Colorectal CancerPhase 3X-PECTNCT01097018
Perifosine Plus Capecitabine Versus Placebo Plus Capecitabine in Patients With Refractory Advanced Colorectal Cancer
A Phase 3 study testing Capecitabine and Perifosine in people with Colorectal Cancer, run by AEterna Zentaris at 65 sites in United States.
Trial summary
The trial will compare the overall survival of perifosine plus capecitabine to placebo plus capecitabine in patients with refractory advanced 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?
- Capecitabine and Perifosine
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 468 participants
- Where
- 65 sitesUnited States
- Study dates
- Apr 2010to Apr 2012
- 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
Who may be able to join
- Patients must have failed available therapy for the treatment of advanced colorectal cancer, including fluoropyrimidine, irinotecan, oxaliplatin, bevacizumab and for K-ras wild-type (WT) patients, anti-EGFR antibody (cetuximab or panitumumab) containing therapies.
- For oxaliplatin-based therapy, failure of therapy will also include patients who had oxaliplatin discontinued secondary to toxicity.
- No prior exposure to capecitabine in the metastatic colorectal cancer setting, except limited-course radiosensitizing capecitabine
- Patients must have at least one measurable lesion by RECIST criteria
Who cannot join
- Patients with known dipyrimidine dehydrogenase (DPD) deficiency or prior severe reaction to 5-FU
Trial locations and contacts
65 sites in 1 country.
65 sites in 1 country
United States65 sites
Study site
Abilene, Texas, 79606
Study site
Albuquerque, New Mexico, 87106
Study site
Albuquerque, New Mexico, 87110
Study site
Alhambra, California, 91801
Study site
Armonk, New York, 10504
Study site
Athens, Georgia, 30607
Study site
Atlanta, Georgia, 30341
Study site
Austin, Texas, 78731
Study site
Bakersfield, California, 93309
Study site
Baltimore, Maryland, 21287
Study site
Beaumont, Texas, 77702
Study site
Bethesda, Maryland, 20817
Study site
Bismarck, North Dakota, 58504
Study site
Charlotte, North Carolina, 28204
Study site
Chattanooga, Tennessee, 37404
Study site
Cincinnati, Ohio, 45242
Study site
Columbia, South Carolina, 29210
Study site
Columbus, Ohio, 43210
Study site
Dallas, Texas, 75230
Study site
Dallas, Texas, 75231
Study site
Dallas, Texas, 75246
Study site
Denver, Colorado, 80218
Study site
Fargo, North Dakota, 58122
Study site
Fort Myers, Florida, 33916
Study site
Fort Worth, Texas, 76104
Study site
Grand Junction, Colorado, 81501
Study site
Great Neck, New York, 11042
Study site
Harvey, Illinois, 60467
Study site
Henderson, Nevada, 89052
Study site
Hollywood, Florida, 33021
Study site
Houston, Texas, 77030
Study site
Jackson, Mississippi, 39202
Study site
La Verne, California, 91750
Study site
Lansing, Michigan, 48912
Study site
Las Vegas, Nevada, 89169
Study site
Lawrenceville, Georgia, 30046
Study site
Lincoln, Nebraska, 68510
Study site
Long Beach, California, 90813
Study site
Los Angeles, California, 90095
Study site
Marietta, Georgia, 30060
Study site
Memphis, Tennessee, 38120
Study site
Midland, Texas, 79701
Study site
Morristown, New Jersey, 07960
TN Oncology
Nashville, Tennessee, 37203
Yale University School of Medicine
New Haven, Connecticut, 06520
Study site
New Hyde Park, New York, 11040
Study site
New York, New York, 10016
Study site
Northridge, California, 91325
Study site
Oklahoma City, Oklahoma, 73104
Study site
Park Ridge, Illinois, 60068
Study site
Pembroke Pines, Florida, 33028
Study site
Redondo Beach, California, 90277
Study site
Richmond, Virginia, 23230
Study site
Roswell, Georgia, 30076
Study site
Santa Barbara, California, 93105
Study site
Santa Maria, California, 93454
Study site
Seattle, Washington, 98104
Study site
South Bend, Indiana, 44601
Study site
Spokane, Washington, 99208
Study site
St Louis, Missouri, 63110
Study site
Stamford, Connecticut, 06902
Study site
Terre Haute, Indiana, 47802
Study site
Tupelo, Mississippi, 38801
Study site
Tyler, Texas, 75702
Study site
Waterbury, Connecticut, 06708
About this study
Official title: A Phase III Randomized Study to Assess the Efficacy and Safety of Perifosine Plus Capecitabine Versus Placebo Plus Capecitabine in Patients With Refractory Advanced Colorectal Cancer
The trial will compare the overall survival of perifosine plus capecitabine to placebo plus capecitabine in patients with refractory advanced colorectal cancer.
