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CompletedNCT00056030Updated Jan 24, 2017

Combination Chemotherapy Plus Cetuximab in Treating Patients With Liver Metastases From Colorectal Cancer

A Phase 2 interventional study of cetuximab and fluorouracil in Colorectal Cancer and Metastatic Cancer, sponsored by Alliance for Clinical Trials in Oncology. Completed at 162 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-01-24.

Sponsored by Alliance for Clinical Trials in Oncology · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
73
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Monoclonal antibodies such as cetuximab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Combining chemotherapy with cetuximab may kill more tumor cells.

PURPOSE: This phase II trial is studying how well giving combination chemotherapy together with cetuximab works in treating patients with unresectable liver metastases from colorectal cancer.

Read the detailed description

OBJECTIVES:

  • Determine the surgical resectability rate of patients with unresectable hepatic metastases secondary to metastatic colorectal adenocarcinoma treated with oxaliplatin, fluorouracil, leucovorin calcium, and cetuximab.
  • Determine the response rate and overall survival of patients treated with this regimen.
  • Determine the quality of life of patients treated with this regimen.
  • Determine the toxicity of this regimen in these patients.

OUTLINE: This is a multicenter study.

Patients receive cetuximab IV over 1 hour (over 2 hours on day 1 of course 1 only) on days 1 and 8. Patients also receive oxaliplatin IV over 2 hours and leucovorin calcium IV over 2 hours on day 1 and fluorouracil IV continuously on days 1-2. Treatment repeats every 2 weeks in the absence of disease progression or unacceptable toxicity, for a minimum of 12 courses or until deemed to have resectable disease.

Quality of life is assessed at baseline and prior to each treatment course.

Patients are followed every 3 months for 1 year and then every 6 months for 3 years.

PROJECTED ACCRUAL: A total of 67-73 patients will be accrued for this study within 4 years.

02

Conditions studied

  • Colorectal Cancer
  • Metastatic Cancer

Keywords

  • liver metastases
  • stage IV colon cancer
  • stage IV rectal cancer
  • adenocarcinoma of the colon
  • adenocarcinoma of the rectum
03

In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's planned enrollment of 73 is close to the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Alliance for Clinical Trials in Oncology is the lead sponsor of 499 studies on the registry; 27 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • History of completely resected primary adenocarcinoma of the colon or rectum

    • No gross or microscopic evidence of residual disease
  • Liver metastases, meeting 1 of the following criteria:

    • Not optimally resectable
    • Requires resection of all 3 major hepatic veins, the portal vein bifurcation, or the retrohepatic vena cava
    • Includes the main right or main left portal vein and the main hepatic vein of the opposite lobe
    • Requires more than a right or left trisegmentectomy
    • At least 6 metastatic lesions distributed diffusely in both lobes of the liver
  • Measurable disease

    • At least 1 measurable lesion ≥ 20 mm
  • No evidence of extrahepatic metastases by physical examination or x-ray
  • No previously resected extrahepatic metastases

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • ECOG 0-1

Life expectancy

  • Not specified

Hematopoietic

  • Hemoglobin ≥ 9 g/dL
  • Absolute neutrophil count ≥ 1,500/mm\^3
  • Platelet count ≥ 100,000/mm\^3

Hepatic

  • AST ≤ 3 times upper limit of normal (ULN)
  • Bilirubin ≤ ULN
  • No preexisting chronic hepatic disease (e.g., chronic active hepatitis, cirrhosis) that would preclude surgical resection of metastases

Renal

  • Creatinine ≤ 1.5 times ULN

Cardiovascular

  • No myocardial infarction within the past 6 months
  • No clinical evidence of congestive heart failure
  • No New York Heart Association class III-IV heart disease
  • No significant cardiac disease
  • No uncontrolled hypertension
  • No unstable angina
  • No congestive heart failure
  • No uncontrolled arrhythmias

Gastrointestinal

  • Adequate oral nutrition with estimated caloric intake of ≥ 1,500 calories/day
  • No severe anorexia or frequent nausea and/or vomiting
  • No history of gastrointestinal bleeding that has not been appropriately addressed

