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CompletedNCT00469443Updated Aug 19, 2010

Randomized Phase III Study of Folfiri+Avastin Versus Xeliri+Avastin as 1st Line Treatment of CRC

A Phase 3 interventional study of Irinotecan and 5-Fluorouracil in Colorectal Cancer, sponsored by Hellenic Oncology Research Group. Completed at 8 sites in Greece. Open to participants aged 18 Years to 72 Years. Per ClinicalTrials.gov, last updated 2010-08-19.

Sponsored by Hellenic Oncology Research Group · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
330
Allocation
Randomized
Ages
18 Years to 72 Years
Sex
All
01

Study summary

This phase III study will compare two combinations of irinotecan, Folfiri versus Xeliri, with the addition of Avastin as 1st line treatment of colorectal cancer.

Read the detailed description

There is no data of comparison for Folfiri and Xeliri regimens. The reported data demonstrated that the addition of Avastin in the combination of irinotecan/bolus 5-FU/LV has significant improvement of overall survival. Further analysis of these results showed that patients receiving irinotecan in combination with Avastin, as 1st line treatment and oxaliplatin with Avastin, as second line treatment, have median overall survival 25, 1 months, which is the longest survival that has been reported.

02

Conditions studied

  • Colorectal Cancer

Keywords

  • Metastatic colorectal cancer
  • Irinotecan
  • Capecitabine
  • Bevacizumab
03

In context

Colorectal Neoplasms

5,598 studies on the registry are indexed under Colorectal Neoplasms; 1,458 are open to participants now.

This study's planned enrollment of 330 is above the median of 77 across 4,122 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Hellenic Oncology Research Group is the lead sponsor of 57 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 72 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histologically confirmed locally advanced or metastatic colorectal cancer
  • Measurable or evaluable disease
  • ECOG performance status ≤ 2
  • Age 18 - 72 years
  • Adequate liver (Bilirubin ≤ 1.5 UNL, SGOT/SGPT ≤ 4 UNL, ALP ≤ 2.5 UNL), renal (Creatinine ≤ 1.5 UNL) and bone marrow (ANC ≥ 1,500/mm3, PLT ≥ 100,000/mm3) function
  • Patients with history of hemoptysis or with increased risk of thromboembolic events should be observed carefully due to administration of Avastin
  • Patients must be able to understand the nature of this study
  • Written informed consent

Exclusion criteria

Exclusion Criteria:

  • Previous 1st line chemotherapy
  • Adjuvant chemotherapy with Irinotecan regimen with relapse \< 6 months after the completion
  • Active infection
  • History of serious cardiac disease (unstable angina, congestive heart failure, myocardial infarction within the previous 6 months, ventricular arrhythmias)
  • Previous radiotherapy within the last 4 weeks or > 25% of bone marrow
  • Patients with unstable CNS metastases
  • Patients with chronic diarrhea (at least for 3 months) or partial bowel obstruction
  • Second primary malignancy, except for non-melanoma skin cancer and in situ cervical cancer
  • Psychiatric illness or social situation that would preclude study compliance
  • Pregnant or lactating women
  • Patients > 65 years with history of arterial thromboembolic, myocardial infarction, unstable angina and pulmonary embolism
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Study design

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

Study arms

  • Experimental
    1

    FOLFIRI/Avastin

    Drug: Irinotecan · Drug: 5-Fluorouracil · Drug: Leucovorin · Drug: Bevacizumab

  • Experimental
    2

    XELIRI/Avastin

    Drug: Capecitabine · Drug: Bevacizumab · Drug: Irinotecan

Interventions

  • DrugIrinotecan

    Irinotecan 150mg/m2 IV on day 1 every 2 weeks for 10 cycles

    Also known as: CPT-11

  • Drug5-Fluorouracil

    5-Fluorouracil 400 mg/m2 infused over 10 min IV and 5-FU 600 mg/m2 infused over 22 hours IV, on Day 1 and 2 (De Grammont regimen), every 2 weeks for 10 cycles

    Also known as: 5-FU

  • DrugLeucovorin

    Leucovorin 200 mg/m2 infused over 2 hours IV, on day 1 and 2 every 2 weeks for 10 cycles

    Also known as: LV

  • DrugCapecitabine

    Capecitabine 2000mg/m2 p.o. daily, for days 1-14, every 3 weeks for 6 cycles

    Also known as: Xeloda

  • DrugBevacizumab

    Bevacizumab 5mg/kg IV on day 1 every 2 weeks for 10 cycles

    Also known as: Avastin

  • DrugBevacizumab

    Bevacizumab 7,5mg/kg IV on day 1 every 3 weeks for 6 cycles

    Also known as: Avastin

  • DrugIrinotecan

    Irinotecan 250mg/m2 IV on day 1 every 3 weeks for 6 cycles

    Also known as: CPT-11

06

What researchers measure

Primary outcomes

  1. Time To Progression

    Time frame: 1 year

Secondary outcomes

  1. Objective Response Rate

    Time frame: Objective responses confirmed by CT or MRI (on 3rd and 6th cycle)

  2. Overall Survival

    Time frame: Probability of 1-year survival (%)

  3. Toxicity profile

    Time frame: Toxicity assessment on each chemotherapy cycle

  4. Quality of life

    Time frame: Assessment every two cycles

  5. Symptoms improvement

    Time frame: Assessment every two cycles

07

Study locations

8 sites
  • University General Hospital of Alexandroupolis, Dep of Medical Oncology
    Alexandroupolis, Greece
  • "IASO" General Hospital of Athens, 1st Dep of Medical Oncology
    Athens, Greece
  • "Laikon" General Hospital, Medical Oncology Unit, Propedeutic Dep of Internal Medicine
    Athens, Greece
  • 401 Military Hospital of Athens
    Athens, Greece
  • Air Forces Military Hospital of Athens
    Athens, Greece
  • State General Hospital of Larissa
    Larissa, Greece
  • "Metaxa's" Anticancer Hospital of Piraeus, 1st Dep of Medical Oncology
    Piraeus, Greece
  • "Theagenion" Anticancer Hospital of Thessaloniki, 2nd Dep of Medical Oncology
    Thessaloniki, Greece
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References and documents

Publications

  • Souglakos J, Ziras N, Kakolyris S, Boukovinas I, Kentepozidis N, Makrantonakis P, Xynogalos S, Christophyllakis Ch, Kouroussis Ch, Vamvakas L, Georgoulias V, Polyzos A. Randomised phase-II trial of CAPIRI (capecitabine, irinotecan) plus bevacizumab vs FOLFIRI (folinic acid, 5-fluorouracil, irinotecan) plus bevacizumab as first-line treatment of patients with unresectable/metastatic colorectal cancer (mCRC). Br J Cancer. 2012 Jan 31;106(3):453-9. doi: 10.1038/bjc.2011.594. Epub 2012 Jan 12. PubMed 22240792 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 19, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00469443
Lead sponsor
Hellenic Oncology Research Group
Collaborators
University Hospital of Crete
First posted
May 4, 2007
Start date
Dec 2006
Primary completion
Feb 2010
Completion
Feb 2010
Last update
Aug 19, 2010

Study contacts

John Souglakos, MD
principal investigator · johnsougl@gmail.com

Oversight

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

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This study is completed, as verified in Aug 2010. You cannot join it, but the record below documents what was studied.

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