Unresectable Metastatic Colorectal Cancer Clinical Trial
Official title:
OPTIMOX-aflibercept as First-line Therapy in 49 Patients With Unresectable Metastatic Colorectal Cancer. A GERCOR Feasibility Single-arm Phase II Study.
Evaluation of feasibility of adding aflibercept to an oxaliplatin-based regimen rather than a continuous administration of chemotherapy until progression, in order to decrease the risk of severe toxicities.
The addition of aflibercept to the standard FOLFIRI regimen as second-line therapy was
evaluated in a large phase III study (EFC10262-VELOUR). This new combination significantly
improved both PFS (4.7 to 6.9 months, HR=0.76; P=.00007) and OS (12.1 to 13.5 months,
HR=0.82; P=.0032). In the evaluable population (86.5%), the tumor response rate was also
improved when adding aflibercept (ORR=19.8% [16.4-23.2]) to the FOLFIRI regimen (ORR=11.1%
[8.5-13.8]).
This trial will evaluate the feasibility of adding aflibercept to an oxaliplatin-based
regimen as a first-line therapy , using the OPTIMOX strategy rather than a continuous
administration of chemotherapy until progression, in order to decrease the risk of severe
toxicities.
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