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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00003594
Other study ID # NCCTG-N9741
Secondary ID CDR0000066665CAN
Status Completed
Phase Phase 3
First received
Last updated
Start date October 1998
Est. completion date October 2004

Study information

Verified date April 2020
Source Alliance for Clinical Trials in Oncology
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. It is not yet known which regimen of combination chemotherapy is most effective in treating advanced colorectal cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of various combination chemotherapy regimens in treating patients who have advanced, recurrent, or metastatic colorectal cancer that cannot be treated with surgery or radiation therapy.


Description:

OBJECTIVES:

- Compare the time to progression in patients with locally advanced, locally recurrent, or metastatic colorectal adenocarcinoma treated with combinations of oxaliplatin, fluorouracil, leucovorin calcium, and irinotecan.

- Compare the quality of life, response rate, time to treatment failure, and overall survival in patients treated with these regimens.

- Compare the toxicity of these regimens in these patients.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to ECOG performance status (0-1 vs 2), prior adjuvant chemotherapy (yes vs no), prior immunotherapy (yes vs no), and age (under 65 vs 65 and over). Patients are randomized to one of three treatment arms.

Only arm II remains open to accrual.

- Arm I (Saltz regimen): Patients receive irinotecan IV over 90 minutes followed by leucovorin calcium IV over 15 minutes and fluorouracil IV once a week for 4 weeks followed by 2 weeks of rest. Courses repeat every 6 weeks. (Arm I closed to accrual as of March 15, 2002.)

- Arm II (FOLFOX4 regimen): Patients receive oxaliplatin IV over 2 hours on day 1 and leucovorin calcium IV over 2 hours plus fluorouracil IV over 22 hours on days 1 and 2. Courses repeat every 2 weeks.

- Arm III (oxaliplatin plus irinotecan): Patients receive oxaliplatin IV over 2 hours and irinotecan IV over 30 minutes on day 1. Courses repeat every 3 weeks. (Arm III closed to accrual as of March 15, 2002.) Treatment continues in the absence of disease progression or unacceptable toxicity.

Quality of life is assessed before treatment, during treatment (arm specific), and after completion of treatment.

Patients are followed every 3 months for 1 year, every 6 months for 2 years, and then annually thereafter.

PROJECTED ACCRUAL: A total of 825 patients (275 per arm) have been accrued for this study thus far. Additional patients are being accrued on arm II. (Arms I and III closed to accrual as of March 15, 2002.)


Recruitment information / eligibility

Status Completed
Enrollment 1691
Est. completion date October 2004
Est. primary completion date October 2004
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility DISEASE CHARACTERISTICS:

- Histologically or cytologically confirmed locally advanced, locally recurrent, or metastatic colorectal adenocarcinoma not curable by surgery or radiotherapy

- Histological or cytological requirement waived in patients who developed radiological or clinical evidence of metastatic cancer after a prior surgical resection unless:

- More than 5 years has elapsed since primary surgery OR

- Primary cancer was stage I or II

- Site of primary lesion must be or have been confirmed endoscopically, radiologically, or surgically to be or have been in the large bowel

- Measurable or evaluable disease

- No CNS metastases or carcinomatous meningitis

PATIENT CHARACTERISTICS:

Age:

- 18 and over

Performance status:

- ECOG 0-2

Life expectancy:

- At least 12 weeks

Hematopoietic:

- Absolute granulocyte count at least 1,500/mm^3

- Platelet count at least 100,000/mm^3

- Hemoglobin at least 9.0 g/dL (transfusion allowed)

Hepatic:

- Bilirubin no greater than 1.5 mg/dL

- AST no greater than 5 times upper limit of normal (ULN)

- Alkaline phosphatase no greater than 5 times ULN

Renal:

- Creatinine no greater than 1.5 times ULN

Cardiovascular:

- No uncontrolled hypertension

- No unstable angina

- No symptomatic congestive heart failure

- No myocardial infarction within the past 6 months

- No serious uncontrolled arrhythmia

- No New York Heart Association class III or IV cardiac disease

Pulmonary:

- No interstitial pneumonia or extensive and symptomatic interstitial fibrosis of the lung

- No pleural effusion or ascites that cause respiratory compromise (grade 2 or worse dyspnea)

Other:

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- No active or uncontrolled infection

- No symptomatic sensory peripheral neuropathy

- No known allergy to platinum compounds

- No history of gastrointestinal bleeding unless it is determined to be acceptable by the enrolling physician

- No other prior or concurrent malignancy within the past 3 years except nonmelanoma skin cancer, carcinoma in situ of the uterine cervix, or other resected malignant tumor with less than a 10% probability of tumor relapse within 3 years of diagnosis

- No medical or psychiatric conditions that would preclude study

- No colonic or small bowel disorders with uncontrolled symptoms of more than 3 loose stools per day

- Colostomy or ileostomy allowed at investigator's discretion

PRIOR CONCURRENT THERAPY:

Biologic therapy:

- Prior adjuvant immunotherapy for resected stage II-IV disease allowed if adjuvant therapy concluded at least 1 year before documentation of recurrent disease

- No concurrent sargramostim (GM-CSF)

Chemotherapy:

- No prior chemotherapy for advanced colorectal cancer

- No prior standard adjuvant chemotherapy for rectal cancer

- Prior adjuvant fluorouracil for resected stage II-IV disease allowed if adjuvant therapy concluded at least 1 year before documentation of recurrent disease

Radiotherapy:

- See Disease Characteristics

- At least 4 weeks since prior major radiotherapy (e.g., chest or bone palliative radiotherapy)

- No prior radiotherapy to more than 15% of bone marrow

- No prior standard adjuvant radiotherapy for rectal cancer

Surgery:

- See Disease Characteristics

- At least 4 weeks since prior major surgery (e.g., laparotomy) (2 weeks for minor surgery) and recovered

- Insertion of a vascular access device not considered major or minor surgery

Other:

