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CompletedNCT00628810Updated Nov 9, 2020

Combination Chemotherapy and Bevacizumab in Treating Patients With Metastatic Colorectal Cancer

A Phase 2 interventional study of bevacizumab and fluorouracil in Colorectal Cancer, sponsored by Federation Francophone de Cancerologie Digestive. Completed at 32 sites in France. Open to participants aged 18 Years to 74 Years. Per ClinicalTrials.gov, last updated 2020-11-09.

Sponsored by Federation Francophone de Cancerologie Digestive · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
86
Allocation
Not applicable
Ages
18 Years to 74 Years
Sex
All
01

Study summary

RATIONALE: Drugs used in chemotherapy work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Bevacizumab may also stop the growth of tumor cells by blocking blood flow to the tumor. Giving combination chemotherapy together with bevacizumab may kill more tumor cells.

PURPOSE: This phase II trial is studying the side effects of giving combination chemotherapy together with bevacizumab and to see how well it works in treating patients with metastatic colorectal cancer.

Read the detailed description

OBJECTIVES:

Primary

  • Evaluate the objective response (RECIST criteria) at 6 months associated with FOLFIRI and bevacizumab therapy.
  • Evaluate the tolerability (NCI CTC v. 2.0 criteria) of this treatment.

Secondary

  • Evaluate progression-free survival and overall survival.
  • Determine the time to treatment failure.
  • Evaluate the quality of life (EuroQOL EQ5D questionnaire).
  • Explore the prognostic factors associated with the tolerability and efficacy of this treatment.

OUTLINE: This is a multicenter study. Patients are stratified according to genotype (UCT1A1*1/ UCT1A1*1 vs UCT1A1*1/ UCT1A1*28).

Patients receive bevacizumab IV over 30-90 minutes, irinotecan hydrochloride IV over 90 minutes, leucovorin calcium IV over 2 hours, and fluorouracil IV over 46 hours on day 1. Treatment repeats every 2 weeks in the absence of disease progression or unacceptable toxicity.

Quality of life is assessed at baseline, every 4 courses, and then every 2 months after the completion of study therapy.

After completion of study therapy, patients are followed every 2-3 months.

02

Conditions studied

  • Colorectal Cancer

Keywords

  • adenocarcinoma of the colon
  • adenocarcinoma of the rectum
  • stage IV colon cancer
  • stage IV rectal cancer
  • recurrent colon cancer
  • recurrent rectal cancer
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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 enrollment of 86 is above the median of 77 across 4,122 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Federation Francophone de Cancerologie Digestive is the lead sponsor of 61 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
18 Years to 74 Years
Sexes eligible
All
Accepts healthy volunteers
No

DISEASE CHARACTERISTICS:

  • Diagnosis of metastatic adenocarcinoma of the colon or rectum

    • Not curable by surgery
  • Genotype UGT1A1*1/UGT1A1*1 or UGT1A1*1/ UGT1A1*28
  • Measurable disease
  • No original tumor in place
  • No secondary cerebral metastases

PATIENT CHARACTERISTICS:

Inclusion criteria

Inclusion criteria:

  • WHO performance status 0-2
  • Life expectancy ≥ 3 months
  • Absolute neutrophil count ≥ 1,500/mm3
  • Platelet count ≥ 100,000/mm3
  • Hemoglobin ≥ 9.0 g/dL
  • Total bilirubin ≤ 1.5 times normal
  • Alkaline phosphatase ≤ 2.5 times normal (5 times normal if liver involvement)
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients of must use effective contraception

Exclusion criteria

Exclusion criteria:

  • Progressive gastrointestinal ulcer, hemorrhagic ulcer, or perforation in the past 6 months
  • Enteropathy or chronic diarrhea
  • Proteinuria > 500 mg/24 hours
  • Active cardiac disease
  • Uncontrolled hypertension
  • Myocardial infarction in the past 12 months
  • Angina
  • NYHA grade II-IV congestive heart disease
  • Severe arrhythmia even with treatment
  • Peripheral vascular disease ≥ grade II
  • Nonhealing wound, ulcer, or severe bone fracture
  • Hemorrhagic diatheses or coagulopathy
  • Severe or uncontrolled infection
  • Severe or uncontrolled medical condition
  • Other malignant disease in the past 5 years except curatively treated basal cell skin cancer or carcinoma in situ of the uterine cervix
  • Severe traumatic injury within the past 4 weeks

PRIOR CONCURRENT THERAPY:

  • No prior chemotherapy for metastatic disease

    • One prior regimen of chemotherapy in the neoadjuvant or adjuvant setting for the original tumor allowed
  • At least 6 months since prior chemotherapy
  • No prior irinotecan hydrochloride or bevacizumab
  • No oral or parenteral anticoagulant therapy within the past 10 days

    • Warfarin allowed provided INR \< 1.5
  • No major surgery or biopsy within the past 4 weeks
  • No puncture in the past 7 days
  • No planned major surgery
  • No concurrent daily or chronic aspirin (> 325 mg/day), anti-inflammatories, or steroids
  • No other concurrent anticancer therapy
05

Study design

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

Study arms

  • Experimental
    FOLFIRI fort plus bevacizumab

    Bevacizumab 5 mg/kg D1, irinotecan 260 mg/m2 D1, LV 400 mg/m2 D1, 5FU 400 mg/m2 IV bolus D1, and 5FU 2,400 mg/m2 46-hour infusion D1-2 every 2 weeks. Treatment was started within 2 weeks after inclusion in the study.

