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Oxaliplatin and Bevacizumab (Avastin™) With Either Fluorouracil and Leucovorin or Capecitabine in Treating Patients With Advanced Colorectal Cancer

Primary Purpose

Colorectal Cancer

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
bevacizumab
capecitabine
fluorouracil
leucovorin calcium
oxaliplatin
Sponsored by
Prologue Research International
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, adenocarcinoma of the rectum, recurrent colon cancer, stage IV colon cancer, recurrent rectal cancer, stage IV rectal cancer

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically confirmed adenocarcinoma of the colon or rectum Metastatic or recurrent disease not amenable to potentially curative treatment At least 1 unidimensionally measurable lesion at least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan Histological or cytological confirmation is required for a solitary target lesion No CNS metastases PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-1 Life expectancy Not specified Hematopoietic Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hepatic Bilirubin no greater than 2 times upper limit of normal (ULN) SGPT and SGOT no greater than 3 times ULN Renal Creatinine no greater than 1.5 times ULN Creatinine clearance at least 30 mL/min Cardiovascular No myocardial infarction within the past 6 months No clinical evidence of congestive heart failure No unstable coronary artery disease Pulmonary No interstitial pneumonia No extensive symptomatic fibrosis of the lungs Gastrointestinal Able to tolerate oral medication No lack of physical integrity of the upper gastrointestinal tract No malabsorption syndrome No swallowing difficulties Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 6 months after study participation No other concurrent serious illness No uncontrolled infection No other concurrent malignancy except nonmelanoma skin cancer or carcinoma in situ of the cervix or any other cancer for which the patient has been off all therapy and in remission for at least 5 years No peripheral neuropathy No hypersensitivity to any of the study drugs or their ingredients No known dihydropyrimidine dehydrogenase deficiency No other medical or psychiatric disorder that would preclude giving informed consent or complying with study PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent prophylactic hematopoietic growth factor therapy No prior bevacizumab (Avastin™) Chemotherapy At least 6 months since prior adjuvant fluorouracil, leucovorin calcium, and irinotecan No prior oxaliplatin No prior chemotherapy for metastatic or recurrent disease No other concurrent chemotherapy Endocrine therapy Not specified Radiotherapy No concurrent radiotherapy unless for the control of bone pain Surgery Recovered from prior surgery No prior organ allografts Other More than 4 weeks since prior investigational drugs No concurrent iced mouth rinses for the prevention of stomatitis No concurrent cold cap alopecia prevention No concurrent pyridoxine No concurrent sorivudine or chemically-related analogues (e.g., brivudine) No concurrent chronic aspirin, nonsteroidal anti-inflammatory drugs, or warfarin

Sites / Locations

  • University of Alabama at Birmingham Comprehensive Cancer Center
  • Arizona Clinical Research Center
  • California Cancer Care, Inc.
  • Valley Tumor Medical Group
  • Cancer and Blood Institute of the Desert
  • Rocky Mountain Cancer Centers - Midtown
  • Northwestern Connecticut Oncology-Hematology Associates
  • Lombardi Cancer Center at Georgetown University Medical Center
  • Lynn Regional Cancer Center West
  • Florida Cancer Specialists
  • Florida Oncology Associates
  • Hematology and Oncology Consultants, P.A.
  • Hematology Oncology Associates of theTreasure Coast - Port St. Lucie
  • Palm Beach Cancer Institute
  • Peachtree Hematology and Oncology Consultants, P.C.
  • North Idaho Cancer Center
  • Robert H. Lurie Comprehensive Cancer Center at Northwestern University
  • Lutheran General Cancer Care Center
  • West Suburban Center for Cancer Care
  • Saint Anthony Medical Center
  • CCOP - Northern Indiana CR Consortium
  • Cedar Rapids Oncology Associates
  • CCOP - Wichita
  • Greater Baltimore Medical Center and Cancer Center
  • Jackson Oncology Associates, PLLC
  • Veterans Affairs Medical Center - Kansas City
  • Deaconess Billings Clinic Cancer Center
  • Cooper Cancer Institute at Cooper University Hospital
  • Advanced Oncology Associates
  • North Shore Hematology/Oncology Associates, P.C.
  • Arena Oncology Associates
  • St. Vincents Comprehensive Cancer Center
  • New York University Medical Center
  • New York Medical College
  • Duke Comprehensive Cancer Center
  • Southeastern Medical Oncology Center
  • Physicians East - Quadrangle
  • Raleigh Hematology/Oncology Associates, P.A. - Wake Practice
  • Hematology Oncology Consultants Inc
  • Hematology/Oncology of Salem
  • Pennsylvania Oncology Hematology Associates
  • Hillman Cancer Center at University of Pittsburgh Cancer Institute
  • Charleston Hematology-Oncology, P.A.
  • McCleod Cancer and Blood Center
  • Memphis Cancer Center
  • West Clinic
  • Sarah Cannon Cancer Center at Centennial Medical Center
  • Lone Star Oncology
  • Medical City Dallas Hospital
  • South Texas Oncology and Hematology
  • Center for Cancer Prevention and Care at Scott and White Clinic
  • Medical Consultants

