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CompletedNCT05178745Updated Jan 30, 2025

Resection Observatory

An observational study in Metastatic Colorectal Cancer and Colorectal Neoplasms, sponsored by Sanofi. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-01-30.

Sponsored by Sanofi · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
140
Ages
18 Years and older
Sex
All
01

Study summary

Primary Objective:

-Evaluate the resection rate (R0/R1) in current practice for aflibercept in combination with irinotecan plus 5-fluorouracil (FOLFIRI) in patients treated for metastatic colorectal cancer (mCRC) after failure of an oxaliplatin-containing regimen

Secondary Objectives:

  • Evaluate overall survival, progression-free survival and relapse-free survival.
  • Evaluate conversion rates (initially unresectable disease which became resectable after chemotherapy, with R0/R1 resection).
  • Evaluate histological and radiological response rates.
  • Evaluate rate of postoperative complications.
  • Evaluate safety.
Read the detailed description

The estimated inclusion period is 45 months. Patient follow-up is 24 months and the total study duration is 69 months. Last patient status (alive or dead) collected before database lock.

02

Conditions studied

  • Metastatic Colorectal Cancer
  • Colorectal Neoplasms
03

In context

Colorectal Neoplasms

5,738 studies on the registry are indexed under Colorectal Neoplasms; 1,483 are open to participants now.

This study's enrollment of 140 is below the median of 250 across 1,253 observational studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Sanofi is the lead sponsor of 1,548 studies on the registry; 88 are open to participants now.

Of its 204 completed or terminated interventional studies of FDA-regulated products, 122 (60%) have results posted.

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
Sampling method
Probability sample

Study population

The source population for this study will be patients treated with aflibercept in combination with FOLFIRI for metastatic ColoRectal Cancer (mCRC) after failure of an oxaliplatin-containing regimen (including patients pretreated with bevacizumab or anti-estimated glomerular filtration rate (anti-EGFR) and patients treated with oxaliplatin in the adjuvant setting but excluding these already participating in a clinical trial) recruited from particpating sites in France. The study will aim to enroll approximately 140 adult patients treated with aflibercept in combination with FOLFIRI for metastatic colorectal cancer after failure of an oxaliplatin-containing regimen from up to 30 sites.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All patients treated with aflibercept in combination with FOLFIRI for mCRC after failure of an oxaliplatin-containing regimen (including patients pretreated with bevacizumab or anti-EGFR and patients treated with oxaliplatin in the adjuvant setting).
  • Exclusively or predominantly hepatic metastases (≤ 5 pulmonary nodules \< 2 cm).
  • Age > 18 years.
  • Signed consent for collection of personal and medical data.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.

Exclusion criteria

Exclusion Criteria:

  • Concomitant participation in a clinical trial.
  • Patient receiving concomitant anti-VEGF agents and/or receiving aflibercept as part of a clinical trial or in a compassionate use program.
  • Patient receiving aflibercept in combination with chemotherapy other than FOLFIRI.
  • Patient with contra-indication to surgery.

The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
140 participants (actual)
Target follow-up
2 Years
Patient registry
Yes

Groups and cohorts

  • Cohort 1

    Patients with metastatic colorectal cancer and liver metastases treated with FOLFIRI plus aflibercept after failure of an oxaliplatin-based regimen

    Drug: Fluorouracil · Drug: Aflibercept · Drug: Irinotecan

Interventions

  • Pharmaceutical Form: solution for injection Route of Administration: intravenous (IV), intravenous or intra-arterial infusion

  • Pharmaceutical Form: concentrate solution for infusion Route of Administration: IV infusion

    Also known as: ZALTRAP®

  • Pharmaceutical Form: solution for injection Route of Administration: IV infusion

    Also known as: CAMPTOSAR®

06

What researchers measure

Primary outcomes

  1. Assessment of resection rate (R0/R1)

    R0 /R1 resection rate after aflibercept + FOLFIRI (resection with histological assessment of margin status)

    Time frame: Up to 24 months

Secondary outcomes

  1. Overall survival

    Defined starting from the date of the first aflibercept administration.

    Time frame: Up to 69 months

  2. Progression-free surivival

    Defined as the time from the date of the first aflibercept administration to the date of the first event (progression, relapse or death). (Relapse in case of complete response due to chemotherapy or surgery)

    Time frame: Up to 69 months

  3. Relapse-free surivial

    Defined as the time from the date of the first aflibercept administration to the date of the first event (progression, relapse or death). (Relapse in case of complete response due to chemotherapy or surgery)

    Time frame: Up to 69 months

  4. Objective Response

    Assessed according to RECIST and CHUN (radiological assessment) criteria in the exploratory analysis.

    Time frame: Up to 69 months

  5. Conversion rate

    Initially unresectable disease which became resectable after aflibercept + FOLFIRI, with R0/R1 resection).

    Time frame: Up to 69 months

  6. Histological response of resected patients via Tumor Regression Grade (TRG)

    Histological response of resected patients via TRG

    Time frame: Up to 69 months

  7. Histological response of resected patients via Modified Tumor Regression Grade (mTRG)

    Histological response of resected patients via mTRG,

    Time frame: Up to 69 months

  8. Histoligical response of resected patients via Blazer assessment

    Time frame: Up to 69 months

  9. Histological response of resected patients via modified Blazer assessment

    Time frame: Up to 69 months

  10. Histological response of resected patients via Sebagh assessment

    Time frame: Up to 69 months

  11. Radiological response for all patients using RECIST 1.1 criteria

    Time frame: Up to 69 months

  12. Rate of 90-day postoperative complications using DINDO-CLAVIEN classification

    Time frame: Up to 69 months

  13. Safety (serious and non-serious adverse events occurring during treatment

    Number of patients with serious and non-serious adverse events occurring during treatment

    Time frame: Up to 69 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Tougeron D, Bibeau F, Chibaudel B, Kim S, Nguyen T, Phelip JM, Mille D, Bouattour M, Tavan D, Rinaldi Y, Lecomte T, Perrier H, Spaeth D, Caroli Bosc FX, Metges JP, Ferec M, Hautefeuille V, Deslandres-Cruchant M, Danion J, Hammel P, Lewin M, Tasu JP, Angelergues A, DiFiore F, Evrard S, Mansar R, Caillou H, Geffriaud-Ricouard C, Adam R. Resection of colorectal liver metastases with second-line aflibercept plus FOLFIRI: Results from the RESECTION prospective French cohort. Eur J Cancer. 2024 Dec;213:115082. doi: 10.1016/j.ejca.2024.115082. Epub 2024 Oct 22. PubMed 39486163 ↗

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05178745
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Jan 5, 2022
Start date
Sep 7, 2016
Primary completion
May 27, 2022
Completion
May 27, 2022
Last update
Jan 30, 2025

Study contacts

Clinical Sciences & Operations
study director · Sanofi

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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