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Phase IIa Study of Nimotuzumab to Treat Colorectal Cancer

Primary Purpose

Colorectal Cancer

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Nimotuzumab
Irinotecan
Sponsored by
Biotech Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Cancer focused on measuring nimotuzumab, colorectal cancer, chemotherapy

Eligibility Criteria

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

Inclusion Criteria:

  • Informed consent form signed before performing any of the study's specific procedures.
  • ECOG performance status 0-2.
  • Age > 18,both genders.
  • Metastatic colorectal cancer confirmed by pathology, or locally advanced unresectable colorectal cancer, or postoperative recurrence and metastasis colorectal cancer
  • Disease progression after receiving oxaliplatin ± fluorouracil in first-line treatment
  • At least 1 measurable lesions ,( longest diameter≥ 1 cm by spiral computed tomography (CT) scan or MRI)
  • Life expectancy more than 3 months.
  • K-ras is wild type
  • Use of an effective contraceptive method for patients of both sexes when there is a risk of conception and/or pregnancy.
  • Liver metastasis, lesions smaller than 50% of the liver; Lung metastasis, lesions smaller than 30% of the lung
  • Haemoglobin≥90g/L , granulocyte≥1.5×109/L ,WBC ≥3×109/L, platelet count≥100×109/L
  • TBIL≤ 1.5 x ULN ,ALK≤ 2.5 x ULN or ≤ 5ULN(Liver metastasis),AST and ALT≤ 2.5 x ULN or ≤ 5ULN(Liver metastasis),Creatinine ≤ 1.5 x ULN
  • No brain metastasis

Exclusion Criteria:

  • Previous radiotherapy at lesions within three months
  • Other first line chemo-agents treatment except oxaliplatin ± fluorouracil
  • Received other anti EGFR monoclonal antibody treatment
  • Complete or incomplete intestinal obstruction
  • Participation in other interventional clinical trials within 1 month
  • Psychiatric disease affected cognitive ability, including brain metastasis
  • Peripheral neuropathy lesion is more than I stage.
  • History of serious allergic or allergy
  • Pregnant or breast-feeding women
  • Patients with the history of Serious lung or hear disease
  • Other malignant tumor

Sites / Locations

  • China People's Liberation Army (PLA)81 Hospital
  • Peking University, School of Oncology, Beijing Cancer Hospital & Institute

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Nimotuzumab and Irinotecan

Arm Description

Nimotuzumab: 200, 400, 600 or 800mg weekly until progression or AEs Irinotecan:180mg/m2 d1, Q2w until progression or AEs or maximum 6 cycles

Outcomes

Primary Outcome Measures

The rate of grade 3/4 toxicity

Secondary Outcome Measures

The maximum tolerated
The complete response rate
The partial rate
The disease control rate

Full Information

First Posted
August 18, 2015
Last Updated
March 3, 2022
Sponsor
Biotech Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05278728
Brief Title
Phase IIa Study of Nimotuzumab to Treat Colorectal Cancer
Official Title
Phase IIa Study of Nimotuzumab Plus Irinotecan as Second-line Treatment in Metastatic Colorectal Cancer With Wild Type K-ras
Study Type
Interventional

2. Study Status

Record Verification Date
August 2015
Overall Recruitment Status
Completed
Study Start Date
July 2009 (undefined)
Primary Completion Date
August 2013 (Actual)
Study Completion Date
December 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biotech Pharmaceutical Co., Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Nimotuzumab is an IgG1 humanized monoclonal antibody that recognized an epitope located in the extra cellular domain of the human epidermal growth factor receptor (EGFR). Clinical efficacy has been shown in adult with head and neck cancer. The study assessed the safety, and efficacy of the combination of Nimotuzumab administered concomitantly with chemotherapy in patients with advanced colorectal cancer.
Detailed Description
Nimotuzumab and Irinotecan will be administered to the patient until disease progression or development of toxicity preclude further treatment. Irinotecan will be administered once every 14 days, the dosage is 180mg/m2; Nimotuzumab treatment be divided 3 levels: 200mg/w, 400mg/w, 600mg/w, weekly. The patients'blood test and liver and renal function tests will be monitored weekly, a physical exam and reassessment of the tumor will be performed and every 6 weeks, when the total result is the CR or PR, the result of the 6th and the 12th week should be compared.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer
Keywords
nimotuzumab, colorectal cancer, chemotherapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
31 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Nimotuzumab and Irinotecan
Arm Type
Experimental
Arm Description
Nimotuzumab: 200, 400, 600 or 800mg weekly until progression or AEs Irinotecan:180mg/m2 d1, Q2w until progression or AEs or maximum 6 cycles
Intervention Type
Drug
Intervention Name(s)
Nimotuzumab
Intervention Description
200,400,600 or 800mg weekly until progression or AEs
Intervention Type
Drug
Intervention Name(s)
Irinotecan
Intervention Description
180mg/m2 d1, Q2w until progression or AEs or maximum 6 cycles
Primary Outcome Measure Information:
Title
The rate of grade 3/4 toxicity
Time Frame
3 months
Secondary Outcome Measure Information:
Title
The maximum tolerated
Time Frame
3 months
Title
The complete response rate
Time Frame
3 months
Title
The partial rate
Time Frame
3 months
Title
The disease control rate
Time Frame
3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Informed consent form signed before performing any of the study's specific procedures. ECOG performance status 0-2. Age > 18,both genders. Metastatic colorectal cancer confirmed by pathology, or locally advanced unresectable colorectal cancer, or postoperative recurrence and metastasis colorectal cancer Disease progression after receiving oxaliplatin ± fluorouracil in first-line treatment At least 1 measurable lesions ,( longest diameter≥ 1 cm by spiral computed tomography (CT) scan or MRI) Life expectancy more than 3 months. K-ras is wild type Use of an effective contraceptive method for patients of both sexes when there is a risk of conception and/or pregnancy. Liver metastasis, lesions smaller than 50% of the liver; Lung metastasis, lesions smaller than 30% of the lung Haemoglobin≥90g/L , granulocyte≥1.5×109/L ,WBC ≥3×109/L, platelet count≥100×109/L TBIL≤ 1.5 x ULN ,ALK≤ 2.5 x ULN or ≤ 5ULN(Liver metastasis),AST and ALT≤ 2.5 x ULN or ≤ 5ULN(Liver metastasis),Creatinine ≤ 1.5 x ULN No brain metastasis Exclusion Criteria: Previous radiotherapy at lesions within three months Other first line chemo-agents treatment except oxaliplatin ± fluorouracil Received other anti EGFR monoclonal antibody treatment Complete or incomplete intestinal obstruction Participation in other interventional clinical trials within 1 month Psychiatric disease affected cognitive ability, including brain metastasis Peripheral neuropathy lesion is more than I stage. History of serious allergic or allergy Pregnant or breast-feeding women Patients with the history of Serious lung or hear disease Other malignant tumor
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lin Shen
Organizational Affiliation
Department of GI Oncology,Peking University, School of Oncology, Beijing Cancer Hospital & Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
China People's Liberation Army (PLA)81 Hospital
City
Nanjing
State/Province
Jiangsu
Country
China
Facility Name
Peking University, School of Oncology, Beijing Cancer Hospital & Institute
City
Beijing
ZIP/Postal Code
100036
Country
China

12. IPD Sharing Statement

Learn more about this trial

Phase IIa Study of Nimotuzumab to Treat Colorectal Cancer

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