Impact of FOLFIRINOX Chemotherapy in IV Stage Colorectal Cancer Patients Previously Exposed to Irinotecan, Fluoropyrimidine and Oxaliplatin

Colorectal Cancer Stage IV Clinical Trial

— Re-Play  

Official title:

Re-Play: Impact of FOLFIRINOX Chemotherapy in IV Colorectal Cancer Patients Previously Exposed to Irinotecan, Fluoropyrimidine and Oxaliplatin

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05354817
• Other study ID #: NP 1950
• Status: Recruiting
• Phase: Phase 2
• Start date: October 22, 2021
• Est. completion date: December 2023

Study information

• Verified date: April 2022
• Source: Instituto do Cancer do Estado de São Paulo
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this work is to verify prospectively what the rate of response after triple chemotherapy with mFOLFIRINOX in patients in IV stage of Colorectal Cancer who have already failed after at least two lines of dual combinations with fluoropyrimidine, oxaliplatin, irinotecan and anti-EGFR if wild-type RAS.

Currently at ICESP, patients are frequently re-exposed in third line to double combinations.

Description:

Single-arm phase II study. The chemotherapy regimen with mFOLFIRINOX will be administered every 14 for 4 cycles, after evaluation of tumor response, you can maintain treatment until disease progression.

The FOLFIRINOX regimen, as well as the drugs used (oxaliplatin, 5-Fluorouracil, leucovorin and irinotecan) is already indicated in the package insert for the treatment of colorectal cancer.

If treatment is discontinued after cycle 4 with the patient responding, for response maximum or unmanageable toxicity, it is suggested to maintain imaging control every 60 days (7-day window) until disease progression. This interval is already commonly used for patients with metastatic disease who are on treatment pause. Treatment in progression of illness will be at the discretion of the treating physician. Cancer patients undergoing chemotherapy routinely perform evaluation of organ functions and CEA, as well as clinical evaluation before each cycle of treatment

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 25
• Est. completion date: December 2023
• Est. primary completion date: December 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 70 Years

Eligibility

Inclusion Criteria:

• Diagnosis of metastatic colon/rectal adenocarcinoma, with measurable by RECIST v. 1.1

• Disease progression to at least two lines of chemotherapy with chemotherapy regimens that contain fluoropyrimidine, irinotecan and oxaliplatin

• Patients with RAS research in tumor sample with result wild animals must have previously received anti-EFGR therapy.

• ECOG (Eastern Cooperative Oncology Group) 0 or 1

• Availability of tumor material for molecular analysis

• Hb > 8, neutrophils > 1,500 and PLQ > 100,000

• Adequate kidney and liver function

Exclusion Criteria:

• Active neoplasm with other primary site, except in situ tumors

• Contraindication to treatment with fluoropyrimidine, oxaliplatin and irinotecan, including previous unmanageable G3 or greater toxicities, in previous exhibitions.

• Presence of comorbidities that, according to the investigator's assessment, may compromise participant safety

• Prior exposure to the FOLFIRINOX regimen

• Pregnant or lactating women

• Total bilirubin above 1.5mg/dL

• Hepatic transaminases greater than 3 times the upper limit of normality

Related Conditions & MeSH terms

• Colorectal Cancer Stage IV
• Colorectal Neoplasms

Intervention

Drug:
• mFOLFIRINOX
mFOLFIRINOX: - Oxaliplatin; Leucovorin; Irinotecan and 5-FU

Locations

Country	Name	City	State
Brazil	ICESP	Sao Paulo	SP

Sponsors (1)

Lead Sponsor	Collaborator
Instituto do Cancer do Estado de São Paulo

Country where clinical trial is conducted

Brazil, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Assess response rate after 4 cycles of FOLFIRINOX		2 years
Secondary	Progression-free survival		2 years
Secondary	Overall Survival		2 years