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CompletedNCT00479752CORE 2Updated Feb 18, 2016

Safety and Efficacy of Folfox4 + Weekly Cetuximab vs Folfox 4+Biweekly Cetuximab by Metastatic Colorectal Cancer

A Phase 2 interventional study of FOLFOX4 (Oxaliplatin), Cetuximab in Colorectal Cancer, sponsored by Central European Cooperative Oncology Group. Completed at 24 sites in 13 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-02-18.

Sponsored by Central European Cooperative Oncology Group · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
151
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

To assess the efficacy of FOLFOX4 in combination with cetuximab, weekly and FOLFOX4 in combination with cetuximab, biweekly.

Read the detailed description

This multicenter randomized phase II study will enroll approximately 150 patients with metastatic Colorectal Cancer. Patients are randomized in Arm A(FOLFOX4 in combination with weekly Cetuximab) or Arm B (FOLFOX4 in combination with biweekly Cetuximab). Both efficacy and safety data will be collected. The investigator will assess response to treatment every 8 weeks based on the imaging.

Following permanent treatment cessation, patients will be followed-up for survival.

02

Conditions studied

  • Colorectal Cancer
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 enrollment of 151 is above the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Central European Cooperative Oncology Group is the lead sponsor of 12 studies on the registry; none are open to participants now.

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

  • Signed written informed consent
  • Male or female ≥ 18 years of age
  • Diagnosis of histologically confirmed adenocarcinoma of the colon or rectum
  • Metastatic colorectal carcinoma not suitable for curative-intent resection- Availability of tumor sample (or able and willing to provide tumor sample) for EGFR assessment
  • Presence of at least one lesion measurable unidimensionally by CT scan or MRI. (Target lesion(s) must not lie within an irradiated area)
  • Karnofsky performance status of > 80 at study entry
  • Leucocytes ≥ 3.0 x 10 9/L and neutrophils ≥1.5 x 10 9/L, platelets ≥ 100 x 10 9/L, and hemoglobin ≥ 9 g/dL.
  • Bilirubin ≥ 1.5 x ULN
  • ASAT and ALAT ≤ 2.5 x ULN (≤5 x ULN if liver metastasis are present)
  • Serum creatinine ≤ 1.5 x ULN

Exclusion criteria

Exclusion Criteria:

  • Brain metastasis (known or suspected)
  • Previous chemotherapy for metastatic disease. Prior adjuvant chemotherapy is allowed if the chemotherapy treatment free interval is > 6 months.
  • Surgery (excluding diagnostic biopsy) or irradiation within 4 weeks prior to study entry
  • Concurrent chronic systemic immune therapy, chemotherapy, or hormone therapy not indicated in the study protocol
  • Any investigational agent(s) within 4 weeks prior to entry
  • Previous exposure to EGFR-pathway targeting therapy
  • Clinically relevant coronary artery disease or a history of a myocardial infarction within the last 12 months
  • Acute or subacute intestinal occlusion or history of inflammatory bowel disease
  • Pre-existing neuropathy > grade 1. In case of prior oxaliplatin containing adjuvant chemotherapy: pre-existing neuropathy ≥ 1.
  • Known grade 3 or 4 allergic reaction to any of the components of the treatment.
  • Any concurrent malignancy other than non-melanoma skin cancer, or carcinoma in situ of the cervix. (Patients with a previous malignancy but without evidence of disease for ≥ 5 years will be allowed to enter the trial)
  • Pregnancy or lactation
  • Inadequate contraception (male or female patients) if of childbearing or procreational potential
  • Known drug abuse/ alcohol abuse
  • Legal incapacity or limited legal capacity
  • Medical or psychological condition which in the opinion of the investigator would not permit the patient to complete the study or sign meaningful informed consent
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
151 participants (actual)

Study arms

  • Active comparator
    A

    FOLFOX4: * Oxaliplatin 85 mg/m² d1 * Leucovorin 200 mg/m² d1+d2, followed by * Bolus 5FU 400 mg/m², followed by * Infusional 5FU 600 mg/m²,over 22 hours, every 2 weeks Cetuximab is administered to arm A of the study as an infusion with initial dose 400 mg/m² in week 1 followed by weekly doses of 250 mg/m².