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • Able to tolerate major surgery
  • No prior allergic reaction or known sensitivity to chimerized or murine monoclonal antibody therapy
  • No documented presence of human anti-mouse antibodies
  • No known allergy to other platinum compounds
  • No other malignancy within the past 5 years except basal cell or squamous cell skin cancer, carcinoma in situ, or tumors associated with less than 10% probability of death within 5 years of diagnosis
  • No preexisting neuropathy ≥ grade 2
  • No symptomatic pulmonary fibrosis or interstitial pneumonitis
  • No uncontrolled bacterial or viral infection
  • HIV negative
  • No fungal infection

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • No colony-stimulating factors within 24 hours of day 1 of each course
  • No concurrent immunotherapy

Chemotherapy

  • At least 1 year since prior adjuvant systemic fluorouracil with or without levamisole or with or without leucovorin calcium
  • No prior oxaliplatin
  • No prior systemic chemotherapy for metastatic disease
  • No prior chemoembolization for metastatic disease
  • No prior hepatic artery infusion chemotherapy for metastatic disease
  • No other concurrent chemotherapy

Endocrine therapy

  • Not specified

Radiotherapy

  • At least 12 months since prior adjuvant radiotherapy
  • Prior radiofrequency ablation allowed
  • No prior radiotherapy to the liver
  • No prior radiotherapy to more than 25% of the bone marrow
  • No concurrent radiotherapy

Surgery

  • See Disease Characteristics
  • More than 21 days since prior abdominal exploration (with or without intestinal resection)

Other

  • No prior anti-EGFR-directed therapy
  • Prior cryotherapy allowed
  • No oral cryotherapy on day 1 of each course
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
73 participants (estimated)

Study arms

  • Experimental
    cetuximab + oxaliplatin + leucovorin + fluorouracil

    Patients receive cetuximab IV over 1 hour (over 2 hours on day 1 of course 1 only) on days 1 and 8. Patients also receive oxaliplatin IV over 2 hours and leucovorin calcium IV over 2 hours on day 1 and fluorouracil IV continuously on days 1-2. Treatment repeats every 2 weeks in the absence of disease progression or unacceptable toxicity, for a minimum of 12 courses or until deemed to have resectable disease. Quality of life is assessed at baseline and prior to each treatment course. Patients are followed every 3 months for 1 year and then every 6 months for 3 years.

    Biological: cetuximab · Drug: fluorouracil · Drug: leucovorin calcium · Drug: oxaliplatin

Interventions

  • Biologicalcetuximab
  • Drugfluorouracil
  • Drugleucovorin calcium
  • Drugoxaliplatin
06

