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AzTrials

Colorectal CancerPhase 3NCT00069108

A Study of Xeloda (Capecitabine) in Patients With Metastatic Colorectal Cancer

A Phase 3 study testing 5 FU, Leucovorin and Oxaliplatin in people with Colorectal Cancer, run by Hoffmann-La Roche at 87 sites in 20 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This 2 arm study will assess the efficacy and safety of intermittent oral Xeloda, or iv fluorouracil/leucovorin, in combination with intravenous Eloxatin (oxaliplatin) in patients previously treated 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?
5 FU, Leucovorin and Oxaliplatin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
627 participants
Where
87 sitesin 20 countries
Study dates
Jul 2003to Aug 2006
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

Who may be able to join

  • adult patients >=18 years of age;
  • metastatic colorectal cancer;
  • >=1 target lesion;
  • failed first-line chemotherapy with 5-fluorouracil and irinotecan.

Who cannot join

  • previous treatment with oxaliplatin;
  • progressive or recurrent disease during or within 6 months of completion of first-line chemotherapy;
  • >=1 previous chemotherapeutic agent or systemic anticancer regimen for metastatic disease.

Trial locations and contacts

87 sites in 20 countries.

87 sites in 20 countries

Canada17 sites
  • Study site

    Edmonton, Alberta, T6G 1Z2

  • Study site

    Halifax, Nova Scotia, B3H 1V7

  • Study site

    Laval, Quebec, H7M 3L9

  • Study site

    Lévis, Quebec, G6V 3Z1

  • Study site

    London, Ontario, N6A 4L6

  • Study site

    Montreal, Quebec, H1T 2M4

  • Study site

    Montreal, Quebec, H2W 1S6

  • Study site

    Montreal, Quebec, H4J 1C5

  • Study site

    Oshawa, Ontario, L1G 2B9

  • Study site

    Ottawa, Ontario, K1H 1C4

  • Study site

    Québec, Quebec, G1R 2J6

  • Study site

    Regina, Saskatchewan, S4T 7T1

  • Study site

    Saint Catherines, Ontario, L2R 2Z7

  • Study site

    St. John's, Newfoundland and Labrador, A1B 3V6

  • Study site

    Thunder Bay, Ontario, P7A 7T1

  • Study site

    Toronto, Ontario, M5G 2M9

  • Study site

    Weston, Ontario, M9N 1N8

Other trials in Canada

United States8 sites
  • Study site

    Bakersfield, California, 93309

  • Study site

    Billings, Montana, 59101

  • Study site

    Colorado Springs, Colorado, 80903

  • Study site

    Dallas, Texas, 75204

  • Study site

    Nyack, New York, 10960

  • Study site

    St Louis, Missouri, 63136

  • Study site

    Terre Haute, Indiana, 47802

  • Study site

    Washington D.C., District of Columbia, 20007-2197

Other trials in United States

France8 sites
  • Study site

    Avignon, 84082

  • Study site

    Bordeaux, 33075

  • Study site

    Bordeaux, 33076

  • Study site

    Chambray-lès-Tours, 37044

  • Study site

    Limoges, 87042

  • Study site

    Nîmes, 30029

  • Study site

    Pessac, 33604

  • Study site

    Rouen, 76031

Other trials in France

Israel7 sites
  • Study site

    Beersheba, 8410101

  • Study site

    Jerusalem, 91031

  • Study site

    Kfar Saba, 44281

  • Study site

    Petah Tikva, 49100

  • Study site

    Ramat Gan, 52621

  • Study site

    Rehovot, 76100

  • Study site

    Tel Aviv, 6423906

Other trials in Israel

South Korea6 sites
  • Study site

    Buchun, 420-021

  • Study site

    Seoul, 110-744

  • Study site

