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Celecoxib Combined With Fluorouracil and Leucovorin in Treating Patients With Resected Stage III Adenocarcinoma (Cancer) of the Colon

Primary Purpose

Colorectal Cancer

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
celecoxib
fluorouracil
leucovorin calcium
adjuvant therapy
Sponsored by
European Organisation for Research and Treatment of Cancer - EORTC
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Cancer focused on measuring adenocarcinoma of the colon, stage III colon cancer

Eligibility Criteria

18 Years - 120 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: Histologically confirmed adenocarcinoma of the colon 15 cm above anal verge Stage III disease (any pT, N1-2, M0) No rectal cancer Must have undergone curative radical resection (R0 resection) within the past 6 weeks PATIENT CHARACTERISTICS: Age 18 and over Performance status WHO 0-1 Life expectancy Not specified Hematopoietic Absolute neutrophil count ≥ 1,500/mm^3 Platelet count ≥ 100,000/mm^3 Hepatic AST ≤ 5 times upper limit of normal (ULN) Bilirubin ≤ 1.5 times ULN Renal Creatinine ≤ 1.5 times ULN Cardiovascular None of the following conditions within the past 6 months: Myocardial infarction Unstable angina Symptomatic congestive heart failure Serious uncontrolled cardiac arrhythmia Cerebrovascular accident or transient ischemic attack Deep vein thrombosis Other significant thromboembolic event Pulmonary No pulmonary embolism within the past 6 months Gastrointestinal No active gastric or duodenal ulceration within the past year No gastrointestinal bleeding within the past year No partial or complete bowel obstruction No known chronic malabsorption No active inflammatory bowel disease or chronic diarrhea (more than 4 stools/day) Other Not pregnant or nursing Fertile patients must use effective contraception HIV negative No AIDS-related illness No prior hypersensitivity to fluorouracil, leucovorin calcium, celecoxib, other COX-2 inhibitors, NSAIDs, salicylates, or sulfonamides No other severe acute or chronic medical condition or laboratory abnormality that would preclude study participation, study drug administration, or study results interpretation No psychological, familial, sociological, or geographical condition that would preclude study compliance No concurrent active infection No other malignancy within the past 5 years except adequately treated carcinoma in situ of the cervix or basal cell or squamous cell skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent sargramostim (GM-CSF) or molgramostim Chemotherapy Not specified Endocrine therapy No more than 4 weeks of concurrent orally/nasally inhaled steroids over a 6-month period Concurrent mometasone (or fluticasone) allowed if patients require ≥ 4 weeks of inhaled steroid therapy At least 30 days since other prior steroids No concurrent hormonal therapy Radiotherapy No concurrent radiotherapy Surgery See Disease Characteristics No prior total colectomy or other major surgery that would result in substantial alteration in transit to absorption of oral medication Other More than 30 days since prior investigational medication No prior systemic anticancer treatment for colon cancer No concurrent prophylactic fluconazole No concurrent lithium No concurrent chronic* use of full dose aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), or cyclo-oxygenase-2 (COX-2) inhibitors Aspirin at cardioprotective doses (i.e., 80 mg daily or equivalent) allowed No concurrent participation in any other clinical study No other concurrent experimental agents (e.g., other COX-2 inhibitors, matrix metalloproteinase inhibitors, inhibitors of the vascular endothelial growth factor/Flk-1 pathway, or inhibitors of the epidermal growth factor receptor pathway) NOTE: *Chronic use is defined as a frequency of 7 consecutive days (1 week) for more than 3 weeks/year or more than 21 days throughout the year