- No other concurrent investigational agents

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
irinotecan

fluorouracil

leucovorin calcium

oxaliplatin


Locations

Country Name City State
Canada William Osler Health Centre Brampton Ontario
Canada Queen Elizabeth Hospital, PEI Charlottetown Prince Edward Island
Canada Cross Cancer Institute Edmonton Alberta
Canada Hopital Charles Lemoyne Greenfield Park Quebec
Canada Nova Scotia Cancer Centre Halifax Nova Scotia
Canada British Columbia Cancer Agency - Centre for the Southern Interior Kelowna British Columbia
Canada Cancer Care Ontario-London Regional Cancer Centre London Ontario
Canada Credit Valley Hospital Mississauga Ontario
Canada Trillium Health Centre Mississauga Ontario
Canada Centre Hospitalier de l'Universite de Montreal Montreal Quebec
Canada CHUM Hopital Saint-Luc Montreal Quebec
Canada Maisonneuve-Rosemont Hospital Montreal Quebec
Canada Nanaimo Cancer Clinic Nanaimo British Columbia
Canada Southlake Regional Health Centre Newmarket Ontario
Canada Lions Gate Hospital North Vancouver
Canada Peterborough Oncology Clinic Peterborough Ontario
Canada Allan Blair Cancer Centre Regina Saskatchewan
Canada Pasqua Hospital Regina Saskatchewan
Canada Saskatoon Cancer Centre Saskatoon Saskatchewan
Canada Algoma District Medical Group Sault Sainte Marie Ontario
Canada Hotel Dieu Health Sciences Hospital - Niagara St. Catharines Ontario
Canada L'Hopital Laval Ste-Foy Quebec
Canada Northeastern Ontario Regional Cancer Centre, Sudbury Sudbury Ontario
Canada British Columbia Cancer Agency - Fraser Valley Cancer Centre Surrey British Columbia
Canada Northwestern Ontario Regional Cancer Centre, Thunder Bay Thunder Bay Ontario
Canada Mount Sinai Hospital - Toronto Toronto Ontario
Canada Saint Joseph's Health Centre - Toronto Toronto Ontario
Canada British Columbia Cancer Agency Vancouver British Columbia
Canada British Columbia Cancer Agency - Vancouver Island Cancer Centre Victoria British Columbia
Canada Humber River Regional Hospital Weston Ontario
Canada St. Boniface General Hospital Winnipeg Manitoba
Puerto Rico Centro Mamografia Hospital Oncologico Hato Rey
Puerto Rico San Juan City Hospital San Juan
Puerto Rico Veterans Affairs Medical Center - San Juan San Juan
South Africa Medical Oncology Centre of Rosebank Johannesburg
South Africa Pretoria Academic Hospitals Pretoria
United States Bixby Medical Center Adrian Michigan
United States Akron City Hospital Akron Ohio
United States MBCCOP - University of New Mexico HSC Albuquerque New Mexico
United States Veterans Affairs Medical Center - Albuquerque Albuquerque New Mexico
United States Alexandria Clinic Alexandria Minnesota
United States Alexandria Radiation Oncology Alexandria Minnesota
United States Lehigh Valley Hospital Allentown Pennsylvania
United States McFarland Clinic, P.C. Ames Iowa
United States William R. Bliss Cancer Center Ames Iowa
United States Saint Joseph Mercy Hospital Ann Arbor Michigan
United States University of Michigan Comprehensive Cancer Center Ann Arbor Michigan
United States Veterans Affairs Medical Center - Ann Arbor Ann Arbor Michigan
United States Anne Arundel Medical Center Annapolis Maryland
United States Fox Valley Hematology and Oncology Appleton Wisconsin
United States Cancer Center of Kansas - Arkansas City Arkansas City Kansas
United States Memorial Medical Center Ashland Wisconsin
United States CCOP - Atlanta Regional Atlanta Georgia
United States Emory University Hospital - Atlanta Atlanta Georgia
United States Grady Memorial Hospital Atlanta Georgia
United States Columbia Medical Center of Aurora North Campus Aurora Colorado
United States Muhlenberg Hospital Center Bethlehem Pennsylvania
United States Hematology Oncology Associates of the Quad Cities Bettendorf Iowa
United States CCOP - Montana Cancer Consortium Billings Montana
United States Veterans Affairs Medical Center - Biloxi Biloxi Mississippi
United States Veterans Affairs Medical Center - Birmingham Birmingham Alabama
United States Bismarck Cancer Center Bismarck North Dakota
United States Medcenter One Health System Bismarck North Dakota
United States Mid Dakota Clinic, P.C. Bismarck North Dakota
United States St. Alexius Medical Center Bismarck North Dakota
United States BroMenn Lifecare Center Bloomington Illinois
United States St. Joseph's Hospital Medical Center Bloomington Illinois
United States Boston Medical Center Boston Massachusetts
United States Dana-Farber Cancer Institute Boston Massachusetts
United States New England Medical Center Hospital Boston Massachusetts
United States Wood County Oncology Center Bowling Green Ohio
United States Brainerd Medical Center Brainerd Minnesota
United States St. Joseph's Medical Center Brainerd Minnesota
United States Bristol Hospital Bristol Connecticut
United States Albert Einstein Comprehensive Cancer Center Bronx New York
United States Veterans Affairs Medical Center - Buffalo Buffalo New York
United States Vermont Cancer Center Burlington Vermont
United States Fairview Ridges Hospital Burnsville Minnesota
United States Aultman Cancer Center Canton Ohio
United States Graham Hospital Association Canton Illinois
United States Mercy Ireland Cancer Center Canton Ohio
United States Marion Community Hospital Carbondale Pennsylvania
United States Saint Anthony Regional Hospital Carroll Iowa
United States Memorial Hospital Carthage Illinois
United States Cedar Rapids Oncology Associates Cedar Rapids Iowa
United States Mercy Medical Center Cedar Rapids Iowa
United States St. Luke's Hospital Cedar Rapids Iowa
United States Cancer Center of Kansas - Chanute Chanute Kansas
United States Lineberger Comprehensive Cancer Center, UNC Chapel Hill North Carolina
United States Center for Cancer And Hematologic Disease Cherry Hill New Jersey
United States Hematology Oncology Associates of Illinois - Lake Shore Dr Chicago Illinois
United States Hematology-Oncology Associates of Illinois Chicago Illinois
United States Mercy Hospital and Medical Center Chicago Illinois
United States Robert H. Lurie Comprehensive Cancer Center, Northwestern University Chicago Illinois
United States University of Chicago Cancer Research Center Chicago Illinois