    Seoul, 120-752

  • Study site

    Seoul, 133-792

  • Study site

    Seoul, 137-040

  • Study site

    Seoul, 138-736

Other trials in South Korea

Belgium5 sites
  • Study site

    Brussels, 1000

  • Study site

    Brussels, 1070

  • Study site

    Ghent, 9000

  • Study site

    Kortrijk, 8500

  • Study site

    Mont-godinne, 5530

Other trials in Belgium

South Africa5 sites
  • Study site

    Cape Town, 7500

  • Study site

    Durban, 4001

  • Study site

    Pietermaritzburg, 3201

  • Study site

    Port Elizabeth, 6001

  • Study site

    Pretoria, 0001

Other trials in South Africa

Spain5 sites
  • Study site

    Barcelona, 08907

  • Study site

    Leganés, 28911

  • Study site

    Madrid, 28035

  • Study site

    Madrid, 28041

  • Study site

    Palma de Mallorca, 07014

Other trials in Spain

Italy4 sites
  • Study site

    Bergamo, 24128

  • Study site

    Cattolica, 47841

  • Study site

    Rimini, 47900

  • Study site

    Udine, 33100

Other trials in Italy

Poland4 sites
  • Study site

    Bialystok, 15-073

  • Study site

    Krakow, 31-501

  • Study site

    Warsaw, 02-781

  • Study site

    Warsaw, 04-394

Other trials in Poland

United Kingdom4 sites
  • Study site

    Denbigh, LL18 5UJ

  • Study site

    Manchester, M20 4BX

  • Study site

    Merseyside, CH63 45Y

  • Study site

    Preston, PR2 9HT

Other trials in United Kingdom

Taiwan3 sites
  • Study site

    Kueishan

  • Study site

    Tainan, 704

  • Study site

    Taipei, 104

Other trials in Taiwan

Croatia2 sites
  • Study site

    Split, 21000

  • Study site

    Zagreb, 10000

Other trials in Croatia

Finland2 sites
  • Study site

    Tampere, 36280

  • Study site

    Turku, 20520

Other trials in Finland

Greece2 sites
  • Study site

    Heraklion, 71110

  • Study site

    Thessaloniki, 56439

Other trials in Greece

Germany1 site
  • Study site

    Tübingen, 72076

Other trials in Germany

Puerto Rico1 site
  • Study site

    San Juan, 00921-3201

Other trials in Puerto Rico

Serbia1 site
  • Study site

    Belgrade, 11000

Other trials in Serbia

Slovakia1 site
  • Study site

    Bratislava, 831 01

Other trials in Slovakia

Slovenia1 site
  • Study site

    Ljubljana, 1000

Other trials in Slovenia

About this study

Official title: An Open-Label Randomized Phase III Study of Intermittent Oral Capecitabine in Combination With Intravenous Oxaliplatin (Q3W) ("XELOX") Versus Bolus and Continuous Infusion Fluorouracil/ Intravenous Leucovorin With Intravenous Oxaliplatin (Q2W) ("FOLFOX4") as Treatment for Patients With Metastatic Colorectal Cancer Who Have Received Prior Treatment With CPT-11 in Combination With 5-FU/LV as First Line Therapy

This 2 arm study will assess the efficacy and safety of intermittent oral Xeloda, or iv fluorouracil/leucovorin, in combination with intravenous Eloxatin (oxaliplatin) in patients previously treated for metastatic colorectal cancer. Patients will be randomized to receive either 1)XELOX (Xeloda 1000mg/m2 po bid on days 1-15 + oxaliplatin) in 3 week cycles or 2) FOLFOX-4 (oxaliplatin + leucovorin + 5-FU in 2 week cycles. The anticipated time on study treatment is until disease progression, and the target sample size is 500+ individuals.

Being tested
5 FU, Leucovorin, Oxaliplatin, capecitabine [Xeloda]
Medical subject headings
Colorectal Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 5 FUDrug

