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| ID | Type | Description | Link |
|---|---|---|---|
| SANOFI-EFC4584 | |||
| BRCC-00036 |
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RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known which regimen of chemotherapy is more effective for metastatic colorectal cancer.
PURPOSE: Phase III trial to compare the effectiveness of three chemotherapy regimens in treating patients who have metastatic colorectal cancer.
OBJECTIVES: I. Compare the overall survival of patients with metastatic colorectal carcinoma treated with fluorouracil and leucovorin calcium with vs without oxaliplatin vs oxaliplatin alone. II. Compare the response rate, time to tumor-related symptomatic worsening, time to disease progression, onset and duration of complete and partial responses, and duration of disease stabilization in patients treated with these regimens. III. Determine the safety profile of these regimens in these patients.
OUTLINE: This is a randomized, open-label, multicenter study. Patients are stratified according to Karnofsky performance status (50-60% vs 70-100%), number of metastatic organs (1 vs 2 or more), and LDH value (up to 1.5 times upper limit of normal (ULN) vs greater than 1.5 times ULN). Patients are randomized to one of three treatment arms. Arm I: Patients receive leucovorin calcium IV over 2 hours followed by fluorouracil IV continuously over 22 hours on days 1 and 2. Arm II: Patients receive oxaliplatin IV over 2 hours on day 1. Arm III: Patients receive oxaliplatin IV concurrently with leucovorin calcium IV over 2 hours followed by fluorouracil IV continuously over 22 hours on day 1. Leucovorin calcium and fluorouracil are administered alone on day 2 on the same schedule as on day 1. Treatment repeats every 2 weeks for up to 1 year in the absence of disease progression or unacceptable toxicity. Patients are followed for 30 days, every 2 weeks for up to 3 months, and then every 3 months thereafter.
PROJECTED ACCRUAL: A total of 786 patients (262 per arm) will be accrued for this study within 12 months.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FOLFOX regimen | Drug | |||
| fluorouracil | Drug | |||
| leucovorin calcium | Drug | |||
| oxaliplatin | Drug |
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed metastatic adenocarcinoma of the colon or rectum that is not amenable to potentially curative therapy (e.g., inoperable metastatic disease) At least 1 unidimensionally measurable lesion at least 20 mm in diameter by conventional CT or MRI scan or at least 10 mm in diameter by spiral CT scan Progressive disease by CT or MRI scan during or no more than 6 months after the last dose of prior first-line irinotecan, fluorouracil, and leucovorin calcium (Saltz regimen) for metastatic disease
PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 50-100% Life expectancy: Not specified Hematopoietic: Absolute neutrophil count at least 1,500/mm3 Platelet count at least 100,000/mm3 Hepatic: Bilirubin no greater than 1.5 times upper limit of normal (ULN) AST and ALT no greater than 2 times ULN (no greater than 5 times ULN if liver metastases present) Alkaline phosphatase no greater than 2 times ULN (no greater than 3 times ULN if liver metastases present) Renal: Creatinine no greater than 1.5 times ULN Cardiovascular: No uncontrolled high blood pressure No unstable angina, symptomatic congestive heart failure, or serious cardiac arrhythmia No New York Heart Association class III or IV heart disease No history of cardiac toxicities with prior fluorouracil and leucovorin calcium No myocardial infarction within the past 6 months Pulmonary: No interstitial pneumonia or extensive and symptomatic fibrosis of the lung Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 6 months after study No known dihydropyrimidine dehydrogenase deficiency No allergy to platinum-containing drugs No history of intolerance to study anti-emetics (e.g., 5-HT3 antagonists) No known peripheral neuropathy (absence of deep tendon reflexes as sole deficiency allowed) No uncontrolled diabetes No active infection No other active malignancy originating from primary site other than colon or rectum
PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: See Disease Characteristics One and only 1 prior chemotherapy regimen for metastatic disease consisting of first-line irinotecan, fluorouracil, and leucovorin calcium (Saltz regimen) Prior adjuvant fluorouracil with leucovorin calcium allowed At least 3 weeks since prior chemotherapy for metastatic disease and recovered No prior adjuvant irinotecan No prior oxaliplatin Endocrine therapy: Not specified Radiotherapy: No prior radiotherapy to study lesions unless evidence of progressive disease within the radiotherapy port At least 3 weeks since prior radiotherapy Surgery: See Disease Characteristics At least 4 weeks since prior major surgery and recovered Prior surgical resection of primary tumor or metastases allowed Other: At least 30 days since prior investigational drugs No other concurrent investigational agents No other concurrent anti-cancer therapy No concurrent participation in other investigational trials
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| Name | Affiliation | Role |
|---|---|---|
| Mace L. Rothenberg, MD, FACP | Vanderbilt-Ingram Cancer Center | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Comprehensive Cancer Institute of Huntsville | Huntsville | Alabama | 35801 | United States | ||
| Oncology Center at Providence Park |
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| Mobile |
| Alabama |
| 36608 |
| United States |
| Arizona Clinical Research Center | Tucson | Arizona | 85712 | United States |
| Arkansas Oncology Associates, P.A. | Little Rock | Arkansas | 72207 | United States |
| Offices of Richard Shapiro, Benjamin Stafford, and Sharon J. Yee | Arcadia | California | 91007-7678 | United States |
| California Cancer Care, Inc. | Greenbrae | California | 94904 | United States |
| Medical Oncology Internal Medicine | Los Angeles | California | 90067 | United States |
| Bay Area Tumor Institute | Oakland | California | 94609 | United States |
| Medical Oncology Care Associates | Orange | California | 92668 | United States |
| P.M.K. Medical Group, Inc. | Oxnard | California | 93030 | United States |
| Cancer and Blood Institute of the Desert | Rancho Mirage | California | 92270 | United States |
| Kaiser Permanente-Southern California Permanente Medical Group | San Diego | California | 92120 | United States |
| Kaiser Permanente Medical Center - Vallejo | Vallejo | California | 94589 | United States |
| Kaiser Permanente - Denver | Denver | Colorado | 80205 | United States |
| Rocky Mountain Cancer Center | Denver | Colorado | 80218 | United States |
| Northwestern Connecticut Oncology-Hematology Associates | Torrington | Connecticut | 06790 | United States |
| Lombardi Cancer Center | Washington D.C. | District of Columbia | 20007 | United States |
| Comprehensive Cancer Care Specialists of Boca Raton | Boca Raton | Florida | 33428 | United States |
| Center for Hematology-Oncology | Boca Raton | Florida | 33486 | United States |
| Florida Cancer Specialists | Fort Myers | Florida | 33901 | United States |
| University of Florida Health Science Center | Gainesville | Florida | 32610-0296 | United States |
| Memorial Regional Hospital Comprehensive Cancer Center | Hollywood | Florida | 33021 | United States |
| Florida Community Cancer Center | Hudson | Florida | 34667 | United States |
| North Florida Hematology & Oncology Associates | Jacksonville | Florida | 32204 | United States |
| Hematology/Oncology Associates | Jacksonville | Florida | 32216 | United States |
| Lakeland Regional Medical Center | Lakeland | Florida | 33804 | United States |
| Mount Sinai Comprehensive Cancer Center | Miami | Florida | 33140 | United States |
| Oncology-Hematology Group of South Florida | Miami | Florida | 33176 | United States |
| Ocala Oncology Center | Ocala | Florida | 34474 | United States |
| Office of Thomas A. Marsland | Orange Park | Florida | 32073 | United States |
| Florida Hospital Cancer Institute | Orlando | Florida | 32804 | United States |
| Office of Barry S. Berman | Orlando | Florida | 32806 | United States |
| Memorial Hospital West | Pembroke Pines | Florida | 33028 | United States |
| Hematology-Oncology Associates, PA | Pensacola | Florida | 32501 | United States |
| Hematology/Oncology Associates | Port Saint Lucie | Florida | 34952 | United States |
| Oncology & Hematology Associates of West Broward | Tamarac | Florida | 33321 | United States |
| Office of Ron D. Schiff | Tampa | Florida | 33613 | United States |
| Hematology and Oncology Consultants | Titusville | Florida | 32796 | United States |
| Dreyer Medical Clinic | Aurora | Illinois | 60506 | United States |
| Northwestern Medical Faculty Foundation | Chicago | Illinois | 60611 | United States |
