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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02216487
Registration number
NCT02216487
Ethics application status
Date submitted
12/08/2014
Date registered
15/08/2014
Date last updated
29/08/2014
Titles & IDs
Public title
Trial of FOLF(HA)Iri With Cetuximab in mCRC
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Scientific title
Phase II Single Arm Trial of FOLF(HA)Iri Plus Cetuximab in Irinotecan-naïve Second Line Patients With KRAS Wild Type Metastatic Colorectal Cancer
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Secondary ID [1]
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ACO-004
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Universal Trial Number (UTN)
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Trial acronym
Chime
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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 - HA-Irinotecan
Experimental: HA-Irinotecan - HA-Irinotecan is administered as part of FOLFIRI/cetuximab treatment in place of irinotecan.
Treatment: Drugs: HA-Irinotecan
HA-Irinotecan is administered as part of FOLFIRI/cetuximab treatment in place of irinotecan for treatment of mCRC.
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Intervention code [1]
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Treatment: Drugs
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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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Safety
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Assessment method [1]
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To assess FOLF(HA)iri plus cetuximab with respect to:
Patient safety, including incidence of severe (Grade 3/4) toxicity according to the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI CTCAE version 4.03).
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Timepoint [1]
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2 years
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Eligibility
Key inclusion criteria
Inclusion criteria
* Tumour is KRAS wild type
* mCRC with disease progression after first-line chemotherapy (adjuvant chemotherapy is considered first line chemotherapy if metastatic progression occurs within 6 months of the end of the adjuvant chemotherapy).
* Irinotecan naïve
* Prior use of bevacizumab in the 1st line setting is permitted.
* ECOG 0 or 1
* Measurable disease
* Histological proof of colorectal adenocarcinoma
* 18+ years of age
* Adequately recovered from and at least 4 weeks after recent major surgery or chemotherapy
* At least 4 weeks after treatment with a biologic monotherapy from last dose to enrolment.
* Hematology done within 14 days prior to enrolment :
* Absolute Neutrophil count (ANC) greater than 1.5 x 109/L
* Platelets greater than 100 x 109/L
* Hemoglobin greater than or equal to 100g/L
* Chemistry done within 14 days prior to enrolment:
* AST greater than or equal to 2.5 X ULN (greater than 5 X ULN if elevation thought to be related to hepatic metastatic disease),
* Alkaline phosphatase greater than 5 x ULN,
* Serum creatinine greater than 1.5 x ULN,
* Total bilirubin greater than 34.2 µmol/L,
* Negative serum or urine pregnancy test if a WOCBP.
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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
Exclusion criteria
* KRAS mutant.
* Prior irinotecan
* Prior anti-EGFR
* History of other malignancies, except adequately treated non-melanoma skin cancer, curatively treated in-situ cancer of the cervix, or other solid tumours curatively treated with no evidence of disease for greater than 5 years.
* Locally advanced or recurrent disease only
* Unsuitability for irinotecan
* Abdominal or pelvic radiation therapy (including treatment with SIR-Spheres/Sirtex) within the last 12 months.
* Women who are pregnant or breastfeeding.
* Significant cardiac disease
* Untreated or symptomatic brain or central nervous system (CNS) metastases
* Presence of pleural effusion or ascites requiring therapeutic thoracocentesis or paracentesis.
* Current partial or complete bowel obstruction.
* Concomitant active infection.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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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
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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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
1/06/2014
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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
1/11/2016
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Actual
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Sample size
Target
45
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Liverpool Hospital - Sydney
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Recruitment hospital [2]
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Southern Medical Day Care Centre - Wollongong
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Recruitment hospital [3]
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Western General Hospital - Melbourne
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Recruitment postcode(s) [1]
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1871 - Sydney
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Recruitment postcode(s) [2]
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2500 - Wollongong
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Recruitment postcode(s) [3]
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3021 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
Western General Hospital, Australia
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Address
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Country
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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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Alchemia Oncology
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Address [1]
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Country [1]
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Other collaborator category [2]
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Commercial sector/industry
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Name [2]
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Merck Serono International SA
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
As an approach to improve efficacy and provide clinical benefit to cancer patients undergoing chemotherapeutic treatment regimens, Alchemia Oncology has developed a novel means for delivering anti-cancer agents to tumours. The drug delivery platform is based on the use of hyaluronic acid (HA), a novel excipient, in which, formulation with HA results in optimisation of cytotoxic drug uptake and retention within solid tumours. In the specific example of HA-Irinotecan, this new formulation of irinotecan has demonstrated enhanced efficacy in both nonclinical and early clinical studies. The current study is an investigation into the use of HA-Irinotecan in a Phase II single arm trial of FOLF(HA)iri plus cetuximab in irinotecan-naïve second line patients with KRAS wild type metastatic colorectal cancer. The study objectives are to confirm the safety and efficacy of FOLF(HA)iri plus cetuximab as second-line therapy in irinotecan-naïve metastatic colorectal cancer patients. It is expected that the study recruit approximately 40-50 patients in 1 year with subsequent treatment and follow up; thus the trial will run for approximately 2-3 years.
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Trial website
https://clinicaltrials.gov/study/NCT02216487
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Peter Gibbs, MD
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Address
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Western General Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Peter Gibbs, MD
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Address
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Country
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Phone
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
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/NCT02216487
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