Sites / Locations

  • Karl-Franzens-University Graz
  • Innsbruck Universitaetsklinik
  • St. Vincent's Hospital
  • Krankenhaus der Elisabethinen
  • Landeskrankenanstalten - Salzburg
  • Allgemeines Krankenhaus der Stadt Wien
  • Allgemeines Krankenhaus
  • Ziekenhuis Netwerk Antwerpen Middelheim
  • Hopital Universitaire Erasme
  • Universitair Ziekenhuis Antwerpen
  • Hopital de Jolimont
  • CHU Liege - Domaine Universitaire du Sart Tilman
  • St. Elizabeth Ziekenhuis
  • Medisch Centrum Haaglanden
  • Jeroen Bosch Ziekenhuis
  • Onze Lieve Vrouwe Gasthuis
  • Academisch Medisch Centrum at University of Amsterdam
  • Gelre Ziekenhuizen - Lokatie Lukas
  • Rijnstate Hospital
  • Ziekenhuis Lievensberg
  • Deventer Ziekenhuisen
  • Catharina Ziekenhuis
  • Medisch Spectrum Twente
  • University Medical Center Groningen
  • Ziekenhuis St Jansdal
  • Leiden University Medical Center
  • Sint Antonius Ziekenhuis
  • Nijmegen Cancer Center at Radboud University Medical Center
  • Waterlandziekenhuis
  • Daniel Den Hoed Cancer Center at Erasmus Medical Center
  • Erasmus MC - Sophia Children's Hospital
  • Ikazia Ziekenhuis
  • Schieland Ziekenhuis
  • Ziekenhuis de Honte
  • Streekziekenhuis Koningin Beatrix
  • Isala Klinieken - locatie Weezenlanden

Outcomes

Primary Outcome Measures

Disease-free survival as measured by Logrank every 3 months in year 1, every 6 months in years 2-3, and annually thereafter

Secondary Outcome Measures

Overall survival as measured by Logrank every 3 months in year 1, every 6 months in years 2-3, and annually thereafter
Time occurrence of new primary colon cancer and new polyps as measured by Logrank every 3 months in year 1, every 6 months in years 2-3, and annually thereafter
Toxicity as measured by CTC AE version 2.0 every 3 months in year 1, every 6 months in years 2-3, and annually thereafter

Full Information

First Posted
June 10, 2004
Last Updated
October 19, 2015
Sponsor
European Organisation for Research and Treatment of Cancer - EORTC
Collaborators
Dutch Colorectal Cancer Group (DCCG), Arbeitsgemeinschaft fur Internistische Onkologie, Onkologie, Egyptian Foundation For Cancer Research, EORTC GI Group (EORTC 40023), Federation Francophone de Cancerologie Digestive, GCCD-APIO - Grupo Cooperativo do Cancro Digestivo da Associação Portuguesa de Investigação, Oncológica, Gruppo Italiano per lo studio dei Carcinomi dell'Apparato Digerente, GOCCI - Gruppo Oncologico Chirurgico Cooperativo Italiano, GOIRC - Gruppo Oncologico Italiano di Ricerca Clinica, SG - Scandinavian Group, TTD - Grupo Español para el Tratamiento de Tumores Digestivos
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1. Study Identification

Unique Protocol Identification Number
NCT00085163
Brief Title
Celecoxib Combined With Fluorouracil and Leucovorin in Treating Patients With Resected Stage III Adenocarcinoma (Cancer) of the Colon
Official Title
Multicenter, Double-Blind, Placebo-Controlled Randomized Phase III Study of Adjuvant Therapy With Celecoxib in Combination With Chemotherapy in Patients With Curatively Resected Stage III Colon Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
October 2015
Overall Recruitment Status
Completed
Study Start Date
March 2004 (undefined)
Primary Completion Date
November 2005 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
European Organisation for Research and Treatment of Cancer - EORTC
Collaborators
Dutch Colorectal Cancer Group (DCCG), Arbeitsgemeinschaft fur Internistische Onkologie, Onkologie, Egyptian Foundation For Cancer Research, EORTC GI Group (EORTC 40023), Federation Francophone de Cancerologie Digestive, GCCD-APIO - Grupo Cooperativo do Cancro Digestivo da Associação Portuguesa de Investigação, Oncológica, Gruppo Italiano per lo studio dei Carcinomi dell'Apparato Digerente, GOCCI - Gruppo Oncologico Chirurgico Cooperativo Italiano, GOIRC - Gruppo Oncologico Italiano di Ricerca Clinica, SG - Scandinavian Group, TTD - Grupo Español para el Tratamiento de Tumores Digestivos

