AzTrials
AzTrials

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.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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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

Other trials in Japan

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.

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 groups in NCT02394834
Study groupRoleWhat they receive
Group P; mFOLFOX6 + panitumumab combination therapyOXA: 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 therapyOXA: 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.

  1. 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)
  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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.

  1. First posted20 Mar 2015 (estimated)
  2. Study start29 May 2015
  3. Primary completion30 Sep 2027 (estimated)
  4. Study completion30 Sep 2027 (estimated)

Resources

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)
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 38347302
  • Yoshino 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

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.

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