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
June 5, 2003
Last Updated
November 5, 2013
Sponsor
Prologue Research International
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1. Study Identification

Unique Protocol Identification Number
NCT00062426
Brief Title
Oxaliplatin and Bevacizumab (Avastin™) With Either Fluorouracil and Leucovorin or Capecitabine in Treating Patients With Advanced Colorectal Cancer
Official Title
A Randomized, Prospective Study Comparing Three Regimens Of Eloxatin ™ Plus Fluoropyrimidine For Evaluation Of Safety And Tolerability In First Line Treatment Of Patients With Advanced Colorectal Cancer (Tree Study)
Study Type
Interventional

2. Study Status

Record Verification Date
April 2004
Overall Recruitment Status
Completed
Study Start Date
May 2003 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
February 2011 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Prologue Research International

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy, such as oxaliplatin, fluorouracil, leucovorin, and capecitabine, work in different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug and giving them in different combinations may kill more tumor cells. Monoclonal antibodies, such as bevacizumab (Avastin™), can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or deliver cancer-killing substances to them. It is not yet known which regimen works better in treating advanced colorectal cancer. PURPOSE: This randomized phase III trial is to see if oxaliplatin and bevacizumab work better when combined with either fluorouracil and leucovorin or capecitabine in treating patients who have metastatic or recurrent colorectal cancer.
Detailed Description
OBJECTIVES: Compare the incidence of grade 3 and 4 toxic effects occurring within the first 12 weeks of treatment with 2 different schedules of oxaliplatin, bevacizumab (Avastin™), leucovorin calcium, and fluorouracil or with oxaliplatin, Avastin™, and capecitabine in patients with advanced colorectal cancer. Compare the overall response rate, progression-free survival, and time to treatment failure in patients treated with these regimens. Compare the composite toxicity of these regimens in these patients. OUTLINE: This is a randomized, open-label, multicenter study. Patients are randomized to 1 of 3 treatment arms. Arm I: Patients receive bevacizumab (Avastin™) IV over 30-90 minutes, oxaliplatin IV over 2 hours, and leucovorin calcium IV over 2 hours on day 1 and fluorouracil (5-FU) IV over 46 hours beginning on day 1. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity. Arm II: Patients receive Avastin™ IV over 30-90 minutes and oxaliplatin IV over 2 hours on days 1 and 15 and leucovorin calcium IV over 10 minutes and 5-FU IV over 3 minutes on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Arm III: Patients receive Avastin™ IV over 30-90 minutes and oxaliplatin IV over 2 hours on day 1 and oral capecitabine twice daily on days 1-14. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients are followed at 1 month, every 3 months for at least 2 years, and then every 6 months thereafter. PROJECTED ACCRUAL: A total of 375 patients (125 per treatment arm) will be accrued for this study.

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, adenocarcinoma of the rectum, recurrent colon cancer, stage IV colon cancer, recurrent rectal cancer, stage IV rectal cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Masking
None (Open Label)
Allocation
Randomized

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
bevacizumab
Intervention Type
Drug
Intervention Name(s)
capecitabine
Intervention Type
Drug
Intervention Name(s)
fluorouracil
Intervention Type
Drug
Intervention Name(s)
leucovorin calcium
Intervention Type
Drug
Intervention Name(s)
oxaliplatin