    As prescribed, in 2 week cycles

  • LeucovorinDrug

    As prescribed, in 2 week cycles

  • OxaliplatinDrug

    As prescribed, in 3 week cycles

  • OxaliplatinDrug

    As prescribed, in 2 week cycles

  • capecitabine [Xeloda]Drug

    1000mg/m2 po bid on days 1-15 of each 3 week cycle

Study groups in NCT00069108
Study groupRoleWhat they receive
XELOXExperimentalParticipants received XELOX (oxaliplatin and capecitabine). Oxaliplatin was administered 130 mg/m^2 intravenous (IV) infusion over 2 hours (every 3 weeks [Day 1]) before the first dose of capecitabine. Capecitabine was administered orally within 30 minutes after the end of a meal (breakfast and dinner) at a dose of 1000 mg/m^2 twice-daily (equivalent to a total daily dose of 2000 mg/m^2), with first dose the evening of Day 1 and last dose the morning of Day 15, given as intermittent treatment (3-week cycles consisting of 2 weeks of treatment followed by 1 week without treatment) for up to 8 cycles (24-weeks).
Receives: Drug: Oxaliplatin; Drug: capecitabine [Xeloda]
FOLFOX-4Active comparatorParticipants received FOLFOX-4 (combination of oxaliplatin, leucovorin [LV] and 5-fluorouracil [5-FU] combination). Oxaliplatin was administered as an 85 mg/m^2 IV infusion over 2 hours (on Day 1 only); with LV infusion as 200mg/m^2 over 2 hours followed by 5-FU, given as 400mg/m^2 bolus injection over 2-4 minutes, and then as a 600 mg/m^2 continuous infusion over 22 hours. On Day 2, Leucovorin 200 mg/m^2 (alone), followed by 5-FU 400 mg/m^2 bolus injection over 2-4 minutes, and 5-FU 600 mg/m^2 continuous infusion was repeated over 22 hours. It was (2-week cycles comprising 48 hours of infusion and 12 days of rest) for up to 12 cycles (24- weeks).
Receives: Drug: 5 FU; Drug: Leucovorin; Drug: Oxaliplatin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression Free Survival

    Progression free survival (PFS) is defined as the time from the date of randomization to the day of documented disease progression or death from any cause. It was based on tumor assessments made according to the Response Evaluation Criteria In Solid Tumors (RECIST) version 1.0, wherein progressive disease (PD) was defined as at least a 20% increase in the sum of the longest diameter (LD) of the target lesions (TLs), taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more new lesions or unequivocal progression of existing non-target lesions. Participants with neither disease progression nor death were censored at the last date of the last tumor assessment confirming that they had not progressed. Participants with no tumor assessments after baseline but who were still alive at the time of the clinical cut-off were censored at date of randomization

    Measured: Up to 3 years

Secondary outcomes (10)
  1. Progression Free Survival Based on Independent Review Committee Assessment

    Progression free survival (PFS) is defined as the time from the date of randomization to the day of documented disease progression or death from any cause. It was based on tumor assessments made according to the RECIST version 1.0, wherein PD was defined as at least a 20% increase in the sum of the LD of the TLs, taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more new lesions or unequivocal progression of existing non-TLs. Participants with neither disease progression nor death were censored at the last date of the last tumor assessment confirming that they had not progressed. Participants with no tumor assessments after baseline but who were still alive at the time of the clinical cut-off were censored at date of randomization. This PFS evaluation was based on Independent Review Committee Assessment.

    Measured: Up to 3 years

  2. Progression Free Survival Based on Treatment Analysis- Intent To Treat Population

    Progression free survival (PFS) is defined as the time from date of randomization to day of documented disease progression or death from any cause. It was based on tumor assessments made according to the RECIST version 1.0, wherein PD was defined as at least a 20% increase in the sum of LD of the TLs, taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more new lesions or unequivocal progression of existing non-TLs. Participants with neither disease progression nor death were censored at the last date of the last tumor assessment confirming that they had not progressed. Participants with no tumor assessments after baseline but who were still alive at the time of the clinical cut-off were censored at date of randomization. PFS was analyzed using an on-treatment approach included only disease progression and death that occurred no later than 28 days after the last confirmed intake of study medication in the primary study treatment phase.

    Measured: Up to 3 years

  3. Progression Free Survival Based on Treatment Analysis- Per Population

    Progression free survival (PFS) is defined as the time from the date of randomization to the day of documented disease progression or death from any cause. It was based on tumor assessments made according to the RECIST version 1.0, wherein PD was defined as at least a 20% increase in the sum of the LD of the TLs, taking as reference the smallest sum LD recorded since the treatment started or appearance of one or more new lesions or unequivocal progression of existing non-TLs. Participants with neither disease progression nor death were censored at the last date of the last tumor assessment confirming that they had not progressed. Participants with no tumor assessments after baseline but who were still alive at the time of the clinical cut-off were censored at date of randomization

