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CompletedNCT00303771Updated May 30, 2016

Combination Chemotherapy as First-Line Therapy in Treating Older Patients With Metastatic Colorectal Cancer That Cannot Be Removed By Surgery

A Phase 3 interventional study of fluorouracil and irinotecan hydrochloride in Colorectal Cancer, sponsored by Federation Francophone de Cancerologie Digestive. Completed at 77 sites in France. Open to participants aged 75 Years to 120 Years. Per ClinicalTrials.gov, last updated 2016-05-30.

Sponsored by Federation Francophone de Cancerologie Digestive · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
282
Allocation
Randomized
Ages
75 Years to 120 Years
Sex
All
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Study summary

RATIONALE: Drugs used in chemotherapy, such as fluorouracil, leucovorin, and irinotecan, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) in different doses or combinations may kill more tumor cells. It is not yet known which combination chemotherapy regimen is more effective in treating colorectal cancer.

PURPOSE: This randomized clinical trial is studying how well fluorouracil works together with leucovorin with or without irinotecan in treating older patients with metastatic colorectal cancer .

Read the detailed description

OBJECTIVES:

Primary

  • Compare the progression-free survival of elderly patients with unresectable metastatic colorectal cancer treated with 1 of 2 different chemotherapy regimens comprising fluorouracil and leucovorin calcium with vs without irinotecan hydrochloride.

Secondary

  • Compare the tumor response rate and overall survival of patients treated with these regimens.
  • Compare the tolerability of these regimens in these patients.
  • Compare the quality of life of patients treated with these regimens.

OUTLINE: This is a randomized, multicenter, prospective study. Patients are stratified according to participating center, gender, Karnofsky score (60-70% vs 80-90% vs 100%), associated comorbidities (Charlson Index 0 vs 1-2 vs 3+), age (75 to 79 years vs ≥ 80 years), alkaline phosphatase level (≤ 2 times normal vs > 2 times normal), and prior adjuvant chemotherapy (yes vs no). Patients are randomized to 1 of 4 treatment arms.

  • Arm I: Patients receive leucovorin calcium IV over 2 hours and fluorouracil IV continuously over 22 hours on days 1 and 2.
  • Arm II: Patients receive leucovorin calcium IV over 2 hours and fluorouracil IV continuously over 46 hours on days 1 and 2.
  • Arm III: Patients receive leucovorin calcium and fluorouracil as in arm I and irinotecan hydrochloride IV over 90 minutes on day 1.
  • Arm IV: Patients receive leucovorin calcium and fluorouracil as in arm II and irinotecan hydrochloride as in arm III.

In all arms, treatment repeats every 14 days in the absence of disease progression or unacceptable toxicity.

Patients undergo surgery within 3-10 weeks after completing chemotherapy.

Quality of life is assessed at baseline and then every 2 months thereafter.

After completion of study treatment, patients are followed periodically.

PROJECTED ACCRUAL: A total of 282 patients will be accrued for this study.

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Conditions studied

  • Colorectal Cancer

Keywords

  • adenocarcinoma of the rectum
  • stage IV rectal cancer
  • stage IV colon cancer
  • adenocarcinoma of the colon
  • recurrent colon cancer
  • recurrent rectal cancer
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In context

Colorectal Neoplasms

5,734 studies on the registry are indexed under Colorectal Neoplasms; 1,481 are open to participants now.

This study's enrollment of 282 is above the median of 77 across 4,222 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Federation Francophone de Cancerologie Digestive is the lead sponsor of 63 studies on the registry; 15 are open to participants now.

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

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Who can participate

Ages eligible
75 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed adenocarcinoma of the colon or rectum

    • Metastatic disease
    • Unresectable disease
  • Measurable disease that is outside the field of prior irradiation
  • No brain metastases

PATIENT CHARACTERISTICS:

  • Karnofsky performance status 60-100%
  • Absolute neutrophil count ≥ 1,500/mm\^3
  • Platelet count ≥ 100,000/mm\^3
  • Transaminases ≤ 5 times normal
  • Bilirubin ≤ 1.5 times normal
  • Alkaline phosphatase \< 3 times normal (5 times normal if due to hepatic involvement)
  • Creatinine clearance > 45 mL/min
  • Life expectancy > 3 months
  • No psychological, social, or geographical situation that would preclude study treatment
  • No chronic diarrhea or enteropathy
  • No coronary insufficiency or symptomatic cardiac disease
  • No other malignancy unless curatively treated
  • No contraindication to chemotherapy

PRIOR CONCURRENT THERAPY:

  • At least 6 months since prior adjuvant chemotherapy for the primary tumor
  • No prior extensive resection
  • No other concurrent anticancer therapy
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
282 participants (actual)