| Hematology Oncology Associates of Illinois-Highland Park | Highland Park | Illinois | 60035 | United States |
| Lutheran General Cancer Care Center | Park Ridge | Illinois | 60068 | United States |
| Oncology and Hematology Associates | Greenfield | Indiana | 46140 | United States |
| Cancer Care Center | New Albany | Indiana | 47150 | United States |
| Oncology Associates of Cedar Rapids | Cedar Rapids | Iowa | 52403 | United States |
| University of Kansas Medical Center | Kansas City | Kansas | 66160-7357 | United States |
| Cancer Center of Kansas - Wichita | Wichita | Kansas | 67214 | United States |
| Albert B. Chandler Medical Center, University of Kentucky | Lexington | Kentucky | 40536-0084 | United States |
| James Graham Brown Cancer Center | Louisville | Kentucky | 40202 | United States |
| Baton Rouge General Medical Center | Baton Rouge | Louisiana | 70821-2511 | United States |
| Louisiana Oncology Associates | Lafayette | Louisiana | 70506 | United States |
| Physicians Office | Metairie | Louisiana | 70006 | United States |
| Louisiana State University School of Medicine | New Orleans | Louisiana | 70112-2822 | United States |
| Maine Center for Cancer Medicine and Blood Disorders | Scarborough | Maine | 04074 | United States |
| Barbara Ann Karmanos Cancer Institute | Detroit | Michigan | 48201-1379 | United States |
| Parker Hughes Cancer Center | Roseville | Minnesota | 55113 | United States |
| Park Nicollet Clinic | Saint Louis Park | Minnesota | 55416 | United States |
| Columbia Comprehensive Cancer Care Clinic | Columbia | Missouri | 65201 | United States |
| Missouri Cancer Associates | Columbia | Missouri | 65201 | United States |
| Midwest Oncology Consortium | Kansas City | Missouri | 64111 | United States |
| Missouri Cancer Care, P.C. | Saint Charles | Missouri | 63301 | United States |
| Missouri Baptist Cancer Center | St Louis | Missouri | 63131 | United States |
| St. John's Mercy Medical Center | St Louis | Missouri | 63141 | United States |
| Cooper Hospital/University Medical Center | Voorhees Township | New Jersey | 08043 | United States |
| Veterans Affairs Medical Center - Albany | Albany | New York | 12208 | United States |
| Roswell Park Cancer Institute | Buffalo | New York | 14263-0001 | United States |
| North Shore Hematology/Oncology Associates, P.C. | East Setauket | New York | 11733 | United States |
| Capitol District Hematology Oncology Associates, P.C. | Latham | New York | 12110-0610 | United States |
| St. Vincents Comprehensive Cancer Center | New York | New York | 10011 | United States |
| NYU School of Medicine's Kaplan Comprehensive Cancer Center | New York | New York | 10016 | United States |
| Interlakes Oncology/Hematology PC | Rochester | New York | 14623 | United States |
| State University of New York Health Sciences Center - Stony Brook | Stony Brook | New York | 11790-7775 | United States |
| Albert Einstein Comprehensive Cancer Center | The Bronx | New York | 10461 | United States |
| New York Medical College | Valhalla | New York | 10595 | United States |
| Lineberger Comprehensive Cancer Center, UNC | Chapel Hill | North Carolina | 27599-7295 | United States |
| Regional Hematology Oncology Associates | Durham | North Carolina | 27704 | United States |
| Raleigh Hematology/Oncology Associates - Wake Practice | Raleigh | North Carolina | 27609 | United States |
| Piedmont Hematology-Oncology Associates-Triad | Winston-Salem | North Carolina | 27103 | United States |
| Hematology Oncology Consultants Inc | Columbus | Ohio | 43235 | United States |
| Dayton Oncology/Hematology P.A. | Dayton | Ohio | 45439 | United States |
| Naz Medical Center | Midwest City | Oklahoma | 73310 | United States |
| Cancer Care Associates | Tulsa | Oklahoma | 74136 | United States |
| Willamette Valley Cancer Center | Eugene | Oregon | 97401-8122 | United States |
| Abington Memorial Hospital | Abington | Pennsylvania | 19001 | United States |
| Oncology/Hematology Associates - Beaver | Beaver | Pennsylvania | 15009 | United States |
| University of Pennsylvania Cancer Center | Philadelphia | Pennsylvania | 19104-4283 | United States |
| Kimmel Cancer Center of Thomas Jefferson University - Philadelphia | Philadelphia | Pennsylvania | 19107-5541 | United States |
| Pennsylvania Oncology Hematology Associates | Philadelphia | Pennsylvania | 19107 | United States |
