AzTrials
AzTrials

Colorectal CancerPhase 2/3HORIZON IIINCT00384176

First Line Metastatic Colorectal Cancer Therapy in Combination With FOLFOX

A Phase 2/3 study testing Cediranib, Bevacizumab and 5-fluorouracil ( in FOLFOX) in people with Colorectal Cancer, run by AstraZeneca at 280 sites in 28 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

The purpose of this study is to see if Cediranib in combination with FOLFOX is effective in treating metastatic colorectal cancer and to see how it compares with Avastin (Bevacizumab) in combination with FOLFOX. Read more about this study

Who is it for?
Ages 18 to 130 years
Conditions the study is for
Colorectal Cancer
What is being tested?
Cediranib, Bevacizumab and 5-fluorouracil ( in FOLFOX)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,814 participants
Where
280 sitesin 28 countries
Study dates
30 Aug 2006to 19 Aug 2015
Phase
Phase 2/3
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 to 130 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Clinical Diagnosis of colon or rectal cancer
  • No prior systemic therapy for metastatic disease. Any adjuvant/neoadjuvant oxaliplatin therapy must have been received >12 months prior to study entry and adjuvant/neoadjuvant 5-FU must have been received >6 months prior to study entry.

Who cannot join

  • Prior treatment with a VEGF Inhibitor, including bevacizumab and cediranib.
  • Poorly controlled hypertension

Trial locations and contacts

280 sites in 28 countries.