Study arms

  • Active comparator
    LV5FU2 classique

    LV5FU2 classique

    Drug: fluorouracil · Drug: leucovorin calcium

  • Experimental
    LV5FU2 classique + irinotécan

    LV5FU2 classique + irinotécan

    Drug: fluorouracil · Drug: irinotecan hydrochloride · Drug: leucovorin calcium

  • Active comparator
    LV5FU2 simplifié

    LV5FU2 simplifié

    Drug: fluorouracil · Drug: leucovorin calcium

  • Experimental
    LV5FU2 simplifié+ irinotécan

    LV5FU2 simplifié + irinotécan

    Drug: fluorouracil · Drug: irinotecan hydrochloride · Drug: leucovorin calcium

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What researchers measure

Primary outcomes

  1. Progression Free Survival (survie sans progression)

    survie sans progression

    Time frame: 2011

Secondary outcomes

  1. Overall Survival (survie globale)

    survie globale

    Time frame: 2011

07

Study locations

77 sites
  • Centre Hospitalier d'Abbeville
    Abbeville, 80101, France
  • Centre Hospitalier D'Agen
    Agen, 47923, France
  • Centre hospitalier d'Alencon
    Alençon, 61000, France
  • Clinique De Rochebelle
    Alès, F-30100, France
  • Centre Hospitalier Universitaire d'Amiens
    Amiens, 80054, France
  • Centre Hospitalier d'Annecy
    Annecy, 74011 Cedex, France
  • Institut Sainte Catherine
    Avignon, 84000, France
  • Hopital Duffaut
    Avignon, 84902, France
  • Centre Hospitalier de Blois
    Blois, 41016, France
  • Hopital Saint Andre
    Bordeaux, 33075, France
  • Hopital Ambroise Pare
    Boulogne-Billancourt, F-92104, France
  • Centre Hospitalier Docteur Duchenne
    Boulogne-sur-Mer, 62200, France
  • C.H. Bourg En Bresse
    Bourg-en-Bresse, 01012, France
  • Centre Hospitalier Pierre Oudot
    Bourgoin, 38300, France
  • Centre Hospitalier de Briey
    Briey, 54151, France
  • Centre Medical de Bligny
    Briis-sous-Forges, 91640, France
  • Centre hospitalier de Charleville Mezieres
    Charleville-Mézières, 08000, France
  • Centre Hospitalier de Chalons-en-Champagne
    Châlons-en-Champagne, 51000, France
  • Centre Hospitalier de Chateaubriant
    Châteaubriant, 44146, France
  • Hopital Louis Pasteur
    Colmar, 68024, France
  • Louis Mourier Hospital
    Colombes, 92701, France
  • Centre Hospitalier Universitaire Henri Mondor
    Créteil, 94000, France
  • Centre Hospitalier de Digne les Bains
    Digne-les-Bains, 04003, France
  • Hopital Du Bocage
    Dijon, 21034, France
  • Centre Hospitalier de Dreux
    Dreux, 28100, France
  • Centre Hospitalier Intercommunal St. Aubin les Elbeuf
    Elbeuf, 76503, France
  • Clinique Saint Vincent
    Épernay, 51200, France
  • CHU de Grenoble - Hopital Michallon
    Grenoble, 38043, France
  • Clinique Pasteur
    Guilherand-Granges, 07500, France
  • Centre Hospitalier de Haguenau
    Haguenau, 67504, France
  • Centre Hospitalier Departemental
    La Roche-sur-Yon, F-85025, France
  • Centre Hospitalier Universitaire de Bicetre
    Le Kremlin-Bicêtre, 94275, France
  • Hopital Perpetuel Secours
    Levallois-Perret, 92309, France
  • Hopital Robert Boulin
    Libourne, 33500, France
  • Centre Hospital Universitaire Hop Huriez
    Lille, 59037, France
  • Centre Hospital Regional Universitaire de Limoges
    Limoges, 87042, France
  • Centre Hospitalier General
    Longjumeau, 91164, France
  • Clinique Saint Jean
    Lyon, 69008, France
  • Hopital Edouard Herriot - Lyon
    Lyon, 69437, France
  • CHU de la Timone
    Marseille, 13385, France
  • CHU Nord
    Marseille, 13915, France
  • Centre Hospitalier de Martigues
    Martigues, 13698, France
  • Centre Gray
    Maubeuge, 59600, France
  • Centre Hospitalier de Meaux
    Meaux, 77104, France
  • Centre Hospitalier General de Mont de Marsan
    Mont-de-Marsan, 40000, France
  • Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle
    Montpellier, 34298, France
  • CHU de Nancy - Hopitaux de Brabois
    Nancy, 54035, France
  • Centre Hospitalier de Nevers
    Nevers, 58033, France
  • Hopital de l'Archet CHU de Nice
    Nice, F-06202, France
  • C.H.U. de Nimes - Groupe Hospitals-Universitaire Caremeau
    Nîmes, 30029, France
  • Centre Hospitalier d'Orange
    Orange, 84100, France
  • Hopital d'Instruction des Armees du Val de Grace
    Paris, 75005, France
  • Hopital Europeen Georges Pompidou
    Paris, 75015, France
  • Hopital Bichat - Claude Bernard
    Paris, 75018, France
  • CHU Pitie-Salpetriere
    Paris, 75651, France
  • Hopital Cochin
    Paris, 75674, France
  • Hopital Tenon
    Paris, 75970, France
  • Centre Hospitalier - Pau
    Pau, 64046, France
  • Centre Hospitalier de Perpignan
    Perpignan, 66046, France
  • Hopital Haut Leveque
    Pessac, 33604, France
  • Hopital Rene Dubos
    Pontoise, 95300, France
  • CHU - Robert Debre
    Reims, 51092, France
  • Polyclinique De Courlancy
    Reims, F-51100, France
  • Centre Eugene Marquis
    Rennes, 35064, France
  • Centre Hospitalier Universitaire de Rouen
    Rouen, 76031, France
  • Pole Sante Sarthe et Loir Hopital Pierre Daguet
    Sablé-sur-Sarthe, 72305, France
  • Centre Rene Huguenin
    Saint-Cloud, 92210, France
  • Hopital d'Instruction des Armees Begin
    Saint-Mandé, 94160, France
  • Centre Hospitalier de Saint-Quentin
    Saint-Quentin, 02321, France
  • Center Hospitalier de Sens
    Sens, 89108, France
  • Hopital Foch
    Suresnes, 92151, France
  • Centre Hospitalier Valence
    Valence, 26000, France
  • Nouvelle Clinique Generale
    Valence, 26000, France
  • Centre Hospitalier de Valenciennes
    Valenciennes, 59322, France
  • Centre Hospitalier Intercommunal de la Haute-Saone
    Vesoul, 70000, France
  • Institut Gustave Roussy
    Villejuif, F-94805, France
  • Centre Hospitalier de Vire
    Vire, 14504, France
08

