Colorectal CancerPhase 3NCT00008281
Comparison of Three Chemotherapy Regimens in Treating Patients With Metastatic Colorectal Cancer
A Phase 3 study testing FOLFOX regimen, fluorouracil and leucovorin calcium in people with Colorectal Cancer, run by Sanofi at 134 sites in 2 countries.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Colorectal Cancer
- What is being tested?
- FOLFOX regimen, fluorouracil and leucovorin calcium
- How many people
- Not given
- Where
- 134 sitesin 2 countries
- Study dates
- Oct 2000to not given
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
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
Trial locations and contacts
134 sites in 2 countries.
134 sites in 2 countries
United States121 sites
Abington Memorial Hospital
Abington, Pennsylvania, 19001
Veterans Affairs Medical Center - Albany
Albany, New York, 12208
Offices of Richard Shapiro, Benjamin Stafford, and Sharon J. Yee
Arcadia, California, 91007-7678
Dreyer Medical Clinic
Aurora, Illinois, 60506
Lone Star Oncology
Austin, Texas, 78759
Baton Rouge General Medical Center
Baton Rouge, Louisiana, 70821-2511
Oncology/Hematology Associates - Beaver
Beaver, Pennsylvania, 15009
Comprehensive Cancer Care Specialists of Boca Raton
Boca Raton, Florida, 33428
Center for Hematology-Oncology
Boca Raton, Florida, 33486
Roswell Park Cancer Institute
Buffalo, New York, 14263-0001
Oncology Associates of Cedar Rapids
Cedar Rapids, Iowa, 52403
Lineberger Comprehensive Cancer Center, UNC
Chapel Hill, North Carolina, 27599-7295
Erlanger Health Systems
Chattanooga, Tennessee, 37403
Northwestern Medical Faculty Foundation
Chicago, Illinois, 60611
Columbia Comprehensive Cancer Care Clinic
Columbia, Missouri, 65201
Missouri Cancer Associates
Columbia, Missouri, 65201
Hematology Oncology Consultants Inc
Columbus, Ohio, 43235
Texas Oncology P.A.
Dallas, Texas, 75230-2503
Center for Oncology Research and Treatment, Medical City Hospital
Dallas, Texas, 75230
Simmons Cancer Center - Dallas
Dallas, Texas, 75235-9154
Texas Cancer Center Southwest
Dallas, Texas, 75235
Texas Oncology PA (TOPA) at Baylor-Sammons
Dallas, Texas, 75246
Dayton Oncology/Hematology P.A.
Dayton, Ohio, 45439
Kaiser Permanente - Denver
Denver, Colorado, 80205
Rocky Mountain Cancer Center
Denver, Colorado, 80218
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201-1379
Regional Hematology Oncology Associates
Durham, North Carolina, 27704
North Shore Hematology/Oncology Associates, P.C.
East Setauket, New York, 11733
Willamette Valley Cancer Center
Eugene, Oregon, 97401-8122
Florida Cancer Specialists
Fort Myers, Florida, 33901
Texas Oncology, P.A.
Fort Worth, Texas, 76104
Hematology-Oncology Associates of Frederiksburg, Inc.
Fredericksburg, Virginia, 22401
University of Florida Health Science Center
Gainesville, Florida, 32610-0296
Texas Oncology, P.A.
Garland, Texas, 75042
California Cancer Care, Inc.
Greenbrae, California, 94904
Oncology and Hematology Associates
Greenfield, Indiana, 46140
Cancer Centers of the Carolinas
Greenville, South Carolina, 29605
Hematology Oncology Associates of Illinois-Highland Park
Highland Park, Illinois, 60035
Memorial Regional Hospital Comprehensive Cancer Center
Hollywood, Florida, 33021
Florida Community Cancer Center
Hudson, Florida, 34667
Comprehensive Cancer Institute of Huntsville
Huntsville, Alabama, 35801
North Florida Hematology & Oncology Associates
Jacksonville, Florida, 32204
Hematology/Oncology Associates
Jacksonville, Florida, 32216
University of Kansas Medical Center
Kansas City, Kansas, 66160-7357
Midwest Oncology Consortium
Kansas City, Missouri, 64111
Baptist Regional Cancer Center - Knoxville
Knoxville, Tennessee, 37901
Louisiana Oncology Associates
Lafayette, Louisiana, 70506
Lakeland Regional Medical Center
Lakeland, Florida, 33804
Ivinson Memorial Hospital
Laramie, Wyoming, 82070
Capitol District Hematology Oncology Associates, P.C.
Latham, New York, 12110-0610
Albert B. Chandler Medical Center, University of Kentucky
Lexington, Kentucky, 40536-0084
Arkansas Oncology Associates, P.A.