What researchers measure

Primary outcomes

  1. Surgical resectability rate as assessed by surgical resection of liver metastases

    Time frame: Up to 4 years

Secondary outcomes

  1. Response rate as measured by RECIST criteria every 6 weeks

    Time frame: Up to 4 years

  2. Overall survival

    Time frame: Up to 4 years

  3. Quality of life as assessed by UNISCALE and Symptom Distress Scale every 6 weeks

    Time frame: Up to 4 years

07

Study locations

162 sites
  • Mobile Infirmary Medical Center
    Mobile, Alabama 36652-2144, United States
  • Mayo Clinic Scottsdale
    Scottsdale, Arizona 85259-5499, United States
  • Mayo Clinic - Jacksonville
    Jacksonville, Florida 32224, United States
  • Rush-Copley Cancer Care Center
    Aurora, Illinois 60507, United States
  • St. Joseph Medical Center
    Bloomington, Illinois 61701, United States
  • Graham Hospital
    Canton, Illinois 61520, United States
  • Memorial Hospital
    Carthage, Illinois 62321, United States
  • Eureka Community Hospital
    Eureka, Illinois 61530, United States
  • Galesburg Clinic, PC
    Galesburg, Illinois 61401, United States
  • Galesburg Cottage Hospital
    Galesburg, Illinois 61401, United States
  • Mason District Hospital
    Havana, Illinois 62644, United States
  • Hopedale Medical Complex
    Hopedale, Illinois 61747, United States
  • Joliet Oncology-Hematology Associates, Limited - West
    Joliet, Illinois 60435, United States
  • Kewanee Hospital
    Kewanee, Illinois 61443, United States
  • McDonough District Hospital
    Macomb, Illinois 61455, United States
  • Trinity Medical Center - East
    Moline, Illinois 61265, United States
  • Moline, Illinois 61265, United States
  • BroMenn Regional Medical Center
    Normal, Illinois 61761, United States
  • Community Cancer Center
    Normal, Illinois 61761, United States
  • Community Hospital of Ottawa
    Ottawa, Illinois 61350, United States
  • Oncology Hematology Associates of Central Illinois, PC - Ottawa
    Ottawa, Illinois 61350, United States
  • Cancer Treatment Center at Pekin Hospital
    Pekin, Illinois 61554, United States
  • Proctor Hospital
    Peoria, Illinois 61614, United States
  • CCOP - Illinois Oncology Research Association
    Peoria, Illinois 61615, United States
  • Oncology Hematology Associates of Central Illinois, PC - Peoria
    Peoria, Illinois 61615, United States
  • Methodist Medical Center of Illinois
    Peoria, Illinois 61636, United States
  • OSF St. Francis Medical Center
    Peoria, Illinois 61637, United States
  • Illinois Valley Community Hospital
    Peru, Illinois 61354, United States
  • Perry Memorial Hospital
    Princeton, Illinois 61356, United States
  • St. Margaret's Hospital
    Spring Valley, Illinois 61362, United States
  • Carle Cancer Center at Carle Foundation Hospital
    Urbana, Illinois 61801, United States
  • CCOP - Carle Cancer Center
    Urbana, Illinois 61801, United States
  • St. Francis Hospital and Health Centers - Beech Grove Campus
    Beech Grove, Indiana 46107, United States
  • Saint Anthony Memorial Health Centers
    Michigan City, Indiana 46360, United States
  • Reid Hospital & Health Care Services, Incorporated
    Richmond, Indiana 47374, United States
  • McFarland Clinic, PC
    Ames, Iowa 50010, United States
  • Bettendorf, Iowa 52722, United States
  • Cedar Rapids Oncology Associates
    Cedar Rapids, Iowa 52403, United States
  • Mercy Capitol Hospital
    Des Moines, Iowa 50307, United States
  • CCOP - Iowa Oncology Research Association
    Des Moines, Iowa 50309, United States
  • John Stoddard Cancer Center at Iowa Methodist Medical Center
    Des Moines, Iowa 50309, United States
  • Medical Oncology and Hematology Associates at John Stoddard Cancer Center
    Des Moines, Iowa 50309, United States
  • Medical Oncology and Hematology Associates at Mercy Cancer Center
    Des Moines, Iowa 50314, United States
  • Mercy Cancer Center at Mercy Medical Center - Des Moines
    Des Moines, Iowa 50314, United States
  • John Stoddard Cancer Center at Iowa Lutheran Hospital
    Des Moines, Iowa 50316, United States
  • Mercy Cancer Center at Mercy Medical Center - North Iowa
    Mason City, Iowa 50401, United States
  • Siouxland Hematology-Oncology Associates, LLP
    Sioux City, Iowa 51101, United States
  • Mercy Medical Center - Sioux City
    Sioux City, Iowa 51104, United States
  • St. Luke's Regional Medical Center
    Sioux City, Iowa 51104, United States
  • Cancer Center of Kansas, PA - Chanute
    Chanute, Kansas 66720, United States
  • Cancer Center of Kansas, PA - Dodge City
    Dodge City, Kansas 67801, United States
  • Cancer Center of Kansas, PA - El Dorado
