Colorectal CancerNCT02394834
An Exploratory Study of Treatment Sensitivity and Prognostic Factors in a Efficacy and Safety Study of mFOLFOX6 + Bevacizumab Versus mFOLFOX6 + Panitumumab Therapy in Patients With Chemotherapy-naïve Unresectable Advanced or Recurrent Colorectal Cancer
An observational study of Colorectal Cancer, run by Takeda at 151 sites in Japan.
Trial summary
The purpose of this study is to investigate biomarkers which may be predictors of efficacy and safety of treatment with mFOLFOX6 + bevacizumab versus mFOLFOX6 + panitumumab therapy in patients with chemotherapy-naïve unresectable advanced or recurrent colorectal cancer. Read more about this study
- Who is it for?
- Ages 20 to 79 years
- Conditions the study is for
- Colorectal Cancer
- What is being tested?
- oxaliplatin (OXA), levofolinate calcium (l-LV), 5-FU, panitumumab and oxaliplatin (OXA), levofolinate calcium (l-LV), 5-FU, bevacizumab
- Type of treatment
- Injection or infusion
- How many people
- 757 participants
- Where
- 151 sitesJapan
- Study dates
- 29 May 2015to 30 Sep 2027
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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 20 to 79 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patients who are enrolled in the main study and personally provided written consent after adequately explained about the contents of the additional study.
Who may be able to join
- Patients who are enrolled in the main study and personally provided written consent after adequately explained about the contents of the additional study
Who cannot join
- Patients who are determined by the investigator or researchers to be not suitable for participating in the additional study
Trial locations and contacts
151 sites in 1 country.
151 sites in 1 country
Japan151 sites
Study site
Aizu-Wakamatsu, Fukushima
Study site
Akashi, Hyōgo
Study site
Akita
Study site
Amagasaki, Hyōgo
Study site
Aomori
Study site
Bunkyo-ku, Tokyo
Study site
Chiba
Study site
Chiyoda-ku, Tokyo
Study site
Chuo-ku, Tokyo
Study site
Daisen, Akita
Study site
Fujisawa, Kanagawa
Study site
Fukui
Study site
Fukuoka
Study site
Fukuyama, Hiroshima
Study site
Gifu
Study site
Hakodate, Hokkaido
Study site
Hakusan, Ishikawa-ken
Study site
Hamamatsu, Shizuoka
Study site
Hashima, Gifu
Study site
Himeji, Hyōgo
Study site
Hirakata, Osaka
Study site
Hiratsuka, Kanagawa
Study site
Hirosaki, Aomori
Study site
Hitachi, Ibaraki
Study site
Ichinomiya, Aichi-ken
Study site
Ikoma, Nara
Study site
Isehara, Kanagawa
Study site
Ishinomaki, Miyagi
Study site
Iwaki, Fukushima
Study site
Iwakuni, Yamaguchi
Study site
Izumi, Shimane
Study site
Izumo, Shimane
Study site
Izunokuni, Shizuoka
Study site
Kaga, Ishikawa-ken
Study site
Kagoshima
Study site
Kahoku, Ishikawa-ken
Study site
Kakamigahara, Gifu
Study site
Kamakura, Kanagawa
Study site
Kanazawa, Ishikawa-ken
Study site
Kanazawachō, Kanagawa
Study site
Kasama, Ibaraki
Study site
Kashiwa, Chiba
Study site
Kawachi-Nagano, Osaka
Study site
Kawagoe, Saitama
Study site
Kida, Kagawa-ken
Study site
Kitaadachi, Saitama
Study site
Kitakyushu, Fukuoka
Study site
Kitami, Hokkaido
Study site
Kobe, Hyōgo
Study site
Kochi
Study site
Kofu, Yamanashi
Study site
Koga, Fukuoka
Study site
Koga, Fukuoka
Study site
