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CompletedNCT00193219Updated Jan 11, 2022Results posted

Bevacizumab and Cetuximab in Combination With FOLFOX6 in Patients With Metastatic Colorectal Cancer

A Phase 2 interventional study of Bevacizumab and Cetuximab in Colon Cancer, sponsored by SCRI Development Innovations, LLC. Completed at 10 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-01-11.

Sponsored by SCRI Development Innovations, LLC · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
36
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This trial will evaluate the combination of modified infusional 5-fluorouracil/ leucovorin, oxaliplatin (FOLFOX6), bevacizumab, and cetuximab in patients with metastatic colorectal cancer. FOLFOX6 has proven to be a safe and effective regimen in first line treatment of advanced colorectal cancer. The role of epidermal growth factor (EGFR) inhibitors in an earlier treatment setting in combination with optimal chemotherapy regimens is an important emerging question.

Read the detailed description

All patients received cetuximab: 400 mg/m2 (first cycle only) administered intravenously (IV) on day 1 and 250 mg/m2 IV on day 8 with all subsequent cycles 250 mg/m2 IV on days 1 and 8. Day 1 cetuximab was immediately followed by bevacizumab 5 mg/kg IV, oxaliplatin 85 mg/m2 IV, and 5-fluorouracil 400 mg/m2 IV bolus, followed by 2400 mg/m2 administered as a continuous infusion over 46 hours via a pump (outpatient) and leucovorin 350 mg IV (modified FOLFOX6). Cycles were 14 days.

02

Conditions studied

  • Colon Cancer

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Keywords

  • Colon Cancer
03

In context

Colonic Neoplasms

1,432 studies on the registry are indexed under Colonic Neoplasms; 357 are open to participants now.

This study's enrollment of 36 is below the median of 90 across 1,034 interventional studies indexed under Colonic Neoplasms.

Browse Colonic Neoplasms studies →

Lead sponsor

SCRI Development Innovations, LLC is the lead sponsor of 174 studies on the registry; 5 are open to participants now.

Of its 15 completed or terminated interventional studies of FDA-regulated products, 15 (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

Inclusion criteria

To be included in the study, you must meet the following criteria:

  • Metastatic colorectal cancer confirmed by a biopsy sample
  • 18 years of age or older
  • Evidence of disease progression at time of study entry
  • At least one prior adjuvant chemotherapy regimen
  • No prior therapy for metastatic disease
  • Measurable disease
  • Able to perform activities of daily living with minimal assistance
  • Adequate bone marrow, kidney, and liver function
  • Tumor tissue available for assessment of EGFR
  • Signed informed consent

Exclusion criteria

Exclusion Criteria:

You cannot participate in the study if any of the following apply to you:

  • Treatment with a previous regimen for metastatic disease
  • Prior treatment with any EGFR inhibitor or anti-angiogenic agents
  • Brain or nervous system metastases
  • History of severe thromboembolic event
  • Clinical evidence or history of bleeding or coagulopathy
  • History of stroke or heart attack within six months
  • Poorly controlled hypertension
  • Non-healing wound, ulcer, or bone fracture
  • History of abdominal fistula, perforation, or abscess within six months
  • Other uncontrolled or significant disease or medical condition

Please note: There are additional inclusion/exclusion criteria. The study center will determine if you meet all of the criteria. If you do not qualify for the trial, study personnel will explain the reasons. If you do qualify, study personnel will explain the trial in detail and answer any questions you may have. You can then decide if you wish to participate.

05

Study design

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

Study arms

  • Experimental
    Intervention

    Bevacizumab 5 mg/kg IV Cetuximab 400 mg/m2 (first cycle only) IV on day 1 and 250 mg/m2 IV on day 8 with all subsequent cycles 250 mg/m2 IV on days 1 and 8 5-Fluorouracil 400 mg/m2 bolus IV bolus followed by 2400 mg/m2 administered as continuous IV infusion over 46 hours via pump (outpatient) Leucovorin 350 mg IV Oxaliplatin 85 mg/m2 IV

    Drug: Bevacizumab · Drug: Cetuximab · Drug: 5-fluorouracil · Drug: Leucovorin · Drug: Oxaliplatin

Interventions

  • DrugBevacizumab

    5 mg/kg IV

    Also known as: Avastin

  • DrugCetuximab

    400 mg/m2 (first cycle only) IV on day 1 and 250 mg/m2 IV on day 8 with all subsequent cycles 250 mg/m2 IV on days 1 and 8

    Also known as: Erbitux

  • Drug5-fluorouracil

    400 mg/m2 bolus IV bolus followed by 2400 mg/m2 administered as continuous IV infusion over 46 hours via pump (outpatient)

    Also known as: 5-FU, Adrucil

  • DrugLeucovorin

    350 mg IV

    Also known as: Folinic Acid

  • DrugOxaliplatin

    85 mg/m2 IV

    Also known as: Eloxatin

06

What researchers measure

Primary outcomes

  1. Overall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment

    Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI or CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

    Time frame: 18 months

Secondary outcomes

  1. Progression Free Survival (PFS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease

    Progression Free Survival (PFS) is defined as the interval between the start date of treatment and the date of occurrence of progressive disease or death.

    Time frame: 18 months

  2. Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death

    Measured from the date of first treatment until the date of death from any cause

    Time frame: 36 months

  3. Number of Patients With Adverse Events as a Measure of Safety With FOLFOX6 Combined With Bevacizumab and Cetuximab

    The toxicity assessments were made according to the common terminology criteria for adverse events (CTCAE version 3.0) of the National Cancer Institute. Number of participants with Grade 1 to 5 adverse events are reported here.