280 sites in 28 countries

United States44 sites
  • Research Site

    Abingdon, Virginia

  • Research Site

    Alexandria, Louisiana

  • Research Site

    Alexandria, Virginia

  • Research Site

    Ann Arbor, Michigan

  • Research Site

    Anniston, Alabama

  • Research Site

    Austin, Texas

  • Research Site

    Bay Pines, Florida

  • Research Site

    Birmingham, Alabama

  • Research Site

    Bismarck, North Dakota

  • Research Site

    Casa Grande, Arizona

  • Research Site

    Chattanooga, Tennessee

  • Research Site

    Cincinnati, Ohio

  • Research Site

    Coos Bay, Oregon

  • Research Site

    Fairfield, Connecticut

  • Research Site

    Fayetteville, North Carolina

  • Research Site

    Fort Meyers, Florida

  • Research Site

    Fresh Meadows, New York

  • Research Site

    Galesburg, Illinois

  • Research Site

    Great Falls, Montana

  • Research Site

    Hagerstown, Maryland

  • Research Site

    Hilton Head Island, South Carolina

  • Research Site

    Hot Springs, Arkansas

  • Research Site

    Knoxville, Tennessee

  • Research Site

    Layfayette, Indiana

  • Research Site

    Layfayette, Louisiana

  • Research Site

    Lincoln, Nebraska

  • Research Site

    Middletown, Ohio

  • Research Site

    Nashville, Tennessee

  • Research Site

    New Albany, Indiana

  • Research Site

    New Bern, North Carolina

  • Research Site

    Northport, New York

  • Research Site

    Palm Springs, California

  • Research Site

    Park Ridge, Illinois

  • Research Site

    Port Saint Lucie, Florida

  • Research Site

    Quincy, Illinois

  • Research Site

    Rochester, New York

  • Research Site

    San Diego, California

  • Research Site

    St Louis, Missouri

  • Research Site

    Stamford, Connecticut

  • Research Site

    Summit, New Jersey

  • Research Site

    Tucson, Arizona

  • Research Site

    White River Junction, Vermont

  • Research Site

    Ypsilanti, Michigan

  • Research Site

    Zanesville, Ohio

Other trials in United States

Australia40 sites
  • Research Site

    Armidale, New South Wales

  • Research Site

    Ashford, South Australia

  • Research Site

    Ashford

  • Research Site

    Bedford Park, South Australia

  • Research Site

    Bedford Park

  • Research Site

    Bendigo

  • Research Site

    Box Hill

  • Research Site

    Camperdown

  • Research Site

    Coffs Harbour, New South Wales

  • Research Site

    Coffs Harbour

  • Research Site

    Darlinghurst, New South Wales

  • Research Site

    Darlinghurst

  • Research Site

    East Melbourne

  • Research Site

    Epping, Victoria

  • Research Site

    Epping

  • Research Site

    Herston

  • Research Site

    Hobart, Tasmania

  • Research Site

    Hobart

  • Research Site

    Hornsby, New South Wales

  • Research Site

    Hornsby

  • Research Site

    Kogarah, New South Wales

  • Research Site

    Kogarah

  • Research Site

    Lismore

  • Research Site

    Malvern

  • Research Site

    Nedlands

  • Research Site

    Port Macquarie, New South Wales

  • Research Site

    Port Macquarie

  • Research Site

    Randwick, New South Wales

  • Research Site

    Randwick

  • Research Site

    South Brisbane, Queensland

  • Research Site

    South Brisbane

  • Research Site

    St Leonards, New South Wales