Komaki, Aichi-ken
Study site
Komatsushimachō, Tokushima
Study site
Kōriyama, Fukushima
Study site
Koshigaya, Saitama
Study site
Koto-ku, Tokyo
Study site
Kounan, Aichi-ken
Study site
Kumamoto
Study site
Kurashiki, Okayama-ken
Study site
Kurobe-shi, Toyama
Study site
Kurume, Fukuoka
Study site
Kushiro, Hokkaido
Study site
Kyoto
Study site
Machida, Tokyo
Study site
Maebashi, Gunma
Study site
Marugame, Kagawa-ken
Study site
Matsumoto, Nagano
Study site
Matsuyama, Ehime
Study site
Matsuzaka, Mie-ken
Study site
Minato-ku, Tokyo
Study site
Minokamo, Gifu
Study site
Misawa, Aomori
Study site
Miyazaki
Study site
Moriguchi, Osaka
Study site
Morioka, Iwate
Study site
Moriyama, Shiga
Study site
Murata, Miyagi
Study site
Musashino, Tokyo
Study site
Nagakute, Aichi-ken
Study site
Nagano
Study site
Nagasaki
Study site
Nagoya, Aichi-ken
Study site
Naha, Okinawa
Study site
Nanao, Ishikawa-ken
Study site
Nankoku, Kochi
Study site
Natori-shi, Miyagi
Study site
Neyagawa, Osaka
Study site
Niigata
Study site
Nishinomiya, Hyōgo
Study site
Obihiro, Hokkaido
Study site
Ōgaki, Gifu
Study site
Okayama
Study site
Okazai, Gifu
Study site
Okazaki, Aichi-ken
Study site
Okinawa
Study site
Ōmura, Nagasaki
Study site
Omuta, Fukuoka
Study site
Osaka
Study site
Ōsaki, Miyagi
Study site
Ōta, Gunma
Study site
Otaru, Hokkaido
Study site
Ōtsu, Shiga
Study site
Ryūgasaki, Ibaraki
Study site
Saga
Study site
Sagamihara, Kanagawa
Study site
Saitama
Study site
Sakata, Yamagata
Study site
Saku, Nagano
Study site
Sapporo, Hokkaido
Study site
Sasebo, Nagasaki
Study site
Sayama, Osaka
Study site
Sendai, Miyagi
Study site
Shimotsuga, Tochigi
Study site
Shimotsuke, Tochigi
Study site
Shinagawa-ku, Tokyo
Study site
Shinjyuku-ku, Tokyo
Study site
Shirakawa, Fukushima
Study site
Shizuoka
Study site
Suita, Osaka
Study site
Sunto, Shizuoka
Study site
tabashi City, Tokyo
Study site
Takamatsu, Kagawa-ken
Study site
Takaoka, Toyama
Study site
Takatsuki, Osaka
Study site
Tenri, Nara
Study site
Tokushima
Study site
Tomigusuku, Okinawa
Study site
Tōon, Ehime
Study site
Toyama
Study site
Toyohashi, Aichi-ken
Study site
Toyokawa, Aichi-ken
Study site
Toyota, Aichi-ken
Study site
Tsu, Mie-ken
Study site
Tsuchiura, Ibaraki
Study site
Tsukuba, Ibaraki
Study site
Tsuruga, Fukui
Study site
Tsuruoka, Yamagata
Study site
Urasoe, Okinawa
Study site
Utsunomiya, Tochigi
Study site
Yachiyo, Chiba
Study site
Yamagata
Study site
Yamatotakada, Nara
Study site
Yatomi, Aichi-ken
Study site
Yokkaichi, Mie-ken
Study site
Yokohama, Kanagawa
Study site
Yokosuka, Kanagawa
Study site
Yonago, Tottori
Study site
Yoshida, Fukui
Study site
Yufu, Oita Prefecture
About this study
Official title: An Exploratory Study of Treatment Sensitivity and Prognostic Factors in a Phase III, Randomized, Controlled Study Comparing the Efficacy and Safety of mFOLFOX6 + Bevacizumab Therapy vs. mFOLFOX6 + Panitumumab Therapy in Patients With Chemotherapy-naïve Wild-type RAS(KRAS/NRAS) Unresectable Advanced or Recurrent Colorectal Cancer
The purpose of this study is to investigate biomarkers which may be predictors of efficacy and safety of treatment with mFOLFOX6 + bevacizumab versus mFOLFOX6 + panitumumab therapy in patients with chemotherapy-naïve unresectable advanced or recurrent colorectal cancer.