References and documents

Publications

  • Aparicio T, Jouve J, Teillet L, et al.: Geriatric factors to predict toxicity and dose-intensity reduction in FFCD 2001-02 phase III study comparing a first-line chemotherapy of LV5FU2 or FOLFIRI in treatment of metastatic colorectal cancer (mCRC) in elderly patients. [Abstract] J Clin Oncol 29 (Suppl 15): A-9111, 2011.
  • Mitry E, Phelip JM, Bonnetain F, et al.: Phase III trial of chemotherapy with or without irinotecan in the front-line treatment of metastatic colorectal cancer in elderly patients (FFCD 2001-02 trial): results of a planned interim analysis. [Abstract] American Society of Clinical Oncology 2008 Gastrointestinal Cancers Symposium, 25-27 January 2008, Orlando, FL. A-281, 2008.
  • Aparicio T, Lavau-Denes S, Phelip JM, Maillard E, Jouve JL, Gargot D, Gasmi M, Locher C, Adhoute X, Michel P, Khemissa F, Lecomte T, Provencal J, Breysacher G, Legoux JL, Lepere C, Charneau J, Cretin J, Chone L, Azzedine A, Bouche O, Sobhani I, Bedenne L, Mitry E; FFCD investigators. Randomized phase III trial in elderly patients comparing LV5FU2 with or without irinotecan for first-line treatment of metastatic colorectal cancer (FFCD 2001-02). Ann Oncol. 2016 Jan;27(1):121-7. doi: 10.1093/annonc/mdv491. Epub 2015 Oct 20. PubMed 26487578 ↗
  • Aparicio T, Jouve JL, Teillet L, Gargot D, Subtil F, Le Brun-Ly V, Cretin J, Locher C, Bouche O, Breysacher G, Charneau J, Seitz JF, Gasmi M, Stefani L, Ramdani M, Lecomte T, Mitry E. Geriatric factors predict chemotherapy feasibility: ancillary results of FFCD 2001-02 phase III study in first-line chemotherapy for metastatic colorectal cancer in elderly patients. J Clin Oncol. 2013 Apr 10;31(11):1464-70. doi: 10.1200/JCO.2012.42.9894. Epub 2013 Mar 4. PubMed 23460711 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 30, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00303771
Lead sponsor
Federation Francophone de Cancerologie Digestive
Responsible party
Sponsor
First posted
Mar 17, 2006
Start date
Jun 2003
Primary completion
Jan 2011
Completion
Jan 2011
Last update
May 30, 2016

Study contacts

Emmanuel Mitry, MD, PhD
study chair · Hopital Ambroise Pare

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2016. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Irinotecan

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