United States Veterans Affairs Medical Center - Chicago (Westside Hospital) Chicago Illinois
United States Veterans Affairs Medical Center - Lakeside Chicago Chicago Illinois
United States Barrett Cancer Center, The University Hospital Cincinnati Ohio
United States Veterans Affairs Medical Center - Cincinnati Cincinnati Ohio
United States Cleveland Clinic Taussig Cancer Center Cleveland Ohio
United States Ireland Cancer Center Cleveland Ohio
United States Penrose Cancer Center Colorado Springs Colorado
United States Ellis Fischel Cancer Center - Columbia Columbia Missouri
United States Veterans Affairs Medical Center - Columbia (Truman Memorial) Columbia Missouri
United States Arthur G. James Cancer Hospital - Ohio State University Columbus Ohio
United States CCOP - Columbus Columbus Ohio
United States Mercy Hospital Coon Rapids Minnesota
United States Mary Imogene Bassett Hospital Cooperstown New York
United States Alegent Health Southwest Iowa Medical Center Council Bluffs Iowa
United States Geisinger Medical Center Danville Pennsylvania
United States Veterans Affairs Medical Center - Dayton Dayton Ohio
United States CCOP - Central Illinois Decatur Illinois
United States Veterans Affairs Medical Center - Atlanta (Decatur) Decatur Georgia
United States CCOP - Colorado Cancer Research Program, Inc. Denver Colorado
United States HealthOne Rose Medical Center Denver Colorado
United States Porter Adventist Hospital Denver Colorado
United States Presbyterian-St Luke's Medical Center Denver Colorado
United States St. Joseph Hospital Denver Colorado
United States University of Colorado Cancer Center Denver Colorado
United States Veterans Affairs Medical Center - Denver Denver Colorado
United States Des Moines General Hospital Des Moines Iowa
United States Iowa Lutheran Hospital Des Moines Iowa
United States Iowa Methodist Medical Center Des Moines Iowa
United States Medical Oncology and Hematology Associates Des Moines Iowa
United States Medical Oncology and Hematology Associates Des Moines Iowa
United States Mercy Hospital Medical Center Des Moines Iowa
United States Holy Family Medical Center Des Plaines Illinois
United States Barbara Ann Karmanos Cancer Institute Detroit Michigan
United States Henry Ford Hospital Detroit Michigan
United States St. John Hospital and Medical Center Detroit Michigan
United States Veterans Affairs Medical Center - Detroit Detroit Michigan
United States Cancer Center of Kansas - Dodge City Dodge City Kansas
United States Radiation Oncology Center Dodge City Kansas
United States Delaware County Memorial Hospital Drexel Hill Pennsylvania
United States Cancer Center and Beckman Research Institute, City of Hope Duarte California
United States DuBois Regional Medical Center DuBois Pennsylvania
United States Duluth Clinic Duluth Minnesota
United States Miller-Dwan Medical Center Duluth Minnesota
United States St. Mary's/Duluth Clinic Health System Duluth Minnesota
United States Duke Comprehensive Cancer Center Durham North Carolina
United States Veterans Affairs Medical Center - Durham Durham North Carolina
United States Luther Hospital Eau Claire Wisconsin
United States Midelfort Clinic Eau Claire Wisconsin
United States Fairview-Southdale Hospital Edina Minnesota
United States St. Anthony's Memorial Hospital Effingham Illinois
United States Trinitas Hospital - Jersey Street Campus Elizabeth New Jersey
United States Northwest Oncology and Hematology, S.C. Elk Grove Village Illinois
United States Swedish Medical Center Englewood Colorado
United States Eureka Hospital Eureka Illinois
United States CCOP - Evanston Evanston Illinois
United States Therapy Associates Hematology/Oncology Evansville Indiana
United States CCOP - Merit Care Hospital Fargo North Dakota
United States Meritcare Roger Maris Cancer Center Fargo North Dakota
United States University of Connecticut Health Center Farmington Connecticut
United States Fergus Falls Medical Group Fergus Falls Minnesota
United States Woman Wise Blanchard Valley Regional Health Center Findlay Ohio
United States Hunterdon Regional Cancer Center Flemington New Jersey
United States Genesee Regional Medical Center Flint Michigan
United States Poudre Valley Hospital Fort Collins Colorado
United States Poudre Valley Radiation Oncology Fort Collins Colorado
United States Rocky Mountain Cancer Centers - Northern Colorado Fort Collins Colorado
United States Dwight David Eisenhower Army Medical Center Fort Gordon Georgia
United States Brooke Army Medical Center Fort Sam Houston Texas
United States Fremont Area Medical Center Fremont Nebraska
United States Fremont Memorial Hospital Fremont Ohio
United States Mercy/Unity Hospitals Fridley Minnesota
United States University of Florida - Gainesville Gainesville Florida
United States Galesburg Clinic Galesburg Illinois
United States Galesburg Cottage Hospital Galesburg Illinois
United States InterCommunity Cancer Center of Western Illinois Galesburg Illinois
United States University of Texas Medical Branch Galveston Texas
United States Glenbrook Hospital Glenview Illinois
United States Altru Cancer Center Grand Forks North Dakota
United States Altru Health Systems Grand Forks North Dakota
United States CCOP - Grand Rapids Clinical Oncology Program Grand Rapids Michigan
United States St. Vincent Hospital Green Bay Wisconsin
United States CCOP - Greenville Greenville South Carolina
United States UPMC Horizon Greenville Pennsylvania
United States Halstead Cancer Center of Kansas Halstead Kansas
United States Pinnacle Health Hospitals Harrisburg Pennsylvania
United States St. Francis Hospital and Medical Center Hartford Connecticut
United States Ingalls Memorial Hospital Harvey Illinois
United States Mason District Hospital Havana Illinois
United States Central Mesabi Medical Center Hibbing Minnesota
United States Duluth Clinic - Hibbing Hibbing Minnesota
United States Radiation Therapy Center Hibbing Minnesota
United States Hematology Oncology Associates of Illinois-Highland Park Highland Park Illinois
United States Veterans Affairs Medical Center - Hines (Hines Junior VA Hospital) Hines Illinois
United States Hinsdale Hematology Oncology Associates Hinsdale Illinois
United States Wayne Memorial Hospital Honesdale Pennsylvania