Read the detailed description
The drug being tested in this study is called Panitumumab. This exploratory study will investigate biomarkers which may be predictors of efficacy and safety of treatment with mFOLFOX6 + bevacizumab versus mFOLFOX6 + panitumumab therapy in patients with chemotherapy-naïve unresectable advanced or recurrent colorectal cancer.
Tumor tissue samples obtained from the participants who enrolled in the safety/efficacy study of Panitumumab + mFOLFOX versus bevacizumab + mFOLFOX (PARADIGM Study: NCT02394795) and provided consent for this additional study will be used. Mutations, amplification and rearrangement of predefined tumor-associated genes will be investigated using DNA collected from tumor samples used for assessing RAS mutations and plasma free DNA collected before administration of cycle 1 and at the discontinuation of the protocol treatment in the main study.
- Conditions
- Colorectal Cancer
- Being tested
- oxaliplatin (OXA), levofolinate calcium (l-LV), 5-FU, panitumumab, oxaliplatin (OXA), levofolinate calcium (l-LV), 5-FU, bevacizumab
- Keywords
- Metastatic colorectal cancer, Panitumumab, mFOLFOX6, Bevacizumab
- Medical subject headings
- Colorectal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
oxaliplatin (OXA), levofolinate calcium (l-LV), 5-FU, panitumumabDrug
oxaliplatin (OXA), levofolinate calcium (l-LV), panitumumab: intra-venous infusion 5-FU: bolus and continuous intra-venous infusion
oxaliplatin (OXA), levofolinate calcium (l-LV), 5-FU, bevacizumabDrug
oxaliplatin (OXA), levofolinate calcium (l-LV), bevacizumab: intra-venous infusion 5-FU: bolus and continuous intra-venous infusion
| Study group | Role | What they receive |
|---|---|---|
| Group P; mFOLFOX6 + panitumumab combination therapy | OXA: 85 mg/m2/day 1 l-LV: 200 mg/m2/day 1 5-FU iv: 400 mg/m2/day 1 5-FU civ: 2400 mg/m2/day 1-3 panitumumab: 6 mg/kg mFOLFOX6 + panitumumab combination therapy, once every two weeks Receives: Drug: oxaliplatin (OXA), levofolinate calcium (l-LV), 5-FU, panitumumab | |
| Group B; mFOLFOX6 + bevacizumab combination therapy | OXA: 85 mg/m2/day 1 l-LV: 200 mg/m2/day 1 5-FU iv: 400 mg/m2/day 1 5-FU civ: 2400 mg/m2/day 1-3 bevacizumab: 5 mg/kg/ mFOLFOX6 + bevacizumab combination therapy, once every two weeks Receives: Drug: oxaliplatin (OXA), levofolinate calcium (l-LV), 5-FU, bevacizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall survival (OS)
OS obtained in the main study will be stratified by the presence or absence of mutation of tumor-associated genes in tumor tissues at the baseline of the main study to evaluate the relationship between OS and gene mutations. OS will be measured as the time from the date of randomization to the date of death due to any causes.
Measured: Up to approximately 63 months
Secondary outcomes (10)
Progression-Free Survival (PFS)
PFS obtained in the main study will be stratified by the presence or absence of mutation of tumor-associated genes in tumor tissues at the baseline of the main study to evaluate the relationship between the efficacy endpoint and gene mutations. PFS is defined as the time from the date of randomization to the earlier of Progressive Disease (PD) per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 or death due to any cause.
Measured: Up to approximately 63 months
Response Rate (RR)
RR obtained in the main study will be stratified by the presence or absence of mutation of tumor-associated genes in tumor tissues at the baseline of the main study to evaluate the relationship between the efficacy endpoint and gene mutations. RR is defined as percentage of participants who achieve Complete Response (CR) and Partial Response (PR) as the best overall response per RECIST version 1.1.