  • Research Site

    St Leonards

  • Research Site

    Tamworth, New South Wales

  • Research Site

    Tamworth

  • Research Site

    Waratah, New South Wales

  • Research Site

    Waratah

  • Research Site

    Wodonga

  • Research Site

    Woodville South, South Australia

  • Research Site

    Woodville South

Other trials in Australia

Spain19 sites
  • Research Site

    A Coruña, Galicia

  • Research Site

    A Coruña

  • Research Site

    Barcelona, Catalonia

  • Research Site

    Córdoba, Andalusia

  • Research Site

    Córdoba

  • Research Site

    Granollers, Catalonia

  • Research Site

    Granollers

  • Research Site

    Hospitalet de Llobregat(barcel, Catalonia

  • Research Site

    Hospitalet de Llobregat(Barcel

  • Research Site

    Madrid, Madrid

  • Research Site

    Madrid

  • Research Site

    Manresa

  • Research Site

    Oviedo, Principality of Asturias

  • Research Site

    Oviedo

  • Research Site

    Terrassa(barcelona), Catalonia

  • Research Site

    Valencia, Valencia

  • Research Site

    Valencia

  • Research Site

    Zaragoza, Aragon

  • Research Site

    Zaragoza

Other trials in Spain

Ukraine17 sites
  • Research Site

    Cherkassy

  • Research Site

    Chernihiv

  • Research Site

    Chernivtsi

  • Research Site

    Dnipropetrovsk

  • Research Site

    Donetsk

  • Research Site

    Ivano-Frankivsk

  • Research Site

    Kharkiv

  • Research Site

    Kherson

  • Research Site

    Kiev

  • Research Site

    Kyiv

  • Research Site

    Luhansk

  • Research Site

    Lviv

  • Research Site

    Poltava

  • Research Site

    Simferopol

  • Research Site

    Sumy

  • Research Site

    Ternopil

  • Research Site

    Uzhhorod

Other trials in Ukraine

Canada16 sites
  • Research Site

    Barrie, Ontario

  • Research Site

    Calgary, Alberta

  • Research Site

    Edmonton, Alberta

  • Research Site

    Greater Sudbury, Ontario

  • Research Site

    Lévis, Quebec

  • Research Site

    Montreal, Quebec

  • Research Site

    Montreal

  • Research Site

    Newmarket, Ontario

  • Research Site

    Québec, Quebec

  • Research Site

    Scarborough Village, Ontario

  • Research Site

    St. Catharines, Ontario

  • Research Site

    Surrey, British Columbia

  • Research Site

    Sydney, Nova Scotia

  • Research Site

    Toronto, Ontario

  • Research Site

    Vancouver, British Columbia

  • Research Site

    York, Ontario

Other trials in Canada

United Kingdom16 sites
  • Research Site

    Bebington

  • Research Site

    Bournemouth

  • Research Site

    Bradford

  • Research Site

    Guildford

  • Research Site

    Ipswich

  • Research Site

    London

  • Research Site

    Maidstone, Kent

  • Research Site

    Maidstone

  • Research Site

    Newcastle upon Tyne

  • Research Site

    Northwood, Middlesex

  • Research Site

    Northwood

  • Research Site

    Poole

  • Research Site

    Southampton, Hampshire

  • Research Site

    Stockport

  • Research Site

    Sutton, Surrey

  • Research Site

    Sutton

Other trials in United Kingdom

Belgium15 sites
  • Research Site

    Bonheiden, Belgium

  • Research Site

    Bonheiden

  • Research Site

    Bruges

  • Research Site

    Brussels (woluwe-st-lambert), Belgium

  • Research Site

    Brussels (Woluwé-St-Lambert)