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed adenocarcinoma of the colon or rectum Metastatic or recurrent disease not amenable to potentially curative treatment At least 1 unidimensionally measurable lesion at least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan Histological or cytological confirmation is required for a solitary target lesion No CNS metastases PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-1 Life expectancy Not specified Hematopoietic Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hepatic Bilirubin no greater than 2 times upper limit of normal (ULN) SGPT and SGOT no greater than 3 times ULN Renal Creatinine no greater than 1.5 times ULN Creatinine clearance at least 30 mL/min Cardiovascular No myocardial infarction within the past 6 months No clinical evidence of congestive heart failure No unstable coronary artery disease Pulmonary No interstitial pneumonia No extensive symptomatic fibrosis of the lungs Gastrointestinal Able to tolerate oral medication No lack of physical integrity of the upper gastrointestinal tract No malabsorption syndrome No swallowing difficulties Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 6 months after study participation No other concurrent serious illness No uncontrolled infection No other concurrent malignancy except nonmelanoma skin cancer or carcinoma in situ of the cervix or any other cancer for which the patient has been off all therapy and in remission for at least 5 years No peripheral neuropathy No hypersensitivity to any of the study drugs or their ingredients No known dihydropyrimidine dehydrogenase deficiency No other medical or psychiatric disorder that would preclude giving informed consent or complying with study PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent prophylactic hematopoietic growth factor therapy No prior bevacizumab (Avastin™) Chemotherapy At least 6 months since prior adjuvant fluorouracil, leucovorin calcium, and irinotecan No prior oxaliplatin No prior chemotherapy for metastatic or recurrent disease No other concurrent chemotherapy Endocrine therapy Not specified Radiotherapy No concurrent radiotherapy unless for the control of bone pain Surgery Recovered from prior surgery No prior organ allografts Other More than 4 weeks since prior investigational drugs No concurrent iced mouth rinses for the prevention of stomatitis No concurrent cold cap alopecia prevention No concurrent pyridoxine No concurrent sorivudine or chemically-related analogues (e.g., brivudine) No concurrent chronic aspirin, nonsteroidal anti-inflammatory drugs, or warfarin
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Richard A. Gams, MD
Organizational Affiliation
Prologue Research International
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Lauri Welles, MD
Organizational Affiliation
Sanofi-Synthelabo
Facility Information:
Facility Name
University of Alabama at Birmingham Comprehensive Cancer Center
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294-3300
Country
United States
Facility Name
Arizona Clinical Research Center
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85712
Country
United States
Facility Name
California Cancer Care, Inc.
City
Greenbrae
State/Province
California
ZIP/Postal Code
94904-2007
Country
United States
Facility Name
Valley Tumor Medical Group
City
Lancaster
State/Province
California
ZIP/Postal Code
93534
Country
United States
Facility Name
Cancer and Blood Institute of the Desert
City
Rancho Mirage
State/Province
California
ZIP/Postal Code
92270
Country
United States
Facility Name
Rocky Mountain Cancer Centers - Midtown
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Facility Name
Northwestern Connecticut Oncology-Hematology Associates
City
Torrington
State/Province
Connecticut
ZIP/Postal Code
06790
Country
United States
Facility Name
Lombardi Cancer Center at Georgetown University Medical Center
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20007
Country
United States
Facility Name
Lynn Regional Cancer Center West
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33428
Country
United States
Facility Name
Florida Cancer Specialists
City
Fort Myers
State/Province
Florida
ZIP/Postal Code
33901
Country
United States
Facility Name
Florida Oncology Associates
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32207
Country
United States
Facility Name
Hematology and Oncology Consultants, P.A.
City
Orlando
State/Province
Florida
ZIP/Postal Code
32804
Country
United States
Facility Name
Hematology Oncology Associates of theTreasure Coast - Port St. Lucie
City
Port St. Lucie
State/Province
Florida
ZIP/Postal Code
34952
Country
United States
Facility Name
Palm Beach Cancer Institute
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33401
Country
United States
Facility Name
Peachtree Hematology and Oncology Consultants, P.C.
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30309
Country
United States
Facility Name
North Idaho Cancer Center
City
Coeur d'Alene
State/Province
Idaho
ZIP/Postal Code
83814
Country
United States
Facility Name
