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Home > "F" Clinical Trials Conditions > Fluorouracil and Leucovorin With or Without Oxaliplatin in Treating Patients With Recurrent Metastatic Colorectal Cancer

Fluorouracil and Leucovorin With or Without Oxaliplatin in Treating Patients With Recurrent Metastatic Colorectal Cancer



Fluorouracil and Leucovorin With or Without Oxaliplatin in Treating Patients With Recurrent Metastatic Colorectal Cancer

For Condition: stage 4 colon cancer,adenocarcinoma of the rectum,recurrent rectal cancer,adenocarcinoma of the colon,recurrent colon cancer,Stage 4 rectal cancer
Status: No longer recruiting
Sponsor(s): Prologue Research International ,
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. PURPOSE: Randomized phase II trial to study the effectiveness of combining fluorouracil and leucovorin with or without oxaliplatin in treating patients who have recurrent metastatic colorectal cancer.
Details: OBJECTIVES: I. Compare the overall response rate and overall survival of patients with recurrent metastatic colorectal adenocarcinoma treated with third-line therapy comprising fluorouracil and leucovorin calcium with or without oxaliplatin. II. Compare the onset and duration of complete and partial responses and duration of disease stabilization in patients treated with these regimens. III. Compare the proportion of patients with stable disease and proportion of patients with tumor-related symptomatic improvement treated with these regimens. IV. Compare the time to disease progression and time to tumor-related symptomatic worsening in patients treated with these regimens. PROTOCOL OUTLINE: This is a randomized, multicenter study. Patients are randomized to one of two treatment arms. Arm I: Patients receive leucovorin calcium IV over 2 hours and fluorouracil IV over 2-4 minutes followed by fluorouracil IV continuously over 22 hours on days 1 and 2. Arm II: Patients receive oxaliplatin IV over 2 hours, leucovorin calcium IV over 2 hours, and fluorouracil IV over 2-4 minutes followed by fluorouracil IV continuously over 22 hours on day 1. On day 2, patients receive leucovorin calcium and fluorouracil as in arm I. Treatment in both arms repeats every 2 weeks for at least 1 year in the absence of disease progression. Patients are followed at day 30 and then for approximately 6 months. PROJECTED ACCRUAL: A total of 200 patients (100 per treatment arm) will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically or cytologically confirmed adenocarcinoma of the colon or rectum; Metastatic/recurrent disease not amenable to potentially curative therapy (e.g., inoperable metastatic disease) - Documented sequential disease progression (by CT or MRI scan) after 2 prior chemotherapy regimens for metastatic/recurrent disease - At least 1 unidimensionally measurable lesion At least 20 mm by conventional CT or MRI scan OR At least 10 mm by spiral CT scan - Must have received prior fluorouracil (or capecitabine) and leucovorin calcium with or without irinotecan as first-line therapy and irinotecan with or without fluorouracil (or capecitabine) and leucovorin calcium as second-line therapy for metastatic disease --Prior/Concurrent Therapy-- - Biologic therapy: No prior anticancer biologic therapy - Chemotherapy: See Disease Characteristics; No prior oxaliplatin; No prior adjuvant irinotecan; Prior adjuvant fluorouracil and leucovorin calcium allowed; At least 3 weeks since prior chemotherapy (e.g., second-line irinotecan with or without fluorouracil (or capecitabine) and leucovorin calcium) for metastatic disease and recovered - Endocrine therapy: Not specified - Radiotherapy: At least 3 weeks since prior radiotherapy; No prior radiotherapy to target lesion unless documented progression within the radiation portal - Surgery: See Disease Characteristics; At least 4 weeks since prior surgery for primary tumor or metastases and recovered - Other: No prior investigational anticancer drug; No other concurrent investigational agents --Patient Characteristics-- - Age: 18 and over - Performance status: Karnofsky 50-100% - Life expectancy: Not specified - Hematopoietic: Absolute neutrophil count at least 1,500/mm3; Platelet count at least 100,000/mm3 - Hepatic: Bilirubin no greater than 1.5 times upper limit of normal (ULN); SGOT and SGPT no greater than 2 times ULN (6 times ULN if documented liver metastases present); Alkaline phosphatase no greater than 2 times ULN (6 times ULN if documented liver metastases present) - Renal: Creatinine no greater than 1.5 times ULN - Cardiovascular: No New York Heart Association class III or IV symptomatic congestive heart failure; No serious cardiac arrhythmia; No unstable angina; No myocardial infarction within the past 6 months - Pulmonary: No interstitial pneumonia; No extensive and symptomatic fibrosis of the lung - Other: Not pregnant or nursing; Negative pregnancy test; Fertile patients must use effective contraception during and for 6 months after study; No known peripheral neuropathy (absence of deep tendon reflexes as the sole neurologic abnormality allowed); No diabetes or active infection; No known dihydropyrimidine dehydrogenase deficiency
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
RichardGams,  Study Chair,  Prologue Research International

Memorial Hospital Cancer Center - Chattanooga
Chattanooga,  Tennessee,  37404
United States
 

New York University Medical Center
New York City,  New York,  10016
United States
 