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

Interventions

  • Biologicalbevacizumab
  • Drugfluorouracil
  • Drugirinotecan hydrochloride
  • Drugleucovorin calcium
06

What researchers measure

Primary outcomes

  1. Objective response at 6 months by RECIST

    Time frame: 6 months

  2. Tolerability evaluated by NCI CTC v. 2.0 criteria

    Time frame: From Inclusion

Secondary outcomes

  1. Progression-free and overall survival

    Time frame: From Inclusion

  2. Time to treatment failure

    Time frame: From Inclusion

  3. Quality of life using the EuroQOL EQ5D questionnaire

    Time frame: From Inclusion

07

Study locations

32 sites
  • Centre Hospitalier d'Abbeville
    Abbeville, 80101, France
  • Centre Hospitalier Universitaire d'Amiens
    Amiens, 80054, France
  • Hopital Duffaut
    Avignon, 84902, France
  • C.H.G. Beauvais
    Beauvais, 60021, France
  • Centre Hospitalier Regional de Besancon - Hopital Jean Minjoz
    Besancon, 25030, France
  • Polyclinique Bordeaux Nord Aquitaine
    Bordeaux, 33300, France
  • Hopital Ambroise Pare
    Boulogne-Billancourt, F-92104, France
  • Centre Hospitalier Pierre Oudot
    Bourgoin-Jallieu, 38300, France
  • Centre Hospitalier General
    Brive, 19101, France
  • CHU de Caen
    Caen, 14033, France
  • Centre Regional Francois Baclesse
    Caen, 14076, France
  • Centre Hospitalier de Chalons-en-Champagne
    Chalons-en-Champagne, 51000, France
  • Hopitaux Civils de Colmar
    Colmar, 68024, France
  • Hopital Du Bocage
    Dijon, 21034, France
  • Federation Francophone de Cancerologie Digestive
    Dijon, 21079, France
  • Clinique Saint Vincent
    Epernay, 51200, France
  • Centre Hospitalier Departemental
    La Roche Sur Yon, F-85025, France
  • Hopital Andre Mignot
    Le Chesnay, 78157, France
  • Centre Hospitalier Universitaire de Bicetre
    Le Kremlin Bicetre, 94275, France
  • CHU de la Timone
    Marseille, 13385, France
  • CHU Nord
    Marseille, 13915, France
  • Hopital de l'Archet CHU de Nice
    Nice, F-06202, France
  • CHR D'Orleans - Hopital de la Source
    Orleans, 45100, France
  • Hopital Europeen Georges Pompidou
    Paris, 75015, France
  • Hopital Bichat - Claude Bernard
    Paris, 75018, France
  • CHU - Robert Debre
    Reims, 51092, France
  • Hopital Charles Nicolle
    Rouen, 76031, France
  • Clinique Mathilde
    Rouen, 76100, France
  • Clinique Armoricaine De Radiologie
    Saint Brieuc, F-22015, France
  • CHRU de Tours - Hopital Trousseau
    Tours, 37044, France
  • Centre Hospitalier General Lucien Hussel
    Vienne, 38200, France
  • Clinique du Tonkin
    Villeurbanne, 69100, France
08

References and documents

Publications

  • Manfredi S, Bouche O, Rougier P, Dahan L, Loriot MA, Aparicio T, Etienne PL, Lafargue JP, Lecaille C, Legoux JL, Le Malicot K, Maillard E, Lecomte T, Khemissa F, Breysacher G, Michel P, Mitry E, Bedenne L. High-Dose FOLFIRI plus Bevacizumab in the Treatment of Metastatic Colorectal Cancer Patients with Two Different UGT1A1 Genotypes: FFCD 0504 Study. Mol Cancer Ther. 2015 Dec;14(12):2782-8. doi: 10.1158/1535-7163.MCT-15-0293. Epub 2015 Oct 22. PubMed 26494856 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 9, 2020, 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
NCT00628810
Lead sponsor
Federation Francophone de Cancerologie Digestive
Responsible party
Sponsor
First posted
Mar 5, 2008
Start date
Jan 2007
Primary completion
Jan 2008
Completion
Dec 2008
Last update
Nov 9, 2020

Study contacts

Martina Schneider
study chair · Federation Francophone de Cancerologie Digestive

Oversight

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

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This study is completed, as verified in Nov 2020. You cannot join it, but the record below documents what was studied.

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