    El Dorado, Kansas 67042, United States
  • Cancer Center of Kansas, PA - Kingman
    Kingman, Kansas 67068, United States
  • Southwest Medical Center
    Liberal, Kansas 67901, United States
  • Cancer Center of Kansas, PA - Newton
    Newton, Kansas 67114, United States
  • Cancer Center of Kansas, PA - Parsons
    Parsons, Kansas 67357, United States
  • Cancer Center of Kansas, PA - Pratt
    Pratt, Kansas 67124, United States
  • Cancer Center of Kansas, PA - Salina
    Salina, Kansas 67042, United States
  • Cancer Center of Kansas, PA - Wellington
    Wellington, Kansas 67152, United States
  • Associates in Womens Health, PA - North Review
    Wichita, Kansas 67203, United States
  • Cancer Center of Kansas, PA - Medical Arts Tower
    Wichita, Kansas 67208, United States
  • Cancer Center of Kansas, PA - Wichita
    Wichita, Kansas 67214, United States
  • CCOP - Wichita
    Wichita, Kansas 67214, United States
  • Via Christi Cancer Center at Via Christi Regional Medical Center
    Wichita, Kansas 67214, United States
  • Cancer Center of Kansas, PA - Winfield
    Winfield, Kansas 67156, United States
  • Hickman Cancer Center at Bixby Medical Center
    Adrian, Michigan 49221, United States
  • Green Bay Oncology, Limited - Escanaba
    Escanaba, Michigan 49431, United States
  • Dickinson County Healthcare System
    Iron Mountain, Michigan 49801, United States
  • Haematology-Oncology Associates of Ohio and Michigan, PC
    Lambertville, Michigan 48144, United States
  • Community Cancer Center of Monroe
    Monroe, Michigan 48162, United States
  • Mercy Memorial Hospital - Monroe
    Monroe, Michigan 48162, United States
  • Alexandria, Minnesota 56308, United States
  • MeritCare Bemidji
    Bemidji, Minnesota 56601, United States
  • Fairview Ridges Hospital
    Burnsville, Minnesota 55337, United States
  • Mercy and Unity Cancer Center at Mercy Hospital
    Coon Rapids, Minnesota 55433, United States
  • Duluth Clinic Cancer Center - Duluth
    Duluth, Minnesota 55805-1983, United States
  • CCOP - Duluth
    Duluth, Minnesota 55805, United States
  • Miller - Dwan Medical Center
    Duluth, Minnesota 55805, United States
  • Fairview Southdale Hospital
    Edina, Minnesota 55435, United States
  • Fergus Falls, Minnesota 56537, United States
  • Mercy and Unity Cancer Center at Unity Hospital
    Fridley, Minnesota 55432, United States
  • Hutchinson Area Health Care
    Hutchinson, Minnesota 55350, United States
  • Meeker County Memorial Hospital
    Lichfield, Minnesota 55355, United States
  • HealthEast Cancer Care at St. John's Hospital
    Maplewood, Minnesota 55109, United States
  • Minnesota Oncology Hematology, PA - Maplewood
    Maplewood, Minnesota 55109, United States
  • Virginia Piper Cancer Institute at Abbott - Northwestern Hospital
    Minneapolis, Minnesota 55407, United States
  • Hennepin County Medical Center - Minneapolis
    Minneapolis, Minnesota 55415, United States
  • Chippewa County - Montevideo Hospital and Medical Center
    Montevideo, Minnesota 56265, United States
  • Hubert H. Humphrey Cancer Center at North Memorial Outpatient Center
    Robbinsdale, Minnesota 55422-2900, United States
  • Mayo Clinic Cancer Center
    Rochester, Minnesota 55905, United States
  • Coborn Cancer Center
    Saint Cloud, Minnesota 56303, United States
  • CCOP - Metro-Minnesota
    Saint Louis Park, Minnesota 55416, United States
  • St. Francis Cancer Center at St. Francis Medical Center
    Shakopee, Minnesota 55379, United States
  • HealthEast Cancer Care at St. Joseph's Hospital
    St Paul, Minnesota 55102, United States
  • CentraCare Clinic - River Campus
    St. Cloud, Minnesota 56303, United States
  • Park Nicollet Cancer Center
    St. Louis Park, Minnesota 55416, United States
  • Regions Hospital Cancer Care Center
    St. Paul, Minnesota 55101, United States
  • United Hospital
    St. Paul, Minnesota 55102, United States
  • Ridgeview Medical Center
    Waconia, Minnesota 55387, United States
  • HealthEast Cancer Care at Woodwinds Health Campus
    Woodbury, Minnesota 55125, United States

Showing the first 100 of 162 sites.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 24, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00056030
Lead sponsor
Alliance for Clinical Trials in Oncology
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Mar 7, 2003
Start date
Dec 2004
Primary completion
Oct 2007
Last update
Jan 24, 2017

Study contacts

Steven R. Alberts, MD
study chair · Mayo Clinic

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2017. You cannot join it, but the record below documents what was studied.

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