United States Cancer Research Center of Hawaii Honolulu Hawaii
United States Hopedale Medical Complex Hospital Hopedale Illinois
United States Hutchinson Area Health Care Hutchinson Minnesota
United States Holden Comprehensive Cancer Center at The University of Iowa Iowa City Iowa
United States University of Mississippi Medical Center Jackson Mississippi
United States Veterans Affairs Medical Center - Jackson Jackson Mississippi
United States Baptist Regional Cancer Institute - Jacksonville Jacksonville Florida
United States Mayo Clinic Jacksonville Florida
United States University of Florida Health Science Center - Jacksonville Jacksonville Florida
United States Faulkner Hospital Jamaica Plain Massachusetts
United States Veterans Affairs Medical Center - Boston (Jamaica Plain) Jamaica Plain Massachusetts
United States Conemaugh Memorial Hospital Johnstown Pennsylvania
United States UPCI @ UPMC Lee Hospital Johnstown Pennsylvania
United States Joliet Oncology/Hematology Associates, Ltd. Joliet Illinois
United States Saint Joseph Medical Center Joliet Illinois
United States Silver Cross Hospital Joliet Illinois
United States Borgess Medical Center Kalamazoo Michigan
United States Bronson Methodist Hospital Kalamazoo Michigan
United States West Michigan Cancer Center Kalamazoo Michigan
United States CCOP - Kansas City Kansas City Missouri
United States University of Kansas Medical Center Kansas City Kansas
United States Veterans Affairs Medical Center - Kansas City Kansas City Missouri
United States Keesler Medical Center - Keesler AFB Keesler Air Force Base Mississippi
United States Office of Sharon Cole, M.D. Kenton Ohio
United States CCOP - Dayton Kettering Ohio
United States Kewanee Hospital Kewanee Illinois
United States Cancer Center of Kansas - Kingman Kingman Kansas
United States Armstrong County Memorial Hospital Kittanning Pennsylvania
United States Franciscan Skemp Healthcare La Crosse Wisconsin
United States Gundersen Lutheran Medical Center La Crosse Wisconsin
United States University of California San Diego Cancer Center La Jolla California
United States Oncology Institute of Greater Lafayette Lafayette Indiana
United States Deerpath Medical Associates Lake Forest Illinois
United States Lancaster General Hospital Lancaster Pennsylvania
United States Saint Mary Regional Center Langhorne Pennsylvania
United States Sparrow Regional Cancer Center Lansing Michigan
United States CCOP - Southern Nevada Cancer Research Foundation Las Vegas Nevada
United States Latrobe Area Hospital Latrobe Pennsylvania
United States Norris Cotton Cancer Center Lebanon New Hampshire
United States Central Pennsylvania Hematology and Medical Oncology Associates Lemoyne Pennsylvania
United States Albert B. Chandler Medical Center, University of Kentucky Lexington Kentucky
United States Veterans Affairs Medical Center - Lexington Lexington Kentucky
United States Liberal Cancer Center of Kansas Liberal Kansas
United States North Shore Oncology Hematology Associates Libertyville Illinois
United States Lima Memorial Hospital Lima Ohio
United States St. Rita's Medical Center Lima Ohio
United States Bryan LGH Medical Center Lincoln Nebraska
United States Bryan LGH Medical Center East Lincoln Nebraska
United States Office of Susan Hansen, M.D. Lincoln Nebraska
United States Prairie View Clinic Lincoln Nebraska
United States Southeast Nebraska Hematology Lincoln Nebraska
United States Southeast Nebreska Hematology-Oncology Consultants, PC Lincoln Nebraska
United States St. Elizabeth Regional Medical Center Lincoln Nebraska
United States Wedgewood Medical Center Lincoln Nebraska
United States Williamsburg Radiation Oncology Center Lincoln Nebraska
United States Meeker County Memorial Hospital Litchfield Minnesota
United States University of Arkansas for Medical Sciences Little Rock Arkansas
United States Veterans Affairs Medical Center - Little Rock (McClellan) Little Rock Arkansas
United States Veterans Affairs Medical Center - Long Beach Long Beach California
United States Jonsson Comprehensive Cancer Center, UCLA Los Angeles California
United States USC/Norris Comprehensive Cancer Center and Hospital Los Angeles California
United States Veterans Affairs Medical Center - West Los Angeles Los Angeles California
United States McDonough District Hospital Macomb Illinois
United States Dean Medical Center Madison Wisconsin
United States Meriter Hospital Madison Wisconsin
United States University of Wisconsin Comprehensive Cancer Center Madison Wisconsin
United States Veterans Affairs Medical Center - Madison Madison Wisconsin
United States Office of E. Michael Lodish Madison Heights Michigan
United States CCOP - North Shore University Hospital Manhasset New York
United States Schneider Children's Hospital at North Shore Manhasset New York
United States St. John's Hospital Maplewood Minnesota
United States CCOP - Marshfield Medical Research and Education Foundation Marshfield Wisconsin
United States Veterans Affairs Outpatient Clinic - Martinez Martinez California
United States Mercy Cancer Center Mason City Iowa
United States North West Ohio Oncology Center Maumee Ohio
United States Saint Luke's Hospital Maumee Ohio
United States Loyola University Medical Center Maywood Illinois
United States Lawrence Memorial Hospital of Medford/Hallmark Health Systems Medford Massachusetts
United States Hematology/Oncology Associates of Illinois, LLC Melrose Park Illinois
United States University of Tennessee, Memphis Cancer Center Memphis Tennessee
United States Veterans Affairs Medical Center - Memphis Memphis Tennessee
United States Mendota Community Hospital Mendota Illinois
United States CCOP - Mount Sinai Medical Center Miami Beach Florida
United States South Jersey Regional Cancer Center Millville New Jersey
United States Aurora Sinai Samaritan Medical Center Milwaukee Wisconsin
United States Medical College of Wisconsin Milwaukee Wisconsin
United States Veterans Affairs Medical Center - Milwaukee (Zablocki) Milwaukee Wisconsin
United States Abbott-Northwestern Hospital Minneapolis Minnesota
United States Fairview University Medical Center - Riverside Campus Minneapolis Minnesota
United States Hennepin County Medical Center - Minneapolis Minneapolis Minnesota