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy, such as fluorouracil and leucovorin, work in different ways to stop tumor cells from dividing so they stop growing or die. Celecoxib may stop the growth of tumor cells by blocking the enzymes necessary for their growth. It is not yet known whether fluorouracil and leucovorin are more effective with or without celecoxib in treating resected stage III adenocarcinoma (cancer) of the colon. PURPOSE: This randomized phase III trial is studying celecoxib, fluorouracil, and leucovorin to see how well they work compared to fluorouracil and leucovorin in treating patients who have undergone surgery for stage III colon cancer.
Detailed Description
OBJECTIVES: Primary Compare disease-free survival of patients with curatively resected stage III adenocarcinoma of the colon treated with adjuvant fluorouracil and leucovorin calcium with or without celecoxib. Secondary Compare the overall survival, the occurrence of new primary colon cancer, and the development of new polyps in patients treated with these regimens. OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to ≥ 4 tumor-positive lymph nodes (yes vs no), form of adjuvant chemotherapy (infusional vs bolus), low-dose aspirin for cardiovascular prophylaxis (yes vs no), and participating center. Patients are randomized to 1 of 2 treatment arms. Arm I: Patients receive fluorouracil and leucovorin calcium IV for up to 6 courses in the absence of disease recurrence or unacceptable toxicity. Patients also receive oral celecoxib twice daily. Arm II: Patients receive oral placebo twice daily and fluorouracil and leucovorin calcium as in arm I. In both arms, treatment with celecoxib or placebo continues for 3 years in the absence of disease recurrence or unacceptable toxicity. Patients are followed annually for 2 years. PROJECTED ACCRUAL: A total of 1,450 patients (725 per treatment arm) will be accrued for this study within 2 years.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer
Keywords
adenocarcinoma of the colon, stage III colon cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Masking
Double
Allocation
Randomized

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
celecoxib
Intervention Type
Drug
Intervention Name(s)
fluorouracil
Intervention Type
Drug
Intervention Name(s)
leucovorin calcium
Intervention Type
Procedure
Intervention Name(s)
adjuvant therapy
Primary Outcome Measure Information:
Title
Disease-free survival as measured by Logrank every 3 months in year 1, every 6 months in years 2-3, and annually thereafter
Secondary Outcome Measure Information:
Title
Overall survival as measured by Logrank every 3 months in year 1, every 6 months in years 2-3, and annually thereafter
Title
Time occurrence of new primary colon cancer and new polyps as measured by Logrank every 3 months in year 1, every 6 months in years 2-3, and annually thereafter
Title
Toxicity as measured by CTC AE version 2.0 every 3 months in year 1, every 6 months in years 2-3, and annually thereafter

