A Phase I/II Study of Cediranib (AZD2171) in Japanese Metastatic Colorectal Cancer Patients in Combination With FOLFOX

Metastatic Colorectal Cancer Clinical Trial

Official title:

A Two Part Study in Japanese Patients With mCRC, Consisting of an Open-label Phase I Part to Assess the Safety and Tolerability of Cediranib (AZD2171) in Combination With FOLFOX Followed by a Phase II, Randomised, Double-blind, Parallel Group Study to Assess the Efficacy of Cediranib (AZD2171) in Combination With FOLFOX

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00494221
• Other study ID #: D8480C00039
• Status: Completed
• Phase: Phase 1/Phase 2
• First received: June 27, 2007
• Last updated: February 26, 2014
• Start date: June 2007
• Est. completion date: August 2012

Study information

• Verified date: February 2014
• Source: AstraZeneca
• Contact: n/a
• Is FDA regulated: No
• Health authority: Japan: Pharmaceuticals and Medical Devices Agency
• Study type: Interventional

Clinical Trial Summary

This Study is in two parts, the first part is to make sure that combining a potential new treatment, cediranib (AZD2171), with a standard treatment (FOLFOX) for metastatic colorectal cancer is safe. Once this part is complete and it is decided that it is safe to continue the Study will the go on to look at the efficacy of the two drugs together. This will be done by studying two treatment options. One will be the standard treatment alone (FOLFOX) + dummy cediranib (AZD2171) tablets and the other will be the standard treatment (FOLFOX) + real cediranib (AZD2171) tablets. Using dummy tablets means the study is 'blinded' and that non-one can tell the difference between the two treatment groups. This kind of study design is done to try to avoid the chance that the results might be biased in some way. The overall aim of the second part of the study is to see if adding cediranib (AZD2171) to a standard treatment for Metastatic Colorectal Cancer (mCRC), in this case FOLFOX, gives better results. That is, it's better than giving standard treatment alone in helping to prevent progression of mCRC.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 172
• Est. completion date: August 2012
• Est. primary completion date: October 2009
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Metastatic colorectal cancer

• WHO performance status 0-1

• Life expectancy is 12 weeks or longer

Exclusion Criteria:

• Patient with uncontrolled brain metastases

• Patient with inappropriate laboratory tests values

• Patient with poorly controlled hypertension

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Colorectal Neoplasms
• Metastatic Colorectal Cancer

Intervention

Drug:
• AZD2171
oral tablet
• FOLFOX (5-fluorouracil, Leucovorin, Oxaliplatin)
intravenous infusion
• Placebo Cediranib
oral tablet

Locations

Country	Name	City	State
Japan	Research Site	Osaka
Japan	Research Site	Saitama

Sponsors (1)

Lead Sponsor	Collaborator
AstraZeneca

Country where clinical trial is conducted

Japan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Progression Free Survival	Number of months from randomisation until progressive disease based on RECIST (progression of target lesions, clear progression of existing non-target lesions or the appearance of one or more new lesions) or death in the absence of progression.	RECIST at Baseline, Weeks 6, 12, 18, 24 and then every 12 weeks until progression through to a cut-off date of 13th Oct 2009 (based on approx 105 progression events observed across the 3 groups)	No
Secondary	Objective Tumour Response Rate	Number of patients with complete (CR) /partial response (PR) (based on RECIST). CR is defined as Disappearance of all target lesions. PR is defined as at least a 30% decrease in the sum of Longest Diameter (LD) of target lesions taking as reference the baseline sum LD.	RECIST at Baseline, Weeks 6, 12, 18, 24 and then every 12 weeks until progression through to a cut-off date of 13th Oct 2009 (based on approx 105 progression events observed across the 3 groups)	No
Secondary	Best Percentage Change in Tumour Size	Best percentage change in tumour size from baseline, based on the sum of the longest diameters of the target lesions	Randomisation until cut-off date 13OCT2009 (based on approximately 105 progression events observed across the 3 groups)	No
Secondary	Duration of Response	Number of months from Complete/Partial response until progression up to cut-off date 13OCT2009 (based on approximately 105 progression events observed across the 3 groups).	RECIST at Baseline, Weeks 6, 12, 18, 24 and then every 12 weeks until progression through to a cut-off date of 13th Oct 2009 (based on approx 105 progression events observed across the 3 groups)	No
Secondary	Overall Survival	Number of months until death (censored if still alive at date cut-off). Median non-estimable if >50% of subjects within a group are censored.	Randomisation until cut-off date 13OCT2009 (based on approximately 105 progression events observed across the 3 groups)	No

External Links

•   AstraZeneca Clinical Trial Information - Outside US
•   CSR-D8480C00039.pdf