Colorectal Cancer Clinical Trial
Official title:
Phase II Study Evaluating the Combination of 5-Fluorouracil, Leucovorin, Oxaliplatin, and Herceptin in the Treatment of Patients With Metastatic Colorectal Cancer Who Have Progressed After 5-FU and/or Irinotecan-Containing Therapy
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing
so they stop growing or die. Monoclonal antibodies such as trastuzumab can locate tumor
cells and either kill them or deliver tumor-killing substances to them without harming
normal cells.
PURPOSE: This phase II trial is studying combination chemotherapy plus trastuzumab to see
how well it works in treating patients with advanced, recurrent, or metastatic colorectal
cancer.
OBJECTIVES:
- Determine the response rate of patients who overexpress HER-2/neu with metastatic
colorectal adenocarcinoma who have progressed on at least 1 prior, but no more than 2
prior, chemotherapy regimens for metastatic colorectal cancer treated with
fluorouracil, leucovorin calcium, oxaliplatin, and trastuzumab (Herceptin).
- Determine the time to progression of these patients treated with this regimen.
- Determine the overall toxicity of this regimen in these patients.
OUTLINE: Patients receive trastuzumab (Herceptin) IV over 30-90 minutes on days 1, 8, 15,
and 22, followed by oxaliplatin IV over 2 hours on days 1 and 15, and then followed by
leucovorin calcium IV over 2 hours on days 1, 8, and 15. Fluorouracil IV is administered at
the midpoint of the leucovorin calcium infusion on days 1, 8, and 15. Treatment continues
every 28 days in the absence of unacceptable toxicity or disease progression.
PROJECTED ACCRUAL: A total of 20-45 patients will be accrued for this study.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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