- Conditions
- Colorectal Cancer
- Being tested
- Capecitabine, Perifosine, Placebo
- Medical subject headings
- Colorectal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CapecitabineDrug
1000 mg/m2 BID/ Days 1-14
PerifosineDrug
50 mg daily x 21 days
PlaceboDrug
1 pill daily x 21 days
| Study group | Role | What they receive |
|---|---|---|
| Perifosine + Capecitabine | Active comparator | Perifosine 1 tablet daily + Capecitabine BID days 1 - 14 every 21 days Receives: Drug: Capecitabine; Drug: Perifosine |
| Placebo + Capecitabine | Placebo comparator | Placebo 1 tablet daily + Capecitabine BID days 1 - 14 every 21 days Receives: Drug: Capecitabine; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
Measured: Monthly
Secondary outcomes (1)
Progression-free Survival
Measured: Every 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Apr 2010 (estimated)
- Study startApr 2010
- Primary completionApr 2012
- Study completionApr 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Colorectal CancerStudies of the same condition, open and under way.
- 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
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 468 participants (actual)
Sponsor and investigators
- Lead sponsor
- AEterna Zentaris
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Johanna Bendell, MD, Principal investigator, SCRI Development Innovations, LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01097018
- Sponsor's protocol ID
- Protocol 343
- Acronym
- X-PECT
- Status last verified
- Jun 2013
- First submitted
- 30 Mar 2010
- Last updated
- 2 Jul 2013
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Results of the X-PECT study: A phase III randomized double-blind, placebo-controlled study of perifosine plus capecitabine (P-CAP) versus placebo plus capecitabine (CAP) in patients (pts) with refractory metastatic colorectal cancer (mCRC). https://meetinglibrary.asco.org/content/98646-114 Abstract Number:LBA3501
Study at a glance
From the registry record, last updated by the sponsor on 2 Jul 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III Randomized Study to Assess the Efficacy and Safety of Perifosine Plus Capecitabine Versus Placebo Plus Capecitabine in Patients With Refractory Advanced Colorectal Cancer
- ClinicalTrials.gov ID
- NCT01097018
- Acronym / sponsor ID
- X-PECT / Protocol 343
- Conditions
- Colorectal Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 468 participants (actual)
- Lead sponsor
- AEterna ZentarisIndustry (pharma, biotech, devices)
- Study start
- Apr 2010
- Primary completion
- Apr 2012 (actual)
- Study completion
- Apr 2012 (actual)
- First posted
- 1 Apr 2010 (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.
The trial will compare the overall survival of perifosine plus capecitabine to placebo plus capecitabine in patients with refractory advanced colorectal cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Perifosine + Capecitabine | Active comparator | Drug: Capecitabine, Drug: PerifosinePerifosine 1 tablet daily + Capecitabine BID days 1 - 14 every 21 days |
| Placebo + Capecitabine | Placebo comparator | Drug: Capecitabine, Drug: PlaceboPlacebo 1 tablet daily + Capecitabine BID days 1 - 14 every 21 days |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Patients must have failed available therapy for the treatment of advanced colorectal cancer, including fluoropyrimidine, irinotecan, oxaliplatin, bevacizumab and for K-ras wild-type (WT) patients, anti-EGFR antibody (cetuximab or panitumumab) containing therapies.
- For oxaliplatin-based therapy, failure of therapy will also include patients who had oxaliplatin discontinued secondary to toxicity.
- No prior exposure to capecitabine in the metastatic colorectal cancer setting, except limited-course radiosensitizing capecitabine
- Patients must have at least one measurable lesion by RECIST criteria
Key exclusion criteria (1 listed)
- Patients with known dipyrimidine dehydrogenase (DPD) deficiency or prior severe reaction to 5-FU
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 |
|---|---|---|
| Capecitabine1000 mg/m2 BID/ Days 1-14 | Drug | Perifosine + Capecitabine, Placebo + Capecitabine |
| Perifosine50 mg daily x 21 days | Drug | Perifosine + Capecitabine |
| Placebo1 pill daily x 21 days | Drug | Placebo + Capecitabine |
Primary outcome
Overall Survival
Time frame: Monthly
1 secondary outcome
Progression-free Survival
Time frame: Every 6 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jul 2013.
- Results publicationResults of the X-PECT study: A phase III randomized double-blind, placebo-controlled study of perifosine plus capecitabine (P-CAP) versus placebo plus capecitabine (CAP) in patients (pts) with refractory metastatic colorectal cancer (mCRC). https://meetinglibrary.asco.org/content/98646-114 Abstract Number:LBA3501
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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.
Johanna Bendell, MD principal investigator
SCRI Development Innovations, LLC
65 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Capecitabine and Perifosine in people with Colorectal Cancer, run by AEterna Zentaris at 65 sites in United States.
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 1 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 2 Jul 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 65 sites in United States. 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. Some participants in this study may receive a placebo. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Overall Survival (time frame: Monthly). 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 NCT01097018, which also lists 1 linked publication.
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 2 Jul 2013.