  • Research Site

    Edegem, Belgium

  • Research Site

    Edegem

  • Research Site

    Ghent, Belgium

  • Research Site

    Ghent

  • Research Site

    Kortrijk, Belgium

  • Research Site

    Kortrijk

  • Research Site

    Leuven, Belgium

  • Research Site

    Leuven

  • Research Site

    Roeselare, Belgium

  • Research Site

    Roeselare

Other trials in Belgium

India14 sites
  • Research Site

    Bangalore

  • Research Site

    Bhopal, Madhya Pradesh

  • Research Site

    Bhopal

  • Research Site

    Chennai

  • Research Site

    Hyderabad

  • Research Site

    Jaipur, Rajasthan

  • Research Site

    Jaipur

  • Research Site

    Kolkata, West Bengal

  • Research Site

    Kolkata

  • Research Site

    Mumbai

  • Research Site

    Pune, Maharashtra

  • Research Site

    Pune

  • Research Site

    Sheikhpura

  • Research Site

    Varanasi, Uttar Prad

Other trials in India

Germany9 sites
  • Research Site

    Dresden

  • Research Site

    Essen

  • Research Site

    Freiburg im Breisgau

  • Research Site

    Halle

  • Research Site

    Hanover

  • Research Site

    Heidelberg

  • Research Site

    München

  • Research Site

    Neu-Isenburg

  • Research Site

    Tübingen

Other trials in Germany

Italy8 sites
  • Research Site

    Ancona

  • Research Site

    Genova, GE

  • Research Site

    Genova

  • Research Site

    Naples

  • Research Site

    Roma, Roma

  • Research Site

    Roma

  • Research Site

    Rozzano, MI

  • Research Site

    Rozzano

Other trials in Italy

Poland8 sites
  • Research Site

    Bytom

  • Research Site

    Elblag

  • Research Site

    Gdynia

  • Research Site

    Krakow

  • Research Site

    Lublin

  • Research Site

    Poznan

  • Research Site

    Rybnik

  • Research Site

    Warsaw

Other trials in Poland

Austria7 sites
  • Research Site

    Innsbruck

  • Research Site

    Kundratstrasse 3, State of Vienna

  • Research Site

    Kundratstrasse 3

  • Research Site

    Salzburg

  • Research Site

    Vienna

  • Research Site

    Wels

  • Research Site

    Zams

Other trials in Austria

Israel7 sites
  • Research Site

    Holon

  • Research Site

    Kfar Saba

  • Research Site

    Petah Tikva

  • Research Site

    Tel Aviv

  • Research Site

    Tel HaShomer

  • Research Site

    Tiberias

  • Research Site

    Tzrifin

Other trials in Israel

Czechia6 sites
  • Research Site

    Brno

  • Research Site

    Chomutov

  • Research Site

    Kutná Hora

  • Research Site

    Nová Ves pod Pleší

  • Research Site

    Pardubice

  • Research Site

    Tábor

Other trials in Czechia

France6 sites
  • Research Site

    Boulogne

  • Research Site

    La Roche S YON

  • Research Site

    Marseille

  • Research Site

    Nantes

  • Research Site

    Paris

  • Research Site

    Saint-Grégoire

Other trials in France

Thailand6 sites
  • Research Site

    Chiang Mai, Thailand

  • Research Site

    Chiang Mai

  • Research Site

    Nakhonratchasima, Naimuang

  • Research Site

    Rachathewi

  • Research Site

    Songkhla, Thailand

  • Research Site

    Songkhla

Other trials in Thailand

Hungary5 sites
  • Research Site

    Budapest

  • Research Site

    Debrecen

  • Research Site

    Pécs

  • Research Site

    Szeged

  • Research Site

    Tatabánya

Other trials in Hungary

Russia5 sites
  • Research Site

    Barnaul

  • Research Site

    Novosibirsk

  • Research Site

    Omsk

  • Research Site

    Tomsk

  • Research Site

    Tyumen

Other trials in Russia

South Africa5 sites
  • Research Site

    Cape Town

  • Research Site

    Lyttelton Manor, South Africa

  • Research Site

    Polokwane

  • Research Site

    Port Elizabeth

  • Research Site

    Pretoria

Other trials in South Africa

Finland4 sites
  • Research Site

    Helsinki

  • Research Site

    Tampere

  • Research Site

    Turku

  • Research Site

    Vaasa

Other trials in Finland

Philippines4 sites
  • Research Site

    Cebu City

  • Research Site

    Davao City

  • Research Site

    Molo

  • Research Site

    Quezon City

Other trials in Philippines

Slovakia4 sites
  • Research Site

    Bratislava

  • Research Site

    Košice

  • Research Site

    Nitra

  • Research Site

    Prešov

Other trials in Slovakia

Vietnam4 sites
  • Research Site

    Hanoi, Vietnam

  • Research Site

    Hanoi

  • Research Site

    Ho Chi Minh City, Vietnam

  • Research Site

    Ho Chi Minh City

Other trials in Vietnam

Taiwan3 sites
  • Research Site

    Tainan

  • Research Site

    Taipei

  • Research Site

    Taoyuan, Taiwan

Other trials in Taiwan

Turkey (Türkiye)3 sites
  • Research Site

    Ankara

  • Research Site

    Istanbul, Goztepe

  • Research Site

    Izmir

Other trials in Turkey (Türkiye)

Egypt2 sites
  • Research Site

    Alexandria

  • Research Site

    Cairo

Other trials in Egypt

Malta2 sites
  • Research Site

    Floriana

  • Research Site

    Valletta

Other trials in Malta

Latvia1 site
  • Research Site

    Riga

Other trials in Latvia

About this study

Official title: A Randomised, Double-blind, Multicentre Phase II/III Study to Compare the Efficacy of Cediranib (RECENTIN™, AZD2171) in Combination With 5-fluorouracil, Leucovorin, and Oxaliplatin (FOLFOX), to the Efficacy of Bevacizumab in Combination With FOLFOX in Patients With Previously Untreated Metastatic Colorectal Cancer

The purpose of this study is to see if Cediranib in combination with FOLFOX is effective in treating metastatic colorectal cancer and to see how it compares with Avastin (Bevacizumab) in combination with FOLFOX.

Being tested
Cediranib, Bevacizumab, 5-fluorouracil ( in FOLFOX), Leucovorin (in FOLFOX), Oxaliplatin (in FOLFOX)
Keywords
Metastatic Colorectal Cancer, RECENTIN
Medical subject headings
Colorectal Neoplasms

