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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03869892
Registration number
NCT03869892
Ethics application status
Date submitted
23/02/2018
Date registered
11/03/2019
Titles & IDs
Public title
Phase III Study in First-line Treatment of Patients With Metastatic Colorectal Cancer Who Are Not Candidate for Intensive Therapy.
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Scientific title
An Open-label, Randomised, Phase III Study cOmparing trifLuridine/Tipiracil (S 95005) in Combination With Bevacizumab to Capecitabine in Combination With Bevacizumab in firST-line Treatment of Patients With metastatIC Colorectal Cancer Who Are Not candidatE for Intensive Therapy (SOLSTICE Study)
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Secondary ID [1]
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2017-004059-22
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Secondary ID [2]
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CL3-95005-006
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Universal Trial Number (UTN)
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Trial acronym
SOLSTICE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Metastatic Colorectal Cancer
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Condition category
Condition code
Cancer
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Bowel - Back passage (rectum) or large bowel (colon)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Trifluridine/tipiracil hydrochloride (S95005)
Treatment: Drugs - Capecitabine
Treatment: Other - Bevacizumab experimental
Treatment: Other - Bevacizumab control
Experimental: S95005 + Bevacizumab -
Active comparator: Capecitabine + Bevacizumab -
Treatment: Drugs: Trifluridine/tipiracil hydrochloride (S95005)
Film-coated tablets of S 95005 (35 mg/m²/dose) will be administered orally twice a day (BID), within 1 hour after completion of morning and evening meals, 5 days on/2 days off, over 2 weeks, followed by a 14-day rest; This treatment cycle will be repeated every 4 weeks.
Treatment: Drugs: Capecitabine
Film-coated tablets, Capecitabine (1250 mg/m²/dose) will be administered orally BID on Days 1-14 of each cycle. This treatment cycle will be repeated every 3 weeks.
Treatment: Other: Bevacizumab experimental
Concentrate for solution for infusion, Bevacizumab (5 mg/kg, IV) administered every 2 weeks (Day 1 and Day 15). This treatment cycle will be repeated every 4 weeks.
Treatment: Other: Bevacizumab control
Concentrate for solution for infusion, Bevacizumab (7.5 mg/kg, IV) will be administered on Day 1 of each cycle.This treatment cycle will be repeated every 3 weeks.
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Progression-free Survival (PFS)
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Assessment method [1]
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Time elapsed between the randomization and the date of radiological tumour progression (according to RECIST 1.1) or death from any cause.
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Timepoint [1]
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Up to 24 months
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Secondary outcome [1]
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Overall Survival (OS)
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Assessment method [1]
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Time elapsed between the date of randomization and the date of death due to any cause.
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Timepoint [1]
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Up to 24 months
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Secondary outcome [2]
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Overall response rate (ORR)
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Assessment method [2]
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The proportion of patients with objective evidence of complete response (CR) or partial response (PR) according to RECIST 1.1 criteria and using investigator's tumour assessment.
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Timepoint [2]
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Up to 24 months
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Secondary outcome [3]
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Disease control rate (DCR)
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Assessment method [3]
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The proportion of patients with objective evidence of CR or PR or stable disease (SD) according to RECIST 1.1 criteria and using investigator's tumour assessment.
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Timepoint [3]
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Up to 24 months
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Secondary outcome [4]
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Duration of response (DoR)
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Assessment method [4]
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The time from the first documentation of response (CR or PR) to the first documentation of objective tumour progression or death due to any cause, whichever occurs first.
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Timepoint [4]
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Up to 24 months
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Secondary outcome [5]
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Time to treatment failure (TTF)
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Assessment method [5]
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The time from randomization to treatment discontinuation for any reason, including disease progression, treatment toxicity, patient preference, or death.
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Timepoint [5]
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Up to 24 months
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Eligibility
Key inclusion criteria
1. Has definitive histologically confirmed adenocarcinoma of the colon or rectum (all other histological types are excluded). Primary tumour localisation must be known.
2. RAS status based on local biological assessment of tumour biopsy must be available. If RAS status is not available at the time of randomisation, tumour biopsy must be available for RAS status determination (based on local biological assessment).
3. Patient is not a candidate for standard full dose combination chemotherapy with irinotecan or oxaliplatin
4. Patient is not a candidate for curative resection of metastatic lesions.
5. No previous systemic anticancer therapy for unresectable metastatic colorectal cancer.
6. ECOG (Eastern Cooperative Oncology Group) performance status =2.
7. Adequate organ function (renal, haematological, hepatic, coagulation) as described in the study protocol'
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
8. Pregnancy, breastfeeding or possibility of becoming pregnant during the study.
9. Participation in another interventional study within 4 weeks prior to the randomisation .
10. Patients who have not recovered from clinically relevant non-hematologic CTCAE grade = 3 toxicity of previous anticancer therapy prior to the randomisation.