Little Rock, Arkansas, 72207
Medical Oncology Internal Medicine
Los Angeles, California, 90067
James Graham Brown Cancer Center
Louisville, Kentucky, 40202
University of Wisconsin Comprehensive Cancer Center
Madison, Wisconsin, 53792-6164
South Texas Regional Cancer Centers - McAllen
McAllen, Texas, 78503
West Clinic, P.C.
Memphis, Tennessee, 38117
Memphis Cancer Center
Memphis, Tennessee, 38119
Texas Oncology - Mesquite
Mesqutie, Texas, 75150
Physicians Office
Metairie, Louisiana, 70006
Mount Sinai Comprehensive Cancer Center
Miami, Florida, 33140
Oncology-Hematology Group of South Florida
Miami, Florida, 33176
Naz Medical Center
Midwest City, Oklahoma, 73310
Advanced Health Care
Milwaukee, Wisconsin, 53209
Oncology Center at Providence Park
Mobile, Alabama, 36608
St. Thomas Medical Center
Nashville, Tennessee, 37205
Vanderbilt-Ingram Cancer Center
Nashville, Tennessee, 37232-6838
Cancer Care Center
New Albany, Indiana, 47150
Louisiana State University School of Medicine
New Orleans, Louisiana, 70112-2822
St. Vincents Comprehensive Cancer Center
New York, New York, 10011
NYU School of Medicine's Kaplan Comprehensive Cancer Center
New York, New York, 10016
Virginia Oncology Associates - Newport News
Newport News, Virginia, 23606
Bay Area Tumor Institute
Oakland, California, 94609
Ocala Oncology Center
Ocala, Florida, 34474
Medical Oncology Care Associates
Orange, California, 92668
Office of Thomas A. Marsland
Orange Park, Florida, 32073
Florida Hospital Cancer Institute
Orlando, Florida, 32804
Office of Barry S. Berman
Orlando, Florida, 32806
P.M.K. Medical Group, Inc.
Oxnard, California, 93030
Lutheran General Cancer Care Center
Park Ridge, Illinois, 60068
Memorial Hospital West
Pembroke Pines, Florida, 33028
Hematology-Oncology Associates, PA
Pensacola, Florida, 32501
University of Pennsylvania Cancer Center
Philadelphia, Pennsylvania, 19104-4283
Kimmel Cancer Center of Thomas Jefferson University - Philadelphia
Philadelphia, Pennsylvania, 19107-5541
Pennsylvania Oncology Hematology Associates
Philadelphia, Pennsylvania, 19107
University of Pittsburgh Cancer Institute
Pittsburgh, Pennsylvania, 15213-3489
Hematology/Oncology Associates
Port Saint Lucie, Florida, 34952
Raleigh Hematology/Oncology Associates - Wake Practice
Raleigh, North Carolina, 27609
Cancer and Blood Institute of the Desert
Rancho Mirage, California, 92270
Hematology & Oncology Associates of Virginia
Richmond, Virginia, 23226
Interlakes Oncology/Hematology PC
Rochester, New York, 14623
Parker Hughes Cancer Center
Roseville, Minnesota, 55113
Missouri Cancer Care, P.C.
Saint Charles, Missouri, 63301
Park Nicollet Clinic
Saint Louis Park, Minnesota, 55416
Huntsman Cancer Institute
Salt Lake City, Utah, 84112
Baptist Health System Cancer Program
San Antonio, Texas, 78205
San Antonio Tumor and Blood Clinic
San Antonio, Texas, 78217
Kaiser Permanente-Southern California Permanente Medical Group
San Diego, California, 92120
Maine Center for Cancer Medicine and Blood Disorders
Scarborough, Maine, 04074
Virginia Mason Medical Center
Seattle, Washington, 98111
Swedish Medical Center
Seattle, Washington, 98122-4307
Cancer Care Northwest
Spokane, Washington, 99202
Missouri Baptist Cancer Center
St Louis, Missouri, 63131
St. John's Mercy Medical Center
St Louis, Missouri, 63141
State University of New York Health Sciences Center - Stony Brook
Stony Brook, New York, 11790-7775
Oncology & Hematology Associates of West Broward
Tamarac, Florida, 33321
Office of Ron D. Schiff
Tampa, Florida, 33613
Albert Einstein Comprehensive Cancer Center
The Bronx, New York, 10461
Hematology and Oncology Consultants
Titusville, Florida, 32796
Northwestern Connecticut Oncology-Hematology Associates
Torrington, Connecticut, 06790
Arizona Clinical Research Center
Tucson, Arizona, 85712
Cancer Care Associates
Tulsa, Oklahoma, 74136
Tyler Cancer Center
Tyler, Texas, 75702
New York Medical College
Valhalla, New York, 10595
Kaiser Permanente Medical Center - Vallejo
Vallejo, California, 94589
Northwest Cancer Specialists
Vancouver, Washington, 98664
Cooper Hospital/University Medical Center
Voorhees Township, New Jersey, 08043