Robert H. Lurie Comprehensive Cancer Center at Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Lutheran General Cancer Care Center
City
Park Ridge
State/Province
Illinois
ZIP/Postal Code
60068-1270
Country
United States
Facility Name
West Suburban Center for Cancer Care
City
River Forest
State/Province
Illinois
ZIP/Postal Code
60305
Country
United States
Facility Name
Saint Anthony Medical Center
City
Rockford
State/Province
Illinois
ZIP/Postal Code
61108
Country
United States
Facility Name
CCOP - Northern Indiana CR Consortium
City
South Bend
State/Province
Indiana
ZIP/Postal Code
46601
Country
United States
Facility Name
Cedar Rapids Oncology Associates
City
Cedar Rapids
State/Province
Iowa
ZIP/Postal Code
52403-1206
Country
United States
Facility Name
CCOP - Wichita
City
Wichita
State/Province
Kansas
ZIP/Postal Code
67214-3882
Country
United States
Facility Name
Greater Baltimore Medical Center and Cancer Center
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21204
Country
United States
Facility Name
Jackson Oncology Associates, PLLC
City
Jackson
State/Province
Mississippi
ZIP/Postal Code
39202
Country
United States
Facility Name
Veterans Affairs Medical Center - Kansas City
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64128
Country
United States
Facility Name
Deaconess Billings Clinic Cancer Center
City
Billings
State/Province
Montana
ZIP/Postal Code
59107-5100
Country
United States
Facility Name
Cooper Cancer Institute at Cooper University Hospital
City
Voorhees
State/Province
New Jersey
ZIP/Postal Code
08043
Country
United States
Facility Name
Advanced Oncology Associates
City
Armonk
State/Province
New York
ZIP/Postal Code
10504
Country
United States
Facility Name
North Shore Hematology/Oncology Associates, P.C.
City
East Setauket
State/Province
New York
ZIP/Postal Code
11733
Country
United States
Facility Name
Arena Oncology Associates
City
Great Neck
State/Province
New York
ZIP/Postal Code
11021
Country
United States
Facility Name
St. Vincents Comprehensive Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10011
Country
United States
Facility Name
New York University Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
New York Medical College
City
Valhalla
State/Province
New York
ZIP/Postal Code
10595
Country
United States
Facility Name
Duke Comprehensive Cancer Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Southeastern Medical Oncology Center
City
Goldsboro
State/Province
North Carolina
ZIP/Postal Code
27534
Country
United States
Facility Name
Physicians East - Quadrangle
City
Greenville
State/Province
North Carolina
ZIP/Postal Code
27834
Country
United States
Facility Name
Raleigh Hematology/Oncology Associates, P.A. - Wake Practice
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27609-7300
Country
United States
Facility Name
Hematology Oncology Consultants Inc
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43235
Country
United States
Facility Name
Hematology/Oncology of Salem
City
Salem
State/Province
Oregon
ZIP/Postal Code
97301
Country
United States
Facility Name
Pennsylvania Oncology Hematology Associates
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19106
Country
United States
Facility Name
Hillman Cancer Center at University of Pittsburgh Cancer Institute
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Facility Name
Charleston Hematology-Oncology, P.A.
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29403
Country
United States
Facility Name
McCleod Cancer and Blood Center
City
Johnson City
State/Province
Tennessee
ZIP/Postal Code
37604
Country
United States
Facility Name
Memphis Cancer Center
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38119
Country
United States
Facility Name
West Clinic
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38120
Country
United States
Facility Name
Sarah Cannon Cancer Center at Centennial Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Lone Star Oncology
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
Facility Name
Medical City Dallas Hospital
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
South Texas Oncology and Hematology
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78207
Country
United States
Facility Name
Center for Cancer Prevention and Care at Scott and White Clinic
City
Temple
State/Province
Texas
ZIP/Postal Code
76508
Country
United States
Facility Name
Medical Consultants
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53215-3690
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
21245868
Citation
Leighl NB, Bennouna J, Yi J, Moore N, Hambleton J, Hurwitz H. Bleeding events in bevacizumab-treated cancer patients who received full-dose anticoagulation and remained on study. Br J Cancer. 2011 Feb 1;104(3):413-8. doi: 10.1038/sj.bjc.6606074. Epub 2011 Jan 18.
Results Reference
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Learn more about this trial

Oxaliplatin and Bevacizumab (Avastin™) With Either Fluorouracil and Leucovorin or Capecitabine in Treating Patients With Advanced Colorectal Cancer

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