11. Symptomatic central nervous system metastases.
12. Major surgery within 4 weeks prior to the randomisation.
Exclusion criteria related to S 95005 administration:
13. History of allergic reactions attributed to compounds of similar composition to S 95005 or any of its excipients.
14. Any contraindication present in the SmPC of trifluridine/tipiracil
Exclusion criteria related to bevacizumab administration:
15. Any contraindication present in the SmPC of bevacizumab
Exclusion criteria related to capecitabine administration:
16. Any contraindication present in the SmPC of capecitabine
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
21/03/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
30/06/2024
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Actual
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Sample size
Target
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Accrual to date
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Final
856
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Blacktown Hospital Cancer and Haematology Centre - Blacktown
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Recruitment hospital [2]
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Frankston Private Peninsula and Southeast Oncology Group - Frankston
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Lake Macquarie Private Hospital - Gateshead
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St George Hospital St George Hospital Cancer Care Centre - Kogarah
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Adventist HealthCare Integrated Cancer Centre - Wahroonga
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Recruitment hospital [6]
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Southern Medical Day Care Centre - Wollongong
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Recruitment postcode(s) [1]
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2148 - Blacktown
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Recruitment postcode(s) [2]
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3199 - Frankston
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Recruitment postcode(s) [3]
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2290 - Gateshead
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Recruitment postcode(s) [4]
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2217 - Kogarah
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2076 - Wahroonga
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Recruitment postcode(s) [6]
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2500 - Wollongong
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Recruitment outside Australia
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Argentina
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Berazategui
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Argentina
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Ciudad Autónoma de Buenos Aires
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Badalona
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Spain
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Barcelona
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Spain
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Córdoba
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Spain
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Hospitalet de Llobregat
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Spain
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Madrid
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Spain
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Santander
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Spain
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Sevilla
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Spain
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Valencia
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Spain
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Zaragoza
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Sweden
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Falun
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Sweden
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Jönköping
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Sweden
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Solna
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Sweden
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Umeå
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Sweden
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Örebro
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Ukraine
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Cherkasy
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Ukraine
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Dnipro
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Ukraine
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Kharkiv
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Ukraine
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Kyiv
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Ukraine
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Lviv
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Ukraine
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Odesa
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Ukraine
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Vinnytsya
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Ukraine
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Zaporozhye
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United Kingdom
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Aberdeen
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United Kingdom
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Bristol
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United Kingdom
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Leeds
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United Kingdom
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Leicester
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United Kingdom
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London
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United Kingdom
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Manchester
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United Kingdom
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Rhyl
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United Kingdom
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Sutton
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Funding & Sponsors
Primary sponsor type
Other
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Name
Institut de Recherches Internationales Servier
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Address
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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ADIR, a Servier Group company
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Ethics approval
Ethics application status
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Summary
Brief summary
The main purpose of this study is to demonstrate the superiority of S 95005 in combination with bevacizumab over capecitabine in combination with bevacizumab.
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Trial website
https://clinicaltrials.gov/study/NCT03869892
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Thierry ANDRE, PhD
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Medical Oncology departement Saint-Antoine hospital (Paris France 75012)
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Qualified scientific and medical researchers can request access to anonymized patient-level and study-level clinical trial data.
Access can be requested for all interventional clinical studies:
* used for Marketing Authorization (MA) of medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US).
* where Servier is the Marketing Authorization Holder (MAH). The date of the first MA of the new medicine (or the new indication) in one of the EEA Member States will be considered for this scope.
In addition, access can be requested for all interventional clinical studies in patients:
* sponsored by Servier
* with a first patient enrolled as of 1 January 2004 onwards
* for New Chemical Entity or New Biological Entity (new pharmaceutical form excluded) for which development has been terminated before any Marketing authorization (MA) approval.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Informed consent form (ICF), Clinical study report (CSR)
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When will data be available (start and end dates)?
After Marketing Authorisation in EEA or US if the study is used for the approval.
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Available to whom?
Researchers should register on Servier Data Portal and fill in the research proposal form. This form in four parts should be fully documented. The Research Proposal Form will not be reviewed until all mandatory fields are completed.
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://clinicaltrials.servier.com/
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03869892