Lombardi Cancer Center
Washington D.C., District of Columbia, 20007
UW Cancer Center Wausau Hospital
Wausau, Wisconsin, 54401
Cancer Center of Kansas - Wichita
Wichita, Kansas, 67214
Piedmont Hematology-Oncology Associates-Triad
Winston-Salem, North Carolina, 27103
Canada13 sites
Belleville General Hospital
Belleville, Ontario, K8N 5K5
Tom Baker Cancer Center - Calgary
Calgary, Alberta, T2N 4N2
University of Alberta
Edmonton, Alberta, T6G 2R7
Nova Scotia Cancer Centre
Halifax, Nova Scotia, B3H 1V7
Cancer Care Ontario-London Regional Cancer Centre
London, Ontario, N6A 4L6
Notre Dame Hospital
Montreal, Quebec, H4L 2M1
Peterborough Oncology Clinic
Peterborough, Ontario, K9H 7B6
Centre Hospitalier Regional de Rimouski
Rimouski, Quebec, G5L 5T1
Saskatoon Cancer Centre
Saskatoon, Saskatchewan, S7N 4H4
Toronto Sunnybrook Regional Cancer Centre
Toronto, Ontario, M4N 3M5
Mount Sinai Hospital - Toronto
Toronto, Ontario, M5G 1X5
Princess Margaret Hospital
Toronto, Ontario, M5G 2M9
St. Boniface General Hospital
Winnipeg, Manitoba, R2H 2A6
About this study
Official title: A Multicenter, Open-Label, Randomized, Three-Arm Study Of 5-Fluorouracil (5-FU) Plus Leucovorin (LV) Or Oxaliplatin Or A Combination Of (5-Fu) LV + Oxaliplatin As Second-Line Treatment Of Metastatic Colorectal Carcinoma
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.
Read the detailed description
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.
- Conditions
- Colorectal Cancer
- Being tested
- FOLFOX regimen, fluorouracil, leucovorin calcium, oxaliplatin
- Keywords
- stage IV colon cancer, stage IV rectal cancer, recurrent colon cancer, recurrent rectal cancer, adenocarcinoma of the colon, adenocarcinoma of the rectum
- Medical subject headings
- Colorectal Neoplasms, Colonic Neoplasms, Rectal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FOLFOX regimenDrug
fluorouracilDrug
oxaliplatinDrug
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Feb 2004 (estimated)
- Study startOct 2000
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Colorectal CancerStudies of the same condition, open and under way.
- More trials run by SanofiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Mace L. Rothenberg, MD, FACP, Study chair, Vanderbilt-Ingram Cancer Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00008281
- Sponsor's protocol ID
- CDR0000068394
- Other IDs
- SANOFI-EFC4584, BRCC-00036
- Status last verified
- Apr 2002
- First submitted
- 6 Jan 2001
- Last updated
- 6 Jan 2014
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Jan 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Open-Label, Randomized, Three-Arm Study Of 5-Fluorouracil (5-FU) Plus Leucovorin (LV) Or Oxaliplatin Or A Combination Of (5-Fu) LV + Oxaliplatin As Second-Line Treatment Of Metastatic Colorectal Carcinoma
- ClinicalTrials.gov ID
- NCT00008281
- Acronym / sponsor ID
- CDR0000068394
- Conditions
- Colorectal Cancer
- Keywords
- stage IV colon cancer, stage IV rectal cancer, recurrent colon cancer, recurrent rectal cancer, adenocarcinoma of the colon, adenocarcinoma of the rectum
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- Oct 2000
- First posted
- 16 Feb 2004 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
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.
Study design
- Primary purpose
- Treatment
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| FOLFOX regimen | Drug | – |
| fluorouracil | Drug | – |
| leucovorin calcium | Drug | – |
| oxaliplatin | Drug | – |
Primary outcome
Not reported in the source record.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jan 2014.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Mace L. Rothenberg, MD, FACP study chair
Vanderbilt-Ingram Cancer Center
134 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing FOLFOX regimen, fluorouracil and leucovorin calcium in people with Colorectal Cancer, run by Sanofi at 134 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 6 Jan 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 134 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jan 2014; AzTrials last refreshed its copy on 8 Nov 2026.