What participants receive

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

  • CediranibDrug

    Also called RECENTIN™, AZD2171

    oral tablet once daily

  • BevacizumabDrug

    Also called Avastin®

    intravenous infusion

  • 5-fluorouracil ( in FOLFOX)Drug

    Also called 5-FU

    intravenous infusion

  • Leucovorin (in FOLFOX)Drug

    intravenous infusion

  • Oxaliplatin (in FOLFOX)Drug

    Also called Eloxatin®

    intravenous infusion

Study groups in NCT00384176
Study groupRoleWhat they receive
1Active comparatorBevacizumab + FOLFOX
Receives: Drug: Bevacizumab; Drug: 5-fluorouracil ( in FOLFOX); Drug: Leucovorin (in FOLFOX); Drug: Oxaliplatin (in FOLFOX)
2ExperimentalCediranib + FOLFOX
Receives: Drug: Cediranib; Drug: 5-fluorouracil ( in FOLFOX); Drug: Leucovorin (in FOLFOX); Drug: Oxaliplatin (in FOLFOX)

What is being measured

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

  1. Progression Free Survival

    Progression is defined as the number of months from randomisation until progressive disease based on RECIST (progression of target lesions, clear progression of existing non-target lesions or the appearance of one or more new lesions) or death in the absence of progression.

    Measured: Baseline then at Weeks 8, 16, 24 and then every 12 weeks until progression

Secondary outcomes (5)
  1. Overall Survival

    Number of months from randomisation to the date of death from any cause

    Measured: Randomisation until data cut-off

  2. Objective Response Rate

    Objective response rate is Complete Response (CR) + Partial Response (PR) as defined below:

    CR = Disappearance of all target lesions. PR = At least a 30% decrease in the sum of longest diameters (LDs) of target lesions, taking as reference the baseline sum of LDs.

    Measured: Up until data cut-off

  3. Duration of Response

    Duration of Response is calculated as the time from the first recording of CR/PR until the patient progresses, regardless of whether the patient was still taking study medication. Only confirmed responses are included in the calculation. For patients who had not progressed, the end date used in the calculation of duration of response is the data cut-off date of 15th November 2009.

    Measured: Up until data cut-off date of 15/11/2007

  4. Percentage Change in Tumour Size

    Percentage change in tumour size from baseline to first RECIST assessment (Week 8) ((Week 8 - baseline)/baseline)*100

    Measured: Baseline to Week 8

  5. Time to Worsening of Health Related Quality of Life (QOL) Based on the FACT Colorectal Symptom Index (FCSI)

    Time to worsening of symptoms, as measured by the FACT colorectal symptom index (FCSI), will be defined as the time when a sustained clinically important deterioration in the total score from the FCSI has been recorded.

    Measured: Baseline through to data cut-off

Timeline

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

  1. First posted5 Oct 2006 (estimated)
  2. Study start30 Aug 2006
  3. Primary completion15 Nov 2009
  4. Study completion19 Aug 2015

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,814 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00384176
Sponsor's protocol ID
D8480C00013
Other IDs
Eudract Number 2005-003440-66
Acronym
HORIZON III
Status last verified
Apr 2017
First submitted
3 Oct 2006
Last updated
14 Apr 2017

Publications

  • 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.

    PubMed 31378656
  • 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.

    PubMed 30679026
  • Robertson JD, Botwood NA, Rothenberg ML, Schmoll HJ. Phase III trial of FOLFOX plus bevacizumab or cediranib (AZD2171) as first-line treatment of patients with metastatic colorectal cancer: HORIZON III. Clin Colorectal Cancer. 2009 Jan;8(1):59-60. doi: 10.3816/CCC.2009.n.010.

    PubMed 19203899

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Cediranib, Bevacizumab and 5-fluorouracil ( in FOLFOX) in people with Colorectal Cancer, run by AstraZeneca at 280 sites in 28 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 2 inclusion and 2 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 14 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 280 sites in United States, Australia, Spain, Ukraine, Canada and 23 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 combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 28 Nov 2012). 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: Baseline then at Weeks 8, 16, 24 and then every 12 weeks until progression). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00384176, which also lists 3 linked publications.

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 14 Apr 2017.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in