| University of Pittsburgh Cancer Institute | Pittsburgh | Pennsylvania | 15213-3489 | United States |
| Cancer Centers of the Carolinas | Greenville | South Carolina | 29605 | United States |
| Erlanger Health Systems | Chattanooga | Tennessee | 37403 | United States |
| Baptist Regional Cancer Center - Knoxville | Knoxville | Tennessee | 37901 | United States |
| West Clinic, P.C. | Memphis | Tennessee | 38117 | United States |
| Memphis Cancer Center | Memphis | Tennessee | 38119 | United States |
| St. Thomas Medical Center | Nashville | Tennessee | 37205 | United States |
| Vanderbilt-Ingram Cancer Center | Nashville | Tennessee | 37232-6838 | United States |
| Lone Star Oncology | Austin | Texas | 78759 | United States |
| Texas Oncology P.A. | Dallas | Texas | 75230-2503 | United States |
| Center for Oncology Research and Treatment, Medical City Hospital | Dallas | Texas | 75230 | United States |
| Simmons Cancer Center - Dallas | Dallas | Texas | 75235-9154 | United States |
| Texas Cancer Center Southwest | Dallas | Texas | 75235 | United States |
| Texas Oncology PA (TOPA) at Baylor-Sammons | Dallas | Texas | 75246 | United States |
| Texas Oncology, P.A. | Fort Worth | Texas | 76104 | United States |
| Texas Oncology, P.A. | Garland | Texas | 75042 | United States |
| South Texas Regional Cancer Centers - McAllen | McAllen | Texas | 78503 | United States |
| Texas Oncology - Mesquite | Mesqutie | Texas | 75150 | United States |
| Baptist Health System Cancer Program | San Antonio | Texas | 78205 | United States |
| San Antonio Tumor and Blood Clinic | San Antonio | Texas | 78217 | United States |
| Tyler Cancer Center | Tyler | Texas | 75702 | United States |
| Huntsman Cancer Institute | Salt Lake City | Utah | 84112 | United States |
| Hematology-Oncology Associates of Frederiksburg, Inc. | Fredericksburg | Virginia | 22401 | United States |
| Virginia Oncology Associates - Newport News | Newport News | Virginia | 23606 | United States |
| Hematology & Oncology Associates of Virginia | Richmond | Virginia | 23226 | United States |
| Virginia Mason Medical Center | Seattle | Washington | 98111 | United States |
| Swedish Medical Center | Seattle | Washington | 98122-4307 | United States |
| Cancer Care Northwest | Spokane | Washington | 99202 | United States |
| Northwest Cancer Specialists | Vancouver | Washington | 98664 | United States |
| University of Wisconsin Comprehensive Cancer Center | Madison | Wisconsin | 53792-6164 | United States |
| Advanced Health Care | Milwaukee | Wisconsin | 53209 | United States |
| UW Cancer Center Wausau Hospital | Wausau | Wisconsin | 54401 | United States |
| Ivinson Memorial Hospital | Laramie | Wyoming | 82070 | United States |
| Tom Baker Cancer Center - Calgary | Calgary | Alberta | T2N 4N2 | Canada |
| University of Alberta | Edmonton | Alberta | T6G 2R7 | Canada |
| St. Boniface General Hospital | Winnipeg | Manitoba | R2H 2A6 | Canada |
| Nova Scotia Cancer Centre | Halifax | Nova Scotia | B3H 1V7 | Canada |
| Belleville General Hospital | Belleville | Ontario | K8N 5K5 | Canada |
| Cancer Care Ontario-London Regional Cancer Centre | London | Ontario | N6A 4L6 | Canada |
| Peterborough Oncology Clinic | Peterborough | Ontario | K9H 7B6 | Canada |
| Toronto Sunnybrook Regional Cancer Centre | Toronto | Ontario | M4N 3M5 | Canada |
| Mount Sinai Hospital - Toronto | Toronto | Ontario | M5G 1X5 | Canada |
| Princess Margaret Hospital | Toronto | Ontario | M5G 2M9 | Canada |
| Notre Dame Hospital | Montreal | Quebec | H4L 2M1 | Canada |
| Centre Hospitalier Regional de Rimouski | Rimouski | Quebec | G5L 5T1 | Canada |
| Saskatoon Cancer Centre | Saskatoon | Saskatchewan | S7N 4H4 | Canada |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D003110 | Colonic Neoplasms |
| D012004 | Rectal Neoplasms |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
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| ID | Term |
|---|---|
| C410216 | Folfox protocol |
| D005472 | Fluorouracil |
| D002955 | Leucovorin |
| D000077150 | Oxaliplatin |
| ID | Term |
|---|---|
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D005575 | Formyltetrahydrofolates |
| D013763 | Tetrahydrofolates |
| D005492 | Folic Acid |
| D011622 | Pterins |
| D011621 | Pteridines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D003067 | Coenzymes |
| D045762 | Enzymes and Coenzymes |
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
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