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
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.
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.
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 →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.
To be included in the study, you must meet the following criteria:
Exclusion Criteria:
You cannot participate in the study if any of the following apply to you:
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.
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
5 mg/kg IV
Also known as: Avastin
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
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
350 mg IV
Also known as: Folinic Acid
85 mg/m2 IV
Also known as: Eloxatin
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
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
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
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
| Milestone | Bevacizumab/Cetuximab/FOLFOX |
|---|---|
| Started | 36 |
| Completed | 6 |
| Not completed | 30 |
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.
| percentage of patients | Bevacizumab/Cetuximab/FOLFOX |
|---|---|
| Overall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment | 55 (36 to 73) |
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.
| months | Bevacizumab/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 Disease | 9 (8.3 to 15.2) |
Measured from the date of first treatment until the date of death from any cause
| months | Bevacizumab/Cetuximab/FOLFOX |
|---|---|
| Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death | 25.7 (15.4 to 27.6) |
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.
| Participants | Bevacizumab/Cetuximab/FOLFOX |
|---|---|
| Number of Patients With Adverse Events as a Measure of Safety With FOLFOX6 Combined With Bevacizumab and Cetuximab | 31 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Bevacizumab/Cetuximab/FOLFOX | — | 14/31 (45.2%) | 31/31 (100%) |
| Bevacizumab/FOLFOX | — | 2/5 (40%) | 5/5 (100%) |
| Event | Bevacizumab/Cetuximab/FOLFOX | Bevacizumab/FOLFOX |
|---|---|---|
| Hearing lossEar and labyrinth disorders | 0/31 | 1/5 |
| Pulmonary infiltratesRespiratory, thoracic and mediastinal disorders | 0/31 | 1/5 |
| Thrombosis/Thrombus/EmbolismVascular disorders | 4/31 | 0/5 |
| Progressive DiseaseNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 3/31 | 0/5 |
| Pain - GastrointestinalGastrointestinal disorders | 2/31 | 0/5 |
| Allergic ReactionImmune system disorders | 2/31 | 0/5 |
| HemorrhageGastrointestinal disorders | 1/31 | 0/5 |
| DehydrationGastrointestinal disorders | 1/31 | 0/5 |
| ARDSRespiratory, thoracic and mediastinal disorders | 1/31 | 0/5 |
| Mental StatusNervous system disorders | 1/31 | 0/5 |
| Event | Bevacizumab/Cetuximab/FOLFOX | Bevacizumab/FOLFOX |
|---|---|---|
| FatigueGeneral disorders | 30/31 | 5/5 |
| NeutropeniaBlood and lymphatic system disorders | 25/31 | 4/5 |
| NauseaGastrointestinal disorders | 24/31 | 2/5 |
| AnorexiaGastrointestinal disorders | 22/31 | 1/5 |
| DiarrheaGastrointestinal disorders | 22/31 | 3/5 |
| PainGeneral disorders | 20/31 | 3/5 |
| Sensory NeuropathyNervous system disorders | 20/31 | 3/5 |
| AnemiaBlood and lymphatic system disorders | 19/31 | 3/5 |
| leukopeniaBlood and lymphatic system disorders | 19/31 | 0/5 |
| thrombocytopeniaBlood and lymphatic system disorders | 19/31 | 0/5 |
| Age, Continuous(years) | Bevacizumab/Cetuximab/FOLFOX |
|---|---|
| Median | 55 (29 to 78) |
| Sex: Female, Male(Participants) | Bevacizumab/Cetuximab/FOLFOX |
|---|---|
| Female | 16 |
| Male | 20 |
| Region of Enrollment(participants) | Bevacizumab/Cetuximab/FOLFOX |
|---|---|
| United States | 36 |
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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