Measured: Approximately 12 months
Duration of Response (DOR)
DOR obtained in the main study will be stratified by the presence or absence of mutation of tumor-associated genes in tumor tissues at the baseline of the main study to evaluate the relationship between the efficacy endpoint and gene mutations. DOR means that the period from the day when either CR or PR is first confirmed until the day of documented PD or the day of death due to all causes, whichever occurs earlier.
Measured: Up to approximately 63 months
Percentage of Participants who Proceeded to Surgical Resection
The outcome obtained in the main study will be stratified by the presence or absence of mutation of tumor-associated genes in tumor tissues at the baseline of the main study to evaluate the relationship between the efficacy endpoint and gene mutations.
Measured: Up to approximately 63 month
Percentage of Participants with Early Tumor Shrinkage
The outcome obtained in the main study will be stratified by the presence or absence of mutation of tumor-associated genes in tumor tissues at the baseline of the main study to evaluate the relationship between the efficacy endpoint and gene mutations.
Measured: Up to approximately 63 months
Degree of the Maximum Tumor Shrinkage (Depth of Response)
The outcome obtained in the main study will be stratified by the presence or absence of mutation of tumor-associated genes in tumor tissues at the baseline of the main study to evaluate the relationship between the efficacy endpoint and gene mutations.
Measured: Up to approximately 63 months
Evaluation of the Relationship of Each Biomarker in Plasma Free DNA and Tumor Samples at Baseline of the Main Study
Measured: Up to approximately 63 months
Evaluation of the Relationship between Each Biomarker in Plasma Free DNA at Baseline of the Main Study, and Efficacy Endpoints
Measured: Up to approximately 63 months
Evaluation of the Relationship between a Change in Each Biomarker in Plasma Free DNA at Baseline and the Discontinuation of the Protocol Treatment of the Main Study, and Efficacy Endpoints
Measured: Up to approximately 63 months
Evaluation of the Relationship between a Change in Each Biomarker in Tumor Tissue at Baseline and the Discontinuation of the Protocol Treatment of the Main Study, and Efficacy Endpoints
Measured: Up to approximately 63 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Mar 2015 (estimated)
- Study start29 May 2015
- Primary completion30 Sep 2027 (estimated)
- Study completion30 Sep 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Colorectal CancerStudies of the same condition, open and under way.
- More trials run by TakedaThe 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 757 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02394834
- Sponsor's protocol ID
- Panitumumab-4004
- Other IDs
- U1111-1167-3521, jRCT1080222785, UMIN000016782
- Status last verified
- Apr 2026
- First submitted
- 16 Mar 2015
- Last updated
- 13 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
Publications
Shitara K, Muro K, Watanabe J, Yamazaki K, Ohori H, Shiozawa M, Takashima A, Yokota M, Makiyama A, Akazawa N, Ojima H, Yuasa Y, Miwa K, Yasui H, Oki E, Sato T, Naitoh T, Komatsu Y, Kato T, Mori I, Yamanaka K, Hihara M, Soeda J, Misumi T, Yamamoto K, Yamashita R, Akagi K, Ochiai A, Uetake H, Tsuchihara K, Yoshino T. Baseline ctDNA gene alterations as a biomarker of survival after panitumumab and chemotherapy in metastatic colorectal cancer. Nat Med. 2024 Mar;30(3):730-739. doi: 10.1038/s41591-023-02791-w. Epub 2024 Feb 12.
PubMed 38347302Yoshino T, Uetake H, Tsuchihara K, Shitara K, Yamazaki K, Oki E, Sato T, Naitoh T, Komatsu Y, Kato T, Yamanaka K, Iwasaki K, Soeda J, Hihara M, Yamanaka T, Ochiai A, Muro K. Rationale for and Design of the PARADIGM Study: Randomized Phase III Study of mFOLFOX6 Plus Bevacizumab or Panitumumab in Chemotherapy-naive Patients With RAS (KRAS/NRAS) Wild-type, Metastatic Colorectal Cancer. Clin Colorectal Cancer. 2017 Jun;16(2):158-163. doi: 10.1016/j.clcc.2017.01.001. Epub 2017 Jan 24.