United States North Memorial Research Center Minneapolis Minnesota
United States University of Minnesota Cancer Center Minneapolis Minnesota
United States Veterans Affairs Medical Center - Minneapolis Minneapolis Minnesota
United States Virginia Piper Cancer Institute Minneapolis Minnesota
United States Community Memorial Hospital Missouri Valley Iowa
United States MBCCOP - Gulf Coast Mobile Alabama
United States Trinity Medical Center Moline Illinois
United States Community Cancer Center of Monroe Monroe Michigan
United States Community Hospital of the Monterey Peninsula Monterey California
United States Morris Hospital Morris Illinois
United States Fox Chase Cancer Center at Virtua Memorial Hospital Burlington County Mount Holly New Jersey
United States New Britain General Hospital New Britain Connecticut
United States Cancer Institute of New Jersey New Brunswick New Jersey
United States Lawrence and Memorial Hospital New London Connecticut
United States MBCCOP - LSU Health Sciences Center New Orleans Louisiana
United States Tulane University School of Medicine New Orleans Louisiana
United States Herbert Irving Comprehensive Cancer Center New York New York
United States Memorial Sloan-Kettering Cancer Center New York New York
United States Mount Sinai Medical Center, NY New York New York
United States New York Presbyterian Hospital - Cornell Campus New York New York
United States NYU School of Medicine's Kaplan Comprehensive Cancer Center New York New York
United States Veterans Affairs Medical Center - New York New York New York
United States Cancer Center of Kansas - Newton Newton Kansas
United States BroMenn Regional Medical Center Normal Illinois
United States Community Cancer Center Normal Illinois
United States William W. Backus Hospital Norwich Connecticut
United States Hematology Oncology Associates of Illinois, LLC Oak Park Illinois
United States CCOP - Bay Area Tumor Institute Oakland California
United States Oconomowoc Memorial Hospital Oconomowoc Wisconsin
United States Oklahoma Medical Research Foundation Oklahoma City Oklahoma
United States Veterans Affairs Medical Center - Oklahoma City Oklahoma City Oklahoma
United States Alegent Health - Immanuel Medical Center Omaha Nebraska
United States Bergan Mercy Medical Center Omaha Nebraska
United States Creighton University Cancer Center Omaha Nebraska
United States Oncology Hematology West, P.C. Omaha Nebraska
United States St. Joseph Hospital Omaha Nebraska
United States University of Nebraska Medical Center Omaha Nebraska
United States Veterans Affairs Medical Center - Omaha Omaha Nebraska
United States Burgess Health Center Onawa Iowa
United States Chao Family Comprehensive Cancer Center Orange California
United States St. Charles Hospital Oregon Ohio
United States Community Hospital of Ottawa Ottawa Illinois
United States Oncology & Hematology of Ottumwa, PC Ottumwa Iowa
United States Ottumwa Regional Health Center Ottumwa Iowa
United States Veterans Affairs Medical Center - Palo Alto Palo Alto California
United States Alegent Health-Midlands Community Hospital Papillion Nebraska
United States Pekin Hospital Pekin Illinois
United States Affiliated Urology Specialists Peoria Illinois
United States Illinois Oncology Research Association Peoria Illinois
United States Methodist Medical Center of Illinois Peoria Illinois
United States Midwest Radiation Oncology Physicians Peoria Illinois
United States Midwest Urological Group Peoria Illinois
United States Oncology/Hematology Associates of Central Illinois, P.C. Peoria Illinois
United States Peoria Urological Associates Peoria Illinois
United States Proctor Hospital Peoria Illinois
United States St. Francis Medical Center Peoria Illinois
United States Illinois Valley Community Hospital Peru Illinois
United States Albert Einstein Cancer Center Philadelphia Pennsylvania
United States Hahnemann University Hospital Philadelphia Pennsylvania
United States University of Pennsylvania Cancer Center Philadelphia Pennsylvania
United States CCOP - Greater Phoenix Phoenix Arizona
United States Mayo Clinic Hospital Phoenix Arizona
United States Veterans Affairs Medical Center - Phoenix (Hayden) Phoenix Arizona
United States Magee-Womens Hospital Pittsburgh Pennsylvania
United States University of Pittsburgh Medical Center Pittsburgh Pennsylvania
United States UPMC/Passavant Hospital Pittsburgh Pennsylvania
United States St. James Hospital Pontiac Illinois
United States CCOP - Columbia River Program Portland Oregon
United States Oregon Cancer Center Portland Oregon
United States Veterans Affairs Medical Center - Portland Portland Oregon
United States Pottstown Memorial Regional Cancer Center Pottstown Pennsylvania
United States Pratt Cancer Center of Kansas Pratt Kansas
United States Perry Memorial Hospital Princeton Illinois
United States Rhode Island Hospital Providence Rhode Island
United States St. Mary-Corwin Regional Medical Center Pueblo Colorado
United States Rapid City Regional Hospital Rapid City South Dakota
United States Reading Hospital and Medical Center Reading Pennsylvania
United States Riverview Medical Center - Booker Cancer Center Red Bank New Jersey
United States MBCCOP - Massey Cancer Center Richmond Virginia
United States Veterans Affairs Medical Center - Richmond Richmond Virginia
United States Mayo Clinic Cancer Center Rochester Minnesota
United States Rochester General Hospital Rochester New York
United States Trinity Medical Center Rock Island Illinois
United States Swedish-American Health System Rockford Illinois
United States Sarah D. Culbertson Memorial Hospital Rushville Illinois
United States University of California Davis Medical Center Sacramento California
United States Balcueva Clinic Saginaw Michigan
United States St. Mary's Medical Center Saginaw Michigan
United States CentraCare Health Plaza Saint Cloud Minnesota
United States St. Cloud Hospital Saint Cloud Minnesota
United States Barnes-Jewish Hospital Saint Louis Missouri
United States CCOP - St. Louis-Cape Girardeau Saint Louis Missouri
United States St. Louis University Health Sciences Center Saint Louis Missouri
United States CCOP - Metro-Minnesota Saint Louis Park Minnesota