    Drug: FOLFOX4 (Oxaliplatin), Cetuximab

  • Active comparator
    B

    FOLFOX4: * Oxaliplatin 85 mg/m² d1 * Leucovorin 200 mg/m² d1+d2, followed by * Bolus 5FU 400 mg/m² , followed by * Infusional 5FU 600 mg/m², over 22 hours, every 2 weeks Cetuximab is administered to arm B of the study as infusions of 500 mg/m² every two weeks.

    Drug: FOLFOX4 (Oxaliplatin), Cetuximab

Interventions

  • DrugFOLFOX4 (Oxaliplatin), Cetuximab

    Arm A FOLFOX4: * Oxaliplatin 85 mg/m² d1 * Leucovorin 200 mg/m² d1+d2, followed by * Bolus 5FU 400 mg/m², followed by * Infusional 5FU 600 mg/m²,over 22 hours, every 2 weeks Cetuximab is administered to arm A of the study as an infusion with initial dose 400 mg/m² in week 1 followed by weekly doses of 250 mg/m². Arm B FOLFOX4: * Oxaliplatin 85 mg/m² d1 * Leucovorin 200 mg/m² d1+d2, followed by * Bolus 5FU 400 mg/m² , followed by * Infusional 5FU 600 mg/m², over 22 hours, every 2 weeks Cetuximab is administered to arm B of the study as infusions of 500 mg/m² every two weeks.

06

What researchers measure

Primary outcomes

  1. The primary endpoint of the trial is: • Objective response (CR/PR), as assessed by RECIST criteria

    Objective response (partial or complete) will be assessed using RECIST criteria. The objective response rate (defined as the rate of subjects with complete response (CR) or partial response (PR)) will be estimated and associated exact two-sided 95% confidence limit (Clopper-Pearson) will be calculated. In addition to the estimates within each treatment group odds ratios and associated 95% CI will be calculated using the Cochran Mantel-Haenszel procedure.

    Time frame: The objective response rate - defined as the rate of subjects with complete response (CR) or partial response (PR)

Secondary outcomes

  1. • Progression Free Survival (PFS) • Overall survival • Safety/Adverse events Safety

    Secondary objectives are the estimation of differences in PFS and overall survival.

    Time frame: he rate of subjects with complete response (CR) or partial response (PR)

07

Study locations

24 sites
  • LKH Leoben, Abt. für Innere Medizin
    Leoben, Steiermark 8700, Austria
  • Medical University of Vienna
    Vienna, Austria
  • Institute of Oncology Sarajevo
    Sarajevo, Bosnia and Herzegovina
  • SBALO National Oncology Center
    Sofia, 1754, Bulgaria
  • University Hospital Centre Rijeka
    Rijeka, 51000, Croatia
  • University Hospital for Tumors
    Zagreb, Croatia
  • University Hospital Rebro
    Zagreb, Croatia
  • Noth estonian Regional Oncology Hospital
    Tallin, 13419, Estonia
  • AHEPA Hospital University Hospital Papageorgiou
    Athens, Greece
  • General Hospital of Athens
    Athens, Greece
  • Semmelweis Univ. Radiology Clinic
    Budapest, 1082, Hungary
  • National Medical Center
    Budapest, 1135, Hungary
  • Markusovsy Hospital
    Szombathely, 39700, Hungary
  • Meir Medical Center
    Kfar Saba, Israel
  • Oncology Division Sourasky Medical Center
    Tel Aviv, 64239, Israel
  • P. Stradins University Hospital
    Riga, 1020, Latvia
  • latvian Center of Oncology
    Riga, 1079, Latvia
  • Institutul Oncologic Bucuresti
    Bucuresti, Romania
  • Institutul Oncologic Ion Chiricuta
    Cluj Napoca, Romania
  • Institute of Oncology and Radiology of Serbia
    Belgrade, 11000, Serbia
  • Institute of Oncology of Vojvodina
    Sremska Kamenica, 21204, Serbia
  • National Cancer Institute
    Bratislava, 83310, Slovakia
  • National Institute of Oncology
    Bratislava, Slovakia
  • Institute of Oncology
    Ljubljana, 1000, Slovenia
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 18, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00479752
Lead sponsor
Central European Cooperative Oncology Group
Responsible party
Sponsor
First posted
May 28, 2007
Start date
Jan 2008
Primary completion
Jun 2010
Completion
Nov 2015
Last update
Feb 18, 2016

Study contacts

Tudor Ciuleanu, Prof. Dr.
principal investigator · Institutul Oncologic of Cluj

Oversight

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

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