PubMed 28237539
Study at a glance
From the registry record, last updated by the sponsor on 13 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Exploratory Study of Treatment Sensitivity and Prognostic Factors in a Phase III, Randomized, Controlled Study Comparing the Efficacy and Safety of mFOLFOX6 + Bevacizumab Therapy vs. mFOLFOX6 + Panitumumab Therapy in Patients With Chemotherapy-naïve Wild-type RAS(KRAS/NRAS) Unresectable Advanced or Recurrent Colorectal Cancer
- ClinicalTrials.gov ID
- NCT02394834
- Acronym / sponsor ID
- Panitumumab-4004
- Conditions
- Colorectal Cancer
- Keywords
- Metastatic colorectal cancer, Panitumumab, mFOLFOX6, Bevacizumab
- Study type
- Observational
- Recruitment status
- Active, not recruiting
- Enrolment
- 757 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- 29 May 2015 (actual)
- Primary completion
- 30 Sep 2027 (estimated)
- Study completion
- 30 Sep 2027 (estimated)
- First posted
- 20 Mar 2015 (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 purpose of this study is to investigate biomarkers which may be predictors of efficacy and safety of treatment with mFOLFOX6 + bevacizumab versus mFOLFOX6 + panitumumab therapy in patients with chemotherapy-naïve unresectable advanced or recurrent colorectal cancer.
Detailed description
The drug being tested in this study is called Panitumumab. This exploratory study will investigate biomarkers which may be predictors of efficacy and safety of treatment with mFOLFOX6 + bevacizumab versus mFOLFOX6 + panitumumab therapy in patients with chemotherapy-naïve unresectable advanced or recurrent colorectal cancer.
Tumor tissue samples obtained from the participants who enrolled in the safety/efficacy study of Panitumumab + mFOLFOX versus bevacizumab + mFOLFOX (PARADIGM Study: NCT02394795) and provided consent for this additional study will be used. Mutations, amplification and rearrangement of predefined tumor-associated genes will be investigated using DNA collected from tumor samples used for assessing RAS mutations and plasma free DNA collected before administration of cycle 1 and at the discontinuation of the protocol treatment in the main study.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Group P; mFOLFOX6 + panitumumab combination therapy | – | Drug: oxaliplatin (OXA), levofolinate calcium (l-LV), 5-FU, panitumumabOXA: 85 mg/m2/day 1 l-LV: 200 mg/m2/day 1 5-FU iv: 400 mg/m2/day 1 5-FU civ: 2400 mg/m2/day 1-3 panitumumab: 6 mg/kg mFOLFOX6 + panitumumab combination therapy, once every two weeks |
| Group B; mFOLFOX6 + bevacizumab combination therapy | – | Drug: oxaliplatin (OXA), levofolinate calcium (l-LV), 5-FU, bevacizumabOXA: 85 mg/m2/day 1 l-LV: 200 mg/m2/day 1 5-FU iv: 400 mg/m2/day 1 5-FU civ: 2400 mg/m2/day 1-3 bevacizumab: 5 mg/kg/ mFOLFOX6 + bevacizumab combination therapy, once every two weeks |
Who may qualify
- Ages
- 20 to 79 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients who are enrolled in the main study and personally provided written consent after adequately explained about the contents of the additional study.
Key inclusion criteria (1 listed)
- Patients who are enrolled in the main study and personally provided written consent after adequately explained about the contents of the additional study
Key exclusion criteria (1 listed)
- Patients who are determined by the investigator or researchers to be not suitable for participating in the additional study
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 |
|---|---|---|
| oxaliplatin (OXA), levofolinate calcium (l-LV), 5-FU, panitumumaboxaliplatin (OXA), levofolinate calcium (l-LV), panitumumab: intra-venous infusion 5-FU: bolus and continuous intra-venous infusion | Drug | Group P; mFOLFOX6 + panitumumab combination therapy |
| oxaliplatin (OXA), levofolinate calcium (l-LV), 5-FU, bevacizumaboxaliplatin (OXA), levofolinate calcium (l-LV), bevacizumab: intra-venous infusion 5-FU: bolus and continuous intra-venous infusion | Drug | Group B; mFOLFOX6 + bevacizumab combination therapy |
Primary outcome
Overall survival (OS)
Time frame: Up to approximately 63 months
OS obtained in the main study will be stratified by the presence or absence of mutation of tumor-associated genes in tumor tissues at the baseline of the main study to evaluate the relationship between OS and gene mutations. OS will be measured as the time from the date of randomization to the date of death due to any causes.