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
120 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed adenocarcinoma of the colon 15 cm above anal verge Stage III disease (any pT, N1-2, M0) No rectal cancer Must have undergone curative radical resection (R0 resection) within the past 6 weeks PATIENT CHARACTERISTICS: Age 18 and over Performance status WHO 0-1 Life expectancy Not specified Hematopoietic Absolute neutrophil count ≥ 1,500/mm^3 Platelet count ≥ 100,000/mm^3 Hepatic AST ≤ 5 times upper limit of normal (ULN) Bilirubin ≤ 1.5 times ULN Renal Creatinine ≤ 1.5 times ULN Cardiovascular None of the following conditions within the past 6 months: Myocardial infarction Unstable angina Symptomatic congestive heart failure Serious uncontrolled cardiac arrhythmia Cerebrovascular accident or transient ischemic attack Deep vein thrombosis Other significant thromboembolic event Pulmonary No pulmonary embolism within the past 6 months Gastrointestinal No active gastric or duodenal ulceration within the past year No gastrointestinal bleeding within the past year No partial or complete bowel obstruction No known chronic malabsorption No active inflammatory bowel disease or chronic diarrhea (more than 4 stools/day) Other Not pregnant or nursing Fertile patients must use effective contraception HIV negative No AIDS-related illness No prior hypersensitivity to fluorouracil, leucovorin calcium, celecoxib, other COX-2 inhibitors, NSAIDs, salicylates, or sulfonamides No other severe acute or chronic medical condition or laboratory abnormality that would preclude study participation, study drug administration, or study results interpretation No psychological, familial, sociological, or geographical condition that would preclude study compliance No concurrent active infection No other malignancy within the past 5 years except adequately treated carcinoma in situ of the cervix or basal cell or squamous cell skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent sargramostim (GM-CSF) or molgramostim Chemotherapy Not specified Endocrine therapy No more than 4 weeks of concurrent orally/nasally inhaled steroids over a 6-month period Concurrent mometasone (or fluticasone) allowed if patients require ≥ 4 weeks of inhaled steroid therapy At least 30 days since other prior steroids No concurrent hormonal therapy Radiotherapy No concurrent radiotherapy Surgery See Disease Characteristics No prior total colectomy or other major surgery that would result in substantial alteration in transit to absorption of oral medication Other More than 30 days since prior investigational medication No prior systemic anticancer treatment for colon cancer No concurrent prophylactic fluconazole No concurrent lithium No concurrent chronic* use of full dose aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), or cyclo-oxygenase-2 (COX-2) inhibitors Aspirin at cardioprotective doses (i.e., 80 mg daily or equivalent) allowed No concurrent participation in any other clinical study No other concurrent experimental agents (e.g., other COX-2 inhibitors, matrix metalloproteinase inhibitors, inhibitors of the vascular endothelial growth factor/Flk-1 pathway, or inhibitors of the epidermal growth factor receptor pathway) NOTE: *Chronic use is defined as a frequency of 7 consecutive days (1 week) for more than 3 weeks/year or more than 21 days throughout the year
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Cornelis J.H. van de Velde, MD, PhD, FRCS, FRCPS
Organizational Affiliation
Leiden University Medical Center
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Dirk J. Richel, MD, PhD
Organizational Affiliation
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Michel Ducreux, MD, PhD
Organizational Affiliation
Gustave Roussy, Cancer Campus, Grand Paris
Official's Role
Study Chair
Facility Information:
Facility Name
