 5-fluorouracil at 425 mg/m ^ 2, by rapid intravenous injection, daily, from Days 1 to 5 of the first week in each 4-week cycle for 6 cycles (24 weeks).
Intervention Type
Drug
Intervention Name(s)
5-Fluorouracil
Intervention Description
425mg/m2 iv daily from day 1 to day 5 every 28 days.
Intervention Type
Drug
Intervention Name(s)
Leucovorin
Intervention Description
20mg/m2 iv daily from day 1 to day 5 every 28 days.
Intervention Type
Drug
Intervention Name(s)
Capecitabine [Xeloda]
Intervention Description
1250mg/m2 po bid on days 1-14 every 21 days.
Primary Outcome Measure Information:
Title
Disease-free Survival
Description
Participants with disease-free survival were reported. Disease-free survival was assessed as the number of days between randomization and the first time at which relapse, a new occurrence of colon cancer, or death was recorded, or the last time at which a participant was known to be disease free (censoring time).
Time Frame
Approximately 3 years
Secondary Outcome Measure Information:
Title
Relapse-Free Survival
Description
Participants with relapse-free survival were reported. Relapse-free survival was assessed as the number of days between randomization and the first time at which relapse, a new occurrence of colon cancer, or death was recorded, or the last time at which a participants was known to be disease free (censoring time), excluding deaths that were not related to treatment or to disease progression.
Time Frame
Approximately 3 years
Title
Overall Survival
Description
Participants with overall survival were reported. Overall survival was assessed as the number of days between randomization and death or the last time at which a participant was known to be alive (censoring time).
Time Frame
Approximately 3 years
Title
Mean Change From Baseline in Global Health Status at Week 25
Description
Global health status was assessed as a sub scale of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30. It was scored on a scale of 0-100; where higher score indicates better quality of life. Wherever the scores for the participants were not available, the last value carried forward (LVCF) were used.
Time Frame
Baseline (Days -7 to 1) and at Week 25
Title
Number of Participants With Abnormalities for Blood Chemistry and Hematological Parameters
Description
Laboratory abnormalities were categorized according to the National Cancer Institute of Canada Common Toxicity Criteria (NCIC - CTC) grading system (May 1991 revised) as Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (life- threatening). Participants with abnormalities in hemoglobin, granulocytes, lymphocytes, neutrophils, neutrophils/granulocytes, platelets, white blood cell, potassium, serum creatinine, sodium, total bilirubin, alanine transaminase, aspartate aminotransferase, alkaline phosphatase, calcium (hyper), and calcium (hypo) with Grades 1-4 were presented.
Time Frame
Up to Week 25
Title
Number of Participants With Any Adverse Events and Serious Adverse Events
Description
An Adverse Event (AE) is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered to be related to the medicinal product. An Serious Adverse Events (SAEs) is any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or results in a congenital anomaly/birth defect.
Time Frame
Up to Week 29

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: adult patients 18-75 years of age; histologically confirmed colon cancer with potentially curative resection of the tumor within 8 weeks before study initiation. Exclusion Criteria: previous chemotherapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85012
Country
United States
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708
Country
United States