10 secondary outcomes
Progression-Free Survival (PFS)
Time frame: Up to approximately 63 months
Response Rate (RR)
Time frame: Approximately 12 months
Duration of Response (DOR)
Time frame: Up to approximately 63 months
Percentage of Participants who Proceeded to Surgical Resection
Time frame: Up to approximately 63 month
Percentage of Participants with Early Tumor Shrinkage
Time frame: Up to approximately 63 months
Degree of the Maximum Tumor Shrinkage (Depth of Response)
Time frame: Up to approximately 63 months
Evaluation of the Relationship of Each Biomarker in Plasma Free DNA and Tumor Samples at Baseline of the Main Study
Time frame: Up to approximately 63 months
Evaluation of the Relationship between Each Biomarker in Plasma Free DNA at Baseline of the Main Study, and Efficacy Endpoints
Time frame: Up to approximately 63 months
Evaluation of the Relationship between a Change in Each Biomarker in Plasma Free DNA at Baseline and the Discontinuation of the Protocol Treatment of the Main Study, and Efficacy Endpoints
Time frame: Up to approximately 63 months
Evaluation of the Relationship between a Change in Each Biomarker in Tumor Tissue at Baseline and the Discontinuation of the Protocol Treatment of the Main Study, and Efficacy Endpoints
Time frame: Up to approximately 63 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Apr 2026.
- Derived from this study: PubMed 38347302Shitara K, Muro K, Watanabe J, Yamazaki K, Ohori H, Shiozawa M, Takashima A, Yokota M, Makiyama A, Akazawa N, Ojima H, Yuasa Y, Miwa K, Yasui H, Oki E, Sato T, Naitoh T, Komatsu Y, Kato T, Mori I, Yamanaka K, Hihara M, Soeda J, Misumi T, Yamamoto K, Yamashita R, Akagi K, Ochiai A, Uetake H, Tsuchihara K, Yoshino T. Baseline ctDNA gene alterations as a biomarker of survival after panitumumab and chemotherapy in metastatic colorectal cancer. Nat Med. 2024 Mar;30(3):730-739. doi: 10.1038/s41591-023-02791-w. Epub 2024 Feb 12.
- Derived from this study: PubMed 28237539Yoshino T, Uetake H, Tsuchihara K, Shitara K, Yamazaki K, Oki E, Sato T, Naitoh T, Komatsu Y, Kato T, Yamanaka K, Iwasaki K, Soeda J, Hihara M, Yamanaka T, Ochiai A, Muro K. Rationale for and Design of the PARADIGM Study: Randomized Phase III Study of mFOLFOX6 Plus Bevacizumab or Panitumumab in Chemotherapy-naive Patients With RAS (KRAS/NRAS) Wild-type, Metastatic Colorectal Cancer. Clin Colorectal Cancer. 2017 Jun;16(2):158-163. doi: 10.1016/j.clcc.2017.01.001. Epub 2017 Jan 24.
- Click here for more information about this trial in easy-to-understand language, including a Plain Language Summary of the results if the trial has been completed.Link provided by the sponsor.
- Click here to ask Takeda's chatbot for comprehensive and easy-to-understand information about clinical trials - even across products and indications - in your local language.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
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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.
Study Director study director
Takeda
151 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Colorectal Cancer, run by Takeda at 151 sites in Japan.
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 1 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: under way, not looking for participants, as of the sponsor's last update on 13 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 151 sites in Japan. 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.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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 (OS) (time frame: Up to approximately 63 months). 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 NCT02394834, which also lists 2 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 13 Apr 2026.