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XENOX - Evaluation of the Efficacy of Xaliproden in Reducing the Neurotoxicity of the Oxaliplatin + 5-FU/LV Chemotherapy

Primary Purpose

Metastases, Colorectal Neoplasms, Colorectal Carcinoma

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
SR57746A
Sponsored by
Sanofi
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional prevention trial for Metastases focused on measuring Neurotoxicity syndromes, Paresthesia, Oxaliplatin, Xaliproden

Eligibility Criteria

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

Inclusion Criteria: Histologically or cytologically proven adenocarcinoma of the colon or the rectum age > 18 years WHO performance status : 0,1,2 Signed written informed consent prior to study entry Disease stage : metastatic disease not amenable to potentially curative treatment (eg : inoperable metastatic disease) Measurable disease No prior chemotherapeutic regimen for metastatic disease ; prior adjuvant chemotherapy allowed (disease free interval from end of adjuvant therapy of at least 6 months) Prior radiotherapy permitted, if completed at least 3 weeks before randomization, and if not administered to target lesions identified for the study Exclusion Criteria: Chemotherapeutic agents other than 5-FU/LV or 5-FU/Levamizole as part of adjuvant therapy Prior therapy with Oxaliplatin History of cardiac toxicities under 5-FU/LV therapy or myocardial infarction within the 6 months before study entry ; Known Dihydropyrimidine Dehydrogenase deficiency History of intolerance to appropriate antiemetics Concurrent active cancer originating from a primary site other than colon or rectum Presence of any symptom suggesting brain metastasis Known peripheral neuropathy Interstitial pneumonia or extensive and symptomatic fibrosis of the lung Allergy to Xaliproden/excipients

Sites / Locations

    Outcomes

    Primary Outcome Measures

    Clinical evaluation of peripheral sensory neuropathy using the Oxaliplatin specific scale for dose adjustment : Q2W ; response rate using RECIST criteria : Q8W

    Secondary Outcome Measures

    Safety : Q2W ; Nerve conduction studies : Baseline + cycle 12 ; Progression Free Survival : Q8W ; Survival

    Full Information

    First Posted
    January 3, 2006
    Last Updated
    September 11, 2006
    Sponsor
    Sanofi
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00272051
    Brief Title
    XENOX - Evaluation of the Efficacy of Xaliproden in Reducing the Neurotoxicity of the Oxaliplatin + 5-FU/LV Chemotherapy
    Official Title
    A Multicenter Randomized Dble-Blind Placebo Controlled Phase III Study of the Efficacy of Xaliproden in Reducing the Neurotoxicity of the Oxaliplatin and 5-FU/LV Combination in First-Line Treatment of Patients With Metastatic Colorectal Carcinoma(MCRC)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2006
    Overall Recruitment Status
    Completed
    Study Start Date
    July 2002 (undefined)
    Primary Completion Date
    undefined (undefined)
    Study Completion Date
    May 2004 (undefined)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Sanofi

    4. Oversight

    5. Study Description

    Brief Summary
    Purpose of the trial is to evaluate the efficacy of Xaliproden in reducing the neurotoxicity of the Oxaliplatin and 5-FU/LV chemotherapy, in patients with metastatic colorectal carcinomaPrimary objectives : Compare the risk of occurence of grade 3-4 peripheral sensory neuropathy relative to the cumulative dose of Oxaliplatin between treatment group and placebo group ; Compare the response rate between treatment group and placebo group.Secondary objectives : neurotoxicity parameters (overall incidence, time and dose to onset, time to recovery, change in the sensory action potentials) ; antitumoral efficacy (progression-free survival, overall survival) ; safety profile.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Metastases, Colorectal Neoplasms, Colorectal Carcinoma
    Keywords
    Neurotoxicity syndromes, Paresthesia, Oxaliplatin, Xaliproden

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    Double
    Allocation
    Randomized
    Enrollment
    620 (false)

    8. Arms, Groups, and Interventions

    Intervention Type
    Drug
    Intervention Name(s)
    SR57746A
    Primary Outcome Measure Information:
    Title
    Clinical evaluation of peripheral sensory neuropathy using the Oxaliplatin specific scale for dose adjustment : Q2W ; response rate using RECIST criteria : Q8W
    Secondary Outcome Measure Information:
    Title
    Safety : Q2W ; Nerve conduction studies : Baseline + cycle 12 ; Progression Free Survival : Q8W ; Survival

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Histologically or cytologically proven adenocarcinoma of the colon or the rectum age > 18 years WHO performance status : 0,1,2 Signed written informed consent prior to study entry Disease stage : metastatic disease not amenable to potentially curative treatment (eg : inoperable metastatic disease) Measurable disease No prior chemotherapeutic regimen for metastatic disease ; prior adjuvant chemotherapy allowed (disease free interval from end of adjuvant therapy of at least 6 months) Prior radiotherapy permitted, if completed at least 3 weeks before randomization, and if not administered to target lesions identified for the study Exclusion Criteria: Chemotherapeutic agents other than 5-FU/LV or 5-FU/Levamizole as part of adjuvant therapy Prior therapy with Oxaliplatin History of cardiac toxicities under 5-FU/LV therapy or myocardial infarction within the 6 months before study entry ; Known Dihydropyrimidine Dehydrogenase deficiency History of intolerance to appropriate antiemetics Concurrent active cancer originating from a primary site other than colon or rectum Presence of any symptom suggesting brain metastasis Known peripheral neuropathy Interstitial pneumonia or extensive and symptomatic fibrosis of the lung Allergy to Xaliproden/excipients
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Gérard SAID, MD
    Organizational Affiliation
    Hôpital de Bicêtre - Le Kremlin-Bicêtre - France
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    31378656
    Citation
    Abdel-Rahman O. Effect of Body Mass Index on 5-FU-Based Chemotherapy Toxicity and Efficacy Among Patients With Metastatic Colorectal Cancer; A Pooled Analysis of 5 Randomized Trials. Clin Colorectal Cancer. 2019 Dec;18(4):e385-e393. doi: 10.1016/j.clcc.2019.07.005. Epub 2019 Jul 15.
    Results Reference
    derived
    PubMed Identifier
    30679026
    Citation
    Abdel-Rahman O. Impact of Sex on Chemotherapy Toxicity and Efficacy Among Patients With Metastatic Colorectal Cancer: Pooled Analysis of 5 Randomized Trials. Clin Colorectal Cancer. 2019 Jun;18(2):110-115.e2. doi: 10.1016/j.clcc.2018.12.006. Epub 2018 Dec 28.
    Results Reference
    derived
    Links:
    URL
    http://www.sanofi-aventis.com
    Description
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    XENOX - Evaluation of the Efficacy of Xaliproden in Reducing the Neurotoxicity of the Oxaliplatin + 5-FU/LV Chemotherapy

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