Karl-Franzens-University Graz
City
Graz
ZIP/Postal Code
A-8010
Country
Austria
Facility Name
Innsbruck Universitaetsklinik
City
Innsbruck
ZIP/Postal Code
A-6020
Country
Austria
Facility Name
St. Vincent's Hospital
City
Linz Donau
ZIP/Postal Code
4010
Country
Austria
Facility Name
Krankenhaus der Elisabethinen
City
Linz
ZIP/Postal Code
4020
Country
Austria
Facility Name
Landeskrankenanstalten - Salzburg
City
Salzburg
ZIP/Postal Code
A-5020
Country
Austria
Facility Name
Allgemeines Krankenhaus der Stadt Wien
City
Vienna
ZIP/Postal Code
A-1090
Country
Austria
Facility Name
Allgemeines Krankenhaus
City
Wiener Neustadt
ZIP/Postal Code
2700
Country
Austria
Facility Name
Ziekenhuis Netwerk Antwerpen Middelheim
City
Antwerpen
ZIP/Postal Code
B-2020
Country
Belgium
Facility Name
Hopital Universitaire Erasme
City
Brussels
ZIP/Postal Code
1070
Country
Belgium
Facility Name
Universitair Ziekenhuis Antwerpen
City
Edegem
ZIP/Postal Code
B-2650
Country
Belgium
Facility Name
Hopital de Jolimont
City
Haine Saint Paul
ZIP/Postal Code
7100
Country
Belgium
Facility Name
CHU Liege - Domaine Universitaire du Sart Tilman
City
Liege
ZIP/Postal Code
B-4000
Country
Belgium
Facility Name
St. Elizabeth Ziekenhuis
City
Turnhout
ZIP/Postal Code
2300
Country
Belgium
Facility Name
Medisch Centrum Haaglanden
City
's-Gravenhage
ZIP/Postal Code
2501 CK
Country
Netherlands
Facility Name
Jeroen Bosch Ziekenhuis
City
's-Hertogenbosch
ZIP/Postal Code
5211 NL
Country
Netherlands
Facility Name
Onze Lieve Vrouwe Gasthuis
City
Amsterdam
ZIP/Postal Code
1091 HA
Country
Netherlands
Facility Name
Academisch Medisch Centrum at University of Amsterdam
City
Amsterdam
ZIP/Postal Code
1105 AZ
Country
Netherlands
Facility Name
Gelre Ziekenhuizen - Lokatie Lukas
City
Apeldoorn
ZIP/Postal Code
7334 DZ
Country
Netherlands
Facility Name
Rijnstate Hospital
City
Arnhem
ZIP/Postal Code
6800 TA
Country
Netherlands
Facility Name
Ziekenhuis Lievensberg
City
Bergen-op-Zoom
ZIP/Postal Code
4624 VT
Country
Netherlands
Facility Name
Deventer Ziekenhuisen
City
Deventer
ZIP/Postal Code
7415 CM
Country
Netherlands
Facility Name
Catharina Ziekenhuis
City
Eindhoven
ZIP/Postal Code
5602 ZA
Country
Netherlands
Facility Name
Medisch Spectrum Twente
City
Enschede
ZIP/Postal Code
7500 KA
Country
Netherlands
Facility Name
University Medical Center Groningen
City
Groningen
ZIP/Postal Code
9700 RB
Country
Netherlands
Facility Name
Ziekenhuis St Jansdal
City
Harderwijk
ZIP/Postal Code
3840 AC
Country
Netherlands
Facility Name
Leiden University Medical Center
City
Leiden
ZIP/Postal Code
2333 ZA
Country
Netherlands
Facility Name
Sint Antonius Ziekenhuis
City
Nieuwegein
ZIP/Postal Code
3435 CM
Country
Netherlands
Facility Name
Nijmegen Cancer Center at Radboud University Medical Center
City
Nijmegen
ZIP/Postal Code
6500 HB
Country
Netherlands
Facility Name
Waterlandziekenhuis
City
Purmerend
ZIP/Postal Code
1440 AG
Country
Netherlands
Facility Name
Daniel Den Hoed Cancer Center at Erasmus Medical Center
City
Rotterdam
ZIP/Postal Code
3008 AE
Country
Netherlands
Facility Name
Erasmus MC - Sophia Children's Hospital
City
Rotterdam
ZIP/Postal Code
3015 GJ
Country
Netherlands
Facility Name
Ikazia Ziekenhuis
City
Rotterdam
ZIP/Postal Code
NL-3083
Country
Netherlands
Facility Name
Schieland Ziekenhuis
City
Schiedam
ZIP/Postal Code
NL-3116
Country
Netherlands
Facility Name
Ziekenhuis de Honte
City
Terneuzen
ZIP/Postal Code
NL-4535
Country
Netherlands
Facility Name
Streekziekenhuis Koningin Beatrix
City
Winterswyk
ZIP/Postal Code
7101 BN
Country
Netherlands
Facility Name
Isala Klinieken - locatie Weezenlanden
City
Zwolle
ZIP/Postal Code
NL-8000 GM
Country
Netherlands

12. IPD Sharing Statement

Learn more about this trial

Celecoxib Combined With Fluorouracil and Leucovorin in Treating Patients With Resected Stage III Adenocarcinoma (Cancer) of the Colon

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