    Time frame: 18 months

07

Results

Posted Mar 7, 2013

Participant flow

Participant flow — Overall Study
MilestoneBevacizumab/Cetuximab/FOLFOX
Started36
Completed6
Not completed30

Outcome measures

PrimaryOverall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI or CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Time frame:
18 months
Reported as:
Number · percentage of patients
Overall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment
percentage of patientsBevacizumab/Cetuximab/FOLFOX
Overall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment55 (36 to 73)
SecondaryProgression Free Survival (PFS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease

Progression Free Survival (PFS) is defined as the interval between the start date of treatment and the date of occurrence of progressive disease or death.

Time frame:
18 months
Reported as:
Median · months
Progression Free Survival (PFS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease
monthsBevacizumab/Cetuximab/FOLFOX
Progression Free Survival (PFS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease9 (8.3 to 15.2)
SecondaryOverall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death

Measured from the date of first treatment until the date of death from any cause

Time frame:
36 months
Reported as:
Median · months
Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death
monthsBevacizumab/Cetuximab/FOLFOX
Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death25.7 (15.4 to 27.6)
SecondaryNumber of Patients With Adverse Events as a Measure of Safety With FOLFOX6 Combined With Bevacizumab and Cetuximab

The toxicity assessments were made according to the common terminology criteria for adverse events (CTCAE version 3.0) of the National Cancer Institute. Number of participants with Grade 1 to 5 adverse events are reported here.

Time frame:
18 months
Reported as:
Count of participants · Participants
Number of Patients With Adverse Events as a Measure of Safety With FOLFOX6 Combined With Bevacizumab and Cetuximab
ParticipantsBevacizumab/Cetuximab/FOLFOX
Number of Patients With Adverse Events as a Measure of Safety With FOLFOX6 Combined With Bevacizumab and Cetuximab31

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Bevacizumab/Cetuximab/FOLFOX—14/31 (45.2%)31/31 (100%)
Bevacizumab/FOLFOX—2/5 (40%)5/5 (100%)
Most frequent serious events
Showing 10 of 21
Most frequent serious events
EventBevacizumab/Cetuximab/FOLFOXBevacizumab/FOLFOX
Hearing lossEar and labyrinth disorders0/311/5
Pulmonary infiltratesRespiratory, thoracic and mediastinal disorders0/311/5
Thrombosis/Thrombus/EmbolismVascular disorders4/310/5
Progressive DiseaseNeoplasms benign, malignant and unspecified (incl cysts and polyps)3/310/5
Pain - GastrointestinalGastrointestinal disorders2/310/5
Allergic ReactionImmune system disorders2/310/5
HemorrhageGastrointestinal disorders1/310/5
DehydrationGastrointestinal disorders1/310/5
ARDSRespiratory, thoracic and mediastinal disorders1/310/5
Mental StatusNervous system disorders1/310/5
Most frequent other events
Showing 10 of 62
Most frequent other events
EventBevacizumab/Cetuximab/FOLFOXBevacizumab/FOLFOX
FatigueGeneral disorders30/315/5
NeutropeniaBlood and lymphatic system disorders25/314/5
NauseaGastrointestinal disorders24/312/5
AnorexiaGastrointestinal disorders22/311/5
DiarrheaGastrointestinal disorders22/313/5
PainGeneral disorders20/313/5
Sensory NeuropathyNervous system disorders20/313/5
AnemiaBlood and lymphatic system disorders19/313/5
leukopeniaBlood and lymphatic system disorders19/310/5
thrombocytopeniaBlood and lymphatic system disorders19/310/5

Baseline characteristics

Age, Continuous
Age, Continuous(years)Bevacizumab/Cetuximab/FOLFOX
Median55 (29 to 78)
Sex: Female, Male
Sex: Female, Male(Participants)Bevacizumab/Cetuximab/FOLFOX
Female16
Male20
Region of Enrollment
Region of Enrollment(participants)Bevacizumab/Cetuximab/FOLFOX
United States36
08

Study locations

10 sites
  • Oncology Hematology Associates of SW Indiana
    Evansville, Indiana 47714, United States
  • Consultants in Blood Disorders and Cancer
    Louisville, Kentucky 40207, United States
  • Mercy Hospital
    Portland, Maine 04101, United States
  • Center for Cancer and Blood Disorders
    Bethesda, Maryland 20817, United States
  • Jackson Oncology Associates
    Jackson, Mississippi 39202, United States
  • St. Louis Cancer Care
    Chesterfield, Missouri 63017, United States
  • Methodist Cancer Center
    Omaha, Nebraska 68114, United States
  • Oncology Hematology Care
    Cincinnati, Ohio 45242, United States
  • Chattanooga Oncology and Hematology Associates
    Chattanooga, Tennessee 37404, United States
  • Tennessee Oncology
    Nashville, Tennessee 37203, United States
09

References and documents

Publications

  • Spigel DR, Greco FA, Waterhouse D, Shipley D, Lane CM, Vazquez ER, Clark BL, Infante JR, Bendell JC, Burris HA 3rd, Hainsworth JD. Phase II trial of FOLFOX6, bevacizumab, and cetuximab in the first-line treatment of metastatic colorectal cancer. Clin Adv Hematol Oncol. 2010 Jul;8(7):480-5, 498. PubMed 20864916 ↗

Related links

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 11, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00193219
Lead sponsor
SCRI Development Innovations, LLC
Collaborators
Bristol-Myers Squibb
Responsible party
Sponsor
First posted
Sep 19, 2005
Start date
Jul 2005
Primary completion
Jun 2008
Completion
Jul 2010
Results posted
Mar 7, 2013
Last update
Jan 11, 2022

Study contacts

David R. Spigel, MD
principal investigator · SCRI Development Innovations, LLC

Oversight

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

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This study is completed, as verified in Dec 2021. You cannot join it, but the record below documents what was studied.

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