United States Park Nicollet Clinic Saint Louis Park Minnesota
United States Healtheast Cancer Care Saint Paul Minnesota
United States Regions Hospital Saint Paul Minnesota
United States United Hospital Saint Paul Minnesota
United States Cancer Center of Kansas - Salina Salina Kansas
United States Huntsman Cancer Institute Salt Lake City Utah
United States Veterans Affairs Medical Center - Salt Lake City Salt Lake City Utah
United States University of Texas Health Science Center at San Antonio San Antonio Texas
United States Veterans Affairs Medical Center - San Antonio (Murphy) San Antonio Texas
United States UCSF Cancer Center and Cancer Research Institute San Francisco California
United States Veterans Affairs Medical Center - San Francisco San Francisco California
United States Firelands Regional Medical Center Sandusky Ohio
United States North Coast Cancer Care, Inc. Sandusky Ohio
United States CCOP - Santa Rosa Memorial Hospital Santa Rosa California
United States Mayo Clinic Scottsdale Scottsdale Arizona
United States Mercy Hospital Cancer Center - Scranton Scranton Pennsylvania
United States Moses Taylor Hospital Scranton Pennsylvania
United States Scranton Hematology-Oncology Scranton Pennsylvania
United States CCOP - Virginia Mason Research Center Seattle Washington
United States Swedish Cancer Institute Seattle Washington
United States Veterans Affairs Medical Center - Seattle Seattle Washington
United States Saint Francis Regional Medical Center Shakopee Minnesota
United States Louisiana State University Health Sciences Center - Shreveport Shreveport Louisiana
United States Veterans Affairs Medical Center - Shreveport Shreveport Louisiana
United States Mercy Medical Center - Sioux City Sioux City Iowa
United States Siouxland Hematology-Oncology Sioux City Iowa
United States St. Luke's Regional Medical Center Sioux City Iowa
United States Avera Cancer Institute Sioux Falls South Dakota
United States Avera McKennan Hospital and University Health Center Sioux Falls South Dakota
United States Sioux Valley Clinic Sioux Falls South Dakota
United States Sioux Valley Hospital Sioux Falls South Dakota
United States Edward H. Kaplan MD and Associates Skokie Illinois
United States Hematology Oncology Associates - Skokie Skokie Illinois
United States Midwest Cancer Research Group, Inc. Skokie Illinois
United States Providence Hospital - Southfield Southfield Michigan
United States CCOP - Upstate Carolina Spartanburg South Carolina
United States St. Margaret's Hospital Spring Valley Illinois
United States Valley Cancer Center Spring Valley Illinois
United States CCOP - Cancer Research for the Ozarks Springfield Missouri
United States Stanford University Medical Center Stanford California
United States Geisinger Medical Group State College Pennsylvania
United States Flower Hospital - Pro Medica Health System Sylvania Ohio
United States CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C. Syracuse New York
United States State University of New York - Upstate Medical University Syracuse New York
United States Veterans Affairs Medical Center - Syracuse Syracuse New York
United States CCOP - Northwest Tacoma Washington
United States Madigan Army Medical Center Tacoma Washington
United States H. Lee Moffitt Cancer Center and Research Institute Tampa Florida
United States Morton Hospital & Medical Center Taunton Massachusetts
United States CCOP - Scott and White Hospital Temple Texas
United States Veterans Affairs Medical Center - Temple Temple Texas
United States Veterans Affairs Medical Center - Togus Togus Maine
United States Haematology-Oncology Associates, Inc. Toledo Ohio
United States MCO Cancer Institute Toledo Ohio
United States Medical College of Ohio Hospital Toledo Ohio
United States Riverside Hospital Toledo Ohio
United States St. Vincent Mercy Medical Center Toledo Ohio
United States Toledo Clinic, Inc. Toledo Ohio
United States Toledo Hospital Toledo Ohio
United States Northwestern Connecticut Oncology-Hematology Associates Torrington Connecticut
United States David Grant Medical Center Travis Air Force Base California
United States St. Francis Medical Center Trenton New Jersey
United States Arizona Cancer Center Tucson Arizona
United States Veterans Affairs Medical Center - Tucson Tucson Arizona
United States CCOP - Oklahoma Tulsa Oklahoma
United States Carle Cancer Center Urbana Illinois
United States Carle Foundation Hospital Urbana Illinois
United States Southern Oncology-Hematology Associates, P.A. Vineland New Jersey
United States Comprehensive Cancer and Hematology Associates Voorhees New Jersey
United States Ridgeview Medical Center Waconia Minnesota
United States St. John Macomb Hospital Warren Michigan
United States Walter Reed Army Medical Center Washington District of Columbia
United States Waukesha Memorial Hospital Waukesha Wisconsin
United States UW Cancer Center Wausau Hospital Wausau Wisconsin
United States Fulton County Health Center Wauseon Ohio
United States Cancer Center of Kansas - Wellington Wellington Kansas
United States Chester County Hospital West Chester Pennsylvania
United States Veterans Affairs Medical Center - White River Junction White River Junction Vermont
United States Associates in Women's Health - Wichita Wichita Kansas
United States Cancer Center of Kansas - Wichita Wichita Kansas
United States CCOP - Wichita Wichita Kansas
United States Veterans Affairs Medical Center - Wichita Wichita Kansas
United States Via Christi Regional Medical Center Wichita Kansas
United States Wichita Clinic Cancer Medicine Associates, P.A. Wichita Kansas
United States Geisinger Wyoming Valley Medical Center Wilkes-Barre Pennsylvania
United States Burlington County Hematology Oncology Association, P.A. Willingboro New Jersey
United States Rice Memorial Hospital Willmar Minnesota
United States CCOP - Christiana Care Health Services Wilmington Delaware
United States Cancer Center of Kansas - Winfield Winfield Kansas
United States CCOP - Southeast Cancer Control Consortium Winston-Salem North Carolina
United States Comprehensive Cancer Center at Wake Forest University Winston-Salem North Carolina
United States University of Massachusetts Memorial Medical Center Worcester Massachusetts