City
Los Angeles
State/Province
California
ZIP/Postal Code
90089
Country
United States
City
Hartford
State/Province
Connecticut
ZIP/Postal Code
06102-5037
Country
United States
City
Miami
State/Province
Florida
ZIP/Postal Code
33176
Country
United States
City
Decatur
State/Province
Georgia
ZIP/Postal Code
30033
Country
United States
City
Columbia
State/Province
Missouri
ZIP/Postal Code
65203
Country
United States
City
St Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
City
Albany
State/Province
New York
ZIP/Postal Code
12208
Country
United States
City
Buffalo
State/Province
New York
ZIP/Postal Code
14263
Country
United States
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203-1632
Country
United States
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
City
Tyler
State/Province
Texas
ZIP/Postal Code
75701
Country
United States
City
Seattle
State/Province
Washington
ZIP/Postal Code
98195
Country
United States
City
Buenos Aires
ZIP/Postal Code
1417
Country
Argentina
City
Buenos Aires
ZIP/Postal Code
1425
Country
Argentina
City
Buenos Aires
ZIP/Postal Code
C1264AAA
Country
Argentina
City
Buenos Aires
ZIP/Postal Code
C1270AAE
Country
Argentina
City
Adelaide
ZIP/Postal Code
5011
Country
Australia
City
Bendigo
ZIP/Postal Code
3550
Country
Australia
City
Brisbane
ZIP/Postal Code
4006
Country
Australia
City
Fitzroy
ZIP/Postal Code
3065
Country
Australia
City
Kurralta Park
ZIP/Postal Code
5037
Country
Australia
City
Melbourne
ZIP/Postal Code
3128
Country
Australia
City
Melbourne
ZIP/Postal Code
3181
Country
Australia
City
Perth
ZIP/Postal Code
6000
Country
Australia
City
Port Macquarie
ZIP/Postal Code
2444
Country
Australia
City
St. Leonards
ZIP/Postal Code
2065
Country
Australia
City
Sydney
ZIP/Postal Code
2217
Country
Australia
City
Wodonga
ZIP/Postal Code
3690
Country
Australia
City
Hall in Tirol
ZIP/Postal Code
6060
Country
Austria
City
Innsbruck
ZIP/Postal Code
6020
Country
Austria
City
Klagenfurt
ZIP/Postal Code
9026
Country
Austria
City
Linz
ZIP/Postal Code
4010
Country
Austria
City
Oberwart
ZIP/Postal Code
7400
Country
Austria
City
St Pölten
ZIP/Postal Code
3100
Country
Austria
City
Wien
ZIP/Postal Code
1030
Country
Austria
City
Wien
ZIP/Postal Code
1090
Country
Austria
City
Wien
ZIP/Postal Code
1100
Country
Austria
City
Wien
ZIP/Postal Code
1160
Country
Austria
City
Wien
ZIP/Postal Code
1220
Country
Austria
City
Bruxelles
ZIP/Postal Code
1090
Country
Belgium
City
Porto Alegre
ZIP/Postal Code
90020-090
Country
Brazil
City
Rio de Janeiro
ZIP/Postal Code
20220-410
Country
Brazil
City
Sao Paulo
ZIP/Postal Code
01406100
Country
Brazil
City
Sorocaba
ZIP/Postal Code
18035-300
Country
Brazil
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2N 4N2
Country
Canada
City
Kelowna
State/Province
British Columbia
ZIP/Postal Code
V1Y 5L3
Country
Canada
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R2H 2A6
Country
Canada
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1H 8L6
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3G 1A4
Country
Canada
City
Saskatoon
State/Province
Saskatchewan
ZIP/Postal Code
S7N 4H4
Country
Canada
City
Berlin
ZIP/Postal Code
13353
Country
Germany
City
Braunschweig
ZIP/Postal Code
38100
Country
Germany
City
Freiburg
ZIP/Postal Code
79106
Country
Germany
City
Grenzach-wyhlen
ZIP/Postal Code
79639
Country
Germany
City
Göttingen
ZIP/Postal Code
37073
Country
Germany
City
Halle
ZIP/Postal Code
06108
Country
Germany
City
Hannover
ZIP/Postal Code
30171
Country
Germany
City
Kassel
ZIP/Postal Code
34125
Country
Germany
City
Lehrte
ZIP/Postal Code
31275
Country
Germany
City
Magdeburg
ZIP/Postal Code
39130
Country
Germany
City
München
ZIP/Postal Code
81245
Country
Germany
City
Oldenburg
ZIP/Postal Code
26121