    Measured: Up to 3 years

  4. Best Overall Response, Investigators' Assessments

    Best overall response is best response recorded from start of treatment until disease progression/recurrence where responses include complete response (CR), partial response (PR), or stable disease (SD). CR was defined as disappearance of all TLs, non-TLs along with normalization of tumor marker level. PR is at least 30% decrease in sum of the LD of TLs, taking as reference baseline sum LD. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking reference of smallest sum LD since treatment started. It was dependent on achievement of measurement and confirmation criteria. BOR .i.e. CR or PR was confirmed by repeat assessments performed within 4 weeks. For SD, follow-up assessments had to meet the SD criteria at least once after study entry within 6 to 8 weeks.

    Measured: Up to 3 years

  5. Best Overall Response, Independent Review Committee Assessment

    Best overall response is best response recorded from start of treatment until disease progression/recurrence where responses include CR, PR, or SD. CR was defined as disappearance of all TLs, non-TLs along with normalization of tumor marker level. PR is at least 30% decrease in sum of the LD of TLs, taking as reference baseline sum LD. SD defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking reference of smallest sum LD since treatment started. It was dependent on achievement of measurement and confirmation criteria. BOR .i.e. CR or PR was confirmed by repeat assessments performed within 4 weeks, for SD, follow-up assessments had to meet the SD criteria at least once after study entry within 6 to 8 weeks. This PFS evaluation was based on Independent Review Committee Assessment.

    Measured: Up to 3 years

  6. Overall Survival

    Overall survival was measured as the time from the date of randomization to the date of death. Participant who were not reported to have died at the time of the analysis were censored using the date they were last known to be alive.

    Measured: Up to 3 years

  7. Time To Response

    Time to response (TOR) (best response of CR or PR) was measured as the time from randomization to the first date on which the measurement criteria for CR or PR (whichever status was recorded first) were met. CR for TLs was defined as disappearance of all TLs and for non-TLs as disappearance of all non-TLs and normalization of tumor marker level. PR was defined as at least 30% decrease in the sum of the LD of TLs, taking as reference the baseline sum LD.

    Measured: Up to 3 years

  8. Duration Of Response

    Duration of response (DOR) is defined as the time when CR or PR was first met up to first date that PD or death is documented. CR is defined as disappearance of all TLs and non TLs, PR is defined as at least 30% decrease in the sum of the LD of TLs, taking as reference the baseline sum LD. PD was defined as at least a 20% increase in the sum of the LD of the TLs, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions for the TLs or the appearance of one or more new lesions and/or unequivocal progression of existing non-TLs.

    Measured: Up to 3 years

  9. Time To Treatment Failure

    Time to treatment failure was defined as the time from the date of randomization to the first occurrence of adverse event (AE), insufficient therapeutic response, death, failure to return, or refusing treatment/being uncooperative/withdrawing consent.

    Measured: Up to 3 years

  10. Number of Participants With Marked Post-baseline Laboratory Abnormalities by Trial Treatment

    Laboratory abnormalities were defined as those values that were outside the Roche defined reference range and showed a clinically relevant change from baseline. All laboratory parameters were categorized according to the National Cancer Center Common Toxicity Criteria (NCI-CTCAE) grading system. Incidence of Grade 1 to 4 laboratory abnormalities are presented in the table below.

    Measured: Up to 3 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Sep 2003 (estimated)
  2. Study startJul 2003
  3. Primary completionAug 2006
  4. Study completionAug 2006

Resources

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
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
627 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00069108
Sponsor's protocol ID
NO16967
Status last verified
Mar 2016
First submitted
15 Sep 2003
Last updated
1 Apr 2016

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing 5 FU, Leucovorin and Oxaliplatin in people with Colorectal Cancer, run by Hoffmann-La Roche at 87 sites in 20 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. 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: finished, as of the sponsor's last update on 1 Apr 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 87 sites in Canada, United States, France, Israel, South Korea and 15 more countries. 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?

Yes. Results are posted in the registry (first posted 24 Feb 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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.

What does the primary outcome measure?

Progression Free Survival (time frame: Up to 3 years). It is what the study was designed to measure, not a finding.

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 1 Apr 2016.

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Clinical Trial NCT00069108 | AzTrials