Sponsors (3)

Lead Sponsor Collaborator
Alliance for Clinical Trials in Oncology National Cancer Institute (NCI), NCIC Clinical Trials Group

Countries where clinical trial is conducted

United States,  Canada,  Puerto Rico,  South Africa, 

References & Publications (29)

An MW, Mandrekar SJ, Branda ME, Hillman SL, Adjei AA, Pitot HC, Goldberg RM, Sargent DJ. Comparison of continuous versus categorical tumor measurement-based metrics to predict overall survival in cancer treatment trials. Clin Cancer Res. 2011 Oct 15;17(20):6592-9. doi: 10.1158/1078-0432.CCR-11-0822. Epub 2011 Aug 31. — View Citation

Campbell ME, Mandrekar SJ, Hillman SL, et al.: What is the added value of actual tumor measurements (TM) in predicting overall survival (OS)? The North Central Cancer Treatment Group (NCCTG) findings. [Abstract] J Clin Oncol 26 (Suppl 15): A-6520, 2008.

Delaunoit T, Alberts SR, Sargent DJ, Green E, Goldberg RM, Krook J, Fuchs C, Ramanathan RK, Williamson SK, Morton RF, Findlay BP. Chemotherapy permits resection of metastatic colorectal cancer: experience from Intergroup N9741. Ann Oncol. 2005 Mar;16(3):4 — View Citation

Delaunoit T, Goldberg RM, Sargent DJ, Morton RF, Fuchs CS, Findlay BP, Thomas SP, Salim M, Schaefer PL, Stella PJ, Green E, Mailliard JA. Mortality associated with daily bolus 5-fluorouracil/leucovorin administered in combination with either irinotecan or — View Citation

Dy GK, Krook J, Green E, et al.: Impact of complete response to chemotherapy on overall survival (OS) in advanced colorectal cancer (CRC): results from Intergroup N9741. [Abstract] American Society of Clinical Oncology 2005 Gastrointestinal Cancers Sympos

Dy GK, Krook JE, Green EM, Sargent DJ, Delaunoit T, Morton RF, Fuchs CS, Ramanathan RK, Williamson SK, Findlay BP, Pockaj BA, Sticca RP, Alberts SR, Pitot HC 4th, Goldberg RM; Intergroup N9741. Impact of complete response to chemotherapy on overall surviv — View Citation

Franko J, Shi Q, Goldman CD, et al.: Treatment of colorectal peritoneal carcinomatosis with systemic chemotherapy: A pooled analysis of NCCTG's phase III trials N9741 and N9841. [Abstract] J Clin Oncol 29 (Suppl 15): A-3571, 2011.

Franko J, Shi Q, Goldman CD, Pockaj BA, Nelson GD, Goldberg RM, Pitot HC, Grothey A, Alberts SR, Sargent DJ. Treatment of colorectal peritoneal carcinomatosis with systemic chemotherapy: a pooled analysis of north central cancer treatment group phase III trials N9741 and N9841. J Clin Oncol. 2012 Jan 20;30(3):263-7. doi: 10.1200/JCO.2011.37.1039. Epub 2011 Dec 12. — View Citation

Fuchs C, Pollak M, Sargent DJ, et al.: Insulin-like growth factor-I (IGF-1), IGF binding protein-3 (IGFBP-3), and outcome in metastatic colorectal cancer (CRC): results from intergroup trial N9741. [Abstract] J Clin Oncol 22 (Suppl 14): A-3521, 250s, 2004

Fuchs CS, Goldberg RM, Sargent DJ, Meyerhardt JA, Wolpin BM, Green EM, Pitot HC, Pollak M. Plasma insulin-like growth factors, insulin-like binding protein-3, and outcome in metastatic colorectal cancer: results from intergroup trial N9741. Clin Cancer Re — View Citation

Goldberg R. Oxaliplatin in colorectal cancer: current studies. Oncology (Williston Park). 2000 Dec;14(12 Suppl 11):42-7. Review. — View Citation

Goldberg RM, McLeod HL, Sargent DJ, et al.: Genetic polymorphisms, toxicity, and response rate in African Americans (AA) with metastatic colorectal cancer (MCRC) compared to Caucasians (C) when treated with IFL, FOLFOX or IROX in Intergroup N9741. [Abstra