Country
Germany
City
Oldenburg
ZIP/Postal Code
26133
Country
Germany
City
Ravensburg
ZIP/Postal Code
88212
Country
Germany
City
Regensburg
ZIP/Postal Code
93053
Country
Germany
City
Villingen-schwenningen
ZIP/Postal Code
78052
Country
Germany
City
Wuppertal
ZIP/Postal Code
42210
Country
Germany
City
Haifa
ZIP/Postal Code
34354
Country
Israel
City
Petach Tikva
ZIP/Postal Code
49100
Country
Israel
City
Petach Tikva
Country
Israel
City
Rehovot
ZIP/Postal Code
76100
Country
Israel
City
Tel Aviv
ZIP/Postal Code
6423906
Country
Israel
City
Aviano
ZIP/Postal Code
33081
Country
Italy
City
Bergamo
ZIP/Postal Code
24128
Country
Italy
City
Bologna
ZIP/Postal Code
40138
Country
Italy
City
Cuneo
ZIP/Postal Code
12100
Country
Italy
City
Genova
ZIP/Postal Code
16132
Country
Italy
City
Livorno
ZIP/Postal Code
57100
Country
Italy
City
Mantova
ZIP/Postal Code
46100
Country
Italy
City
Milano
ZIP/Postal Code
20121
Country
Italy
City
Mirano
ZIP/Postal Code
30035
Country
Italy
City
Modena
ZIP/Postal Code
41100
Country
Italy
City
Napoli
ZIP/Postal Code
80131
Country
Italy
City
Pisa
ZIP/Postal Code
56100
Country
Italy
City
Roma
ZIP/Postal Code
00135
Country
Italy
City
Roma
ZIP/Postal Code
00168
Country
Italy
City
Roma
Country
Italy
City
Terni
ZIP/Postal Code
05100
Country
Italy
City
Torino
ZIP/Postal Code
10123
Country
Italy
City
Torino
ZIP/Postal Code
10126
Country
Italy
City
Vecchiazzano
ZIP/Postal Code
47100
Country
Italy
City
Venezia
ZIP/Postal Code
30122
Country
Italy
City
Vicenza
ZIP/Postal Code
36100
Country
Italy
City
Lisboa
ZIP/Postal Code
1649-035
Country
Portugal
City
Porto
ZIP/Postal Code
4200-072
Country
Portugal
City
Bilbao
ZIP/Postal Code
48013
Country
Spain
City
Cordoba
ZIP/Postal Code
14004
Country
Spain
City
El Palmar Murcia
ZIP/Postal Code
30120
Country
Spain
City
Elche
ZIP/Postal Code
03203
Country
Spain
City
Jaen
ZIP/Postal Code
23007
Country
Spain
City
Madrid
ZIP/Postal Code
28006
Country
Spain
City
Madrid
ZIP/Postal Code
28007
Country
Spain
City
Madrid
ZIP/Postal Code
28040
Country
Spain
City
Madrid
ZIP/Postal Code
28222
Country
Spain
City
Navarra
ZIP/Postal Code
31008
Country
Spain
City
Palma de Mallorca
ZIP/Postal Code
07014
Country
Spain
City
Valencia
ZIP/Postal Code
46010
Country
Spain
City
Basel
ZIP/Postal Code
4031
Country
Switzerland
City
Basel
ZIP/Postal Code
4070
Country
Switzerland
City
Bellinzona
ZIP/Postal Code
6500
Country
Switzerland
City
Bern
ZIP/Postal Code
3010
Country
Switzerland
City
St Gallen
ZIP/Postal Code
9006
Country
Switzerland
City
Zürich
ZIP/Postal Code
8091
Country
Switzerland
City
Aberdeen
ZIP/Postal Code
AB25 2ZN
Country
United Kingdom
City
Belfast
ZIP/Postal Code
BT9 7AB
Country
United Kingdom
City
Cardiff
ZIP/Postal Code
CF14 2TL
Country
United Kingdom
City
Edinburgh
ZIP/Postal Code
EH4 2XU
Country
United Kingdom
City
Glasgow
ZIP/Postal Code
G12 0YN
Country
United Kingdom
City
Glasgow
ZIP/Postal Code
G4 OSF
Country
United Kingdom
City
Guildford
ZIP/Postal Code
GU2 7XX
Country
United Kingdom
City
Leicester
ZIP/Postal Code
LE1 5WW
Country
United Kingdom
City
Luton
ZIP/Postal Code
LU4 0DZ
Country
United Kingdom
City
Manchester
ZIP/Postal Code
M20 4BX
Country
United Kingdom
City
Newcastle Upon Tyne
ZIP/Postal Code
NE4 6BE
Country
United Kingdom
City
Northwood
ZIP/Postal Code
HA6 2RN
Country
United Kingdom
City
Plymouth
ZIP/Postal Code
PL6 8DH
Country
United Kingdom
City
Salisbury
ZIP/Postal Code
SP2 8BJ
Country
United Kingdom
City
Southampton
ZIP/Postal Code
SO9 4PE
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Study of Xeloda (Capecitabine) Compared With 5-Fluorouracil in Combination With Low-Dose Leucovorin in Patients Who Have Undergone Surgery for Colon Cancer

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