Goldberg RM, Morton RF, Sargent D, et al.: N9741: oxaliplatin (oxal) or CPT-11 + 5-fluorouracil (5FU)/leucovorin (LV) or oxal + CPT-11 in advanced colorectal cancer (CRC). Initial toxicity and response data from a GI Intergroup study. [Abstract] Proceedin

Goldberg RM, Morton RF, Sargent DJ, et al.: N9741: oxaliplatin (Oxal) or CPT-11 + 5-fluorouracil (5FU)/leucovorin (LV) or oxal + CPT-11 in advanced colorectal cancer (CRC). Updated efficacy and quality of life (QOL) data from an intergroup study. [Abstrac

Goldberg RM, Sargent DJ, McLeod H. Leveraging learning from a phase III colorectal cancer clinical trial: outcomes, methodology, meta-analysis and pharmacogenetics. Trans Am Clin Climatol Assoc. 2010;121:21-32; discussion 32-3. — View Citation

Goldberg RM, Sargent DJ, Morton RF, Fuchs CS, Ramanathan RK, Williamson SK, Findlay BP, Pitot HC, Alberts S. Randomized controlled trial of reduced-dose bolus fluorouracil plus leucovorin and irinotecan or infused fluorouracil plus leucovorin and oxalipla — View Citation

Goldberg RM, Sargent DJ, Morton RF, Fuchs CS, Ramanathan RK, Williamson SK, Findlay BP, Pitot HC, Alberts SR. A randomized controlled trial of fluorouracil plus leucovorin, irinotecan, and oxaliplatin combinations in patients with previously untreated met — View Citation

Goldberg RM, Sargent DJ, Morton RF, Green E, Sanoff HK, McLeod H, Buckner J. NCCTG Study N9741: leveraging learning from an NCI Cooperative Group phase III trial. Oncologist. 2009 Oct;14(10):970-8. doi: 10.1634/theoncologist.2009-0175. Epub 2009 Oct 14. R — View Citation

Grothey A, Hedrick EE, Mass RD, et al.: Response rate using conventional criteria is a poor surrogate for clinical benefit on progression-free (PFS) and overall survival (OS) in metastatic colorectal cancer (mCRC): a comparative analysis of N9741 and AVF2107. [Abstract] J Clin Oncol 24 (Suppl 18): A-3516, 2006.

Grothey A, Hedrick EE, Mass RD, Sarkar S, Suzuki S, Ramanathan RK, Hurwitz HI, Goldberg RM, Sargent DJ. Response-independent survival benefit in metastatic colorectal cancer: a comparative analysis of N9741 and AVF2107. J Clin Oncol. 2008 Jan 10;26(2):183-9. doi: 10.1200/JCO.2007.13.8099. — View Citation

Grothey A, Sargent DJ, Campbell ME, et al.: Waterfall plots provide detailed information on magnitude of response to conventional chemotherapy in colorectal cancer: lessons learned from N9741. [Abstract] American Society of Clinical Oncology 2007 Gastroin

Heun JM, Grothey A, Branda ME, Goldberg RM, Sargent DJ. Tumor status at 12 weeks predicts survival in advanced colorectal cancer: findings from NCCTG N9741. Oncologist. 2011;16(6):859-67. doi: 10.1634/theoncologist.2011-0064. Epub 2011 May 31. — View Citation

McLeod HL, Parodi L, Sargent DJ, et al.: UGT1A1*28, toxicity and outcome in advanced colorectal cancer: results from trial N9741. [Abstract] J Clin Oncol 24 (Suppl 18): A-3520, 2006.

McLeod HL, Sargent DJ, Marsh S, Green EM, King CR, Fuchs CS, Ramanathan RK, Williamson SK, Findlay BP, Thibodeau SN, Grothey A, Morton RF, Goldberg RM. Pharmacogenetic predictors of adverse events and response to chemotherapy in metastatic colorectal canc — View Citation

Morton RF, Goldberg RM, Sargent DJ, et al.: Oxaliplatin (OXAL) or CPT-11 Combined with 5FU/Leucovorin (LV) in Advanced Colorectal Cancer (CRC): an NCCTG/CALGB Study. [Abstract] Proceedings of the American Society of Clinical Oncology 20: A-495, 2001.

Ng K, Sargent DJ, Goldberg RM, Meyerhardt JA, Green EM, Pitot HC, Hollis BW, Pollak MN, Fuchs CS. Vitamin D status in patients with stage IV colorectal cancer: findings from Intergroup trial N9741. J Clin Oncol. 2011 Apr 20;29(12):1599-606. doi: 10.1200/J — View Citation

Sanoff HK, Sargent DJ, Campbell ME, Morton RF, Fuchs CS, Ramanathan RK, Williamson SK, Findlay BP, Pitot HC, Goldberg RM. Five-year data and prognostic factor analysis of oxaliplatin and irinotecan combinations for advanced colorectal cancer: N9741. J Cli — View Citation

Sanoff HK, Sargent DJ, Green EM, McLeod HL, Goldberg RM. Racial differences in advanced colorectal cancer outcomes and pharmacogenetics: a subgroup analysis of a large randomized clinical trial. J Clin Oncol. 2009 Sep 1;27(25):4109-15. doi: 10.1200/JCO.20 — View Citation

Sargent DJ, Campbell M, Grothey A, et al.: Overall and 12 week tumor response versus actual tumor measurements as predictors of overall survival (OS) in advanced colorectal cancer (ACRC): findings from NCCTG N9741. [Abstract] American Society of Clinical

* Note: There are 29 references in allClick here to view all references

Outcome

Type Measure Description Time frame Safety issue
Primary time to progression Up to 5 years
Secondary overall survival Up to 5 years
Secondary time to treatment failure Up to 5 years
Secondary response rate Up to 5 years
Secondary quality of life Up to 5 years
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