Salem Hospital Regional Cancer Center
Salem,  Oregon,  97309-5014
United States
 

Huntsman Cancer Institute
Salt Lake City,  Utah,  84112
United States
 

Lifespan: The Miriam Hospital
Providence,  Rhode Island,  02906
United States
 

Hematology/Oncology Associates
Port Saint Lucie,  Florida,  34952
United States
 

Lake Heart and Cancer Medical Center
Leesburg,  Florida,  34748
United States
 

James Graham Brown Cancer Center
Louisville,  Kentucky,  40202
United States
 

Scott and White Memorial Hospital
Temple,  Texas,  76508
United States
 

Hematology Associates of New Jersey, P.A.
Ridgewood,  New Jersey,  07450
United States
 

Citrus Valley Medical Center
Covina,  California,  92807
United States
 

Jersey Shore Cancer Center
Neptune,  New Jersey,  07753
United States
 

Arkansas Cancer Clinic, P.A.
Pine Bluff,  Arkansas,  71603
United States
 

Medical Oncology Group
Gulfport,  Mississippi,  39501
United States
 

Albert Einstein Comprehensive Cancer Center
Bronx,  New York,  10461
United States
 

Hematology Oncology Consultants Inc
Columbus,  Ohio,  43235
United States
 

Cedars-Sinai Medical Center
Los Angeles,  California,  90048
United States
 

Arizona Clinical Research Center
Tucson,  Arizona,  85712
United States
 

Robert H. Lurie Comprehensive Cancer Center, Northwestern University
Chicago,  Illinois,  60611-3013
United States
 

Cancer and Blood Institute
Metairie,  Louisiana,  70006
United States
 

Medical Oncology and Hematology Associates
Des Moines,  Iowa,  50309
United States
 

Mercy Cancer Center
Mason City,  Iowa,  50401
United States
 

Kaiser Permanente Medical Center - Vallejo
Vallejo,  California,  94589
United States
 

HemOnCare, P.C.
Brooklyn,  New York,  11235
United States
 

South Shore Hematology Oncology Associates, P.C.
Rockville Centre,  New York,  11570
United States
 

Kenmar Research Institute
Los Angeles,  California,  90057
United States
 

Mid-Ohio Oncology/Hematology, Inc.
Columbus,  Ohio,  43213
United States
 

Intermountain Hematology/Oncology Associates, Inc.
Salt Lake City,  Utah,  84124
United States
 

Cancer Center and Beckman Research Institute, City of Hope
Duarte,  California,  91010-3000
United States
 

Interlakes Oncology/Hematology PC
Rochester,  New York,  14623
United States
 

Comprehensive Cancer Centers of the Desert
Palm Springs,  California,  92262
United States
 

St. Joseph Oncology, Inc.
St. Joseph,  Missouri,  64506
United States
 

Halifax Medical Center
Daytona Beach,  Florida,  32114
United States
 

Monmouth Hematology-Oncology Associates, P.A.
West Long Branch,  New Jersey,  07764
United States
 

University of Rochester Medical Center
Rochester,  New York,  14642
United States
 

Lombardi Cancer Center
Washington D.C.,  District of Columbia,  20007
United States
 

Bend Memorial Clinic
Bend,  Oregon,  97701
United States
 

Kaiser Permanente-Southern California Permanente Medical Group
San Diego,  California,  92120
United States
 

Hematology/Oncology Associates
Jacksonville,  Florida,  32216
United States
 

Central Jersey Oncology Center
New Brunswick,  New Jersey,  08901
United States
 

Saint Joseph Mercy Hospital
Ann Arbor,  Michigan,  48106
United States
 

North Shore Hematology/Oncology Associates, P.C.
East Setauket,  New York,  11733
United States
 

Oncology Hematology of Lehigh Valley, P.C.
Bethlehem,  Pennsylvania,  18015
United States
 

Northwestern Connecticut Oncology-Hematology Associates
Torrington,  Connecticut,  06790
United States
 

Memorial Sloan-Kettering Cancer Center
New York City,  New York,  10021
United States
 

Family Cancer Center
Collierville,  Tennessee,  38017
United States
 

Center for Hematology-Oncology
Boca Raton,  Florida,  33486
United States
 

Florida Hospital Cancer Institute
Orlando,  Florida,  32804
United States
 

Baptist Regional Cancer Center
Knoxville,  Tennessee,  37920
United States
 

Lucille Parker Markey Cancer Center, University of Kentucky
Lexington,  Kentucky,  40536-0093
United States
 

Jackson Oncology Associates, PLLC
Jackson,  Mississippi,  39202
United States
 

Rocky Mountain Cancer Center
Denver,  Colorado,  80218
United States
 

Cancer Therapy and Research Center
San Antonio,  Texas,  78229
United States
 

Northwest Medical Specialists, P.C.
Arlington Heights,  Illinois,  60004
United States
 

University of New Mexico Cancer Research & Treatment Center
Albuquerque,  New Mexico,  87131
United States
 

New York Medical College
Valhalla,  New York,  10595
United States
 

Center for Oncology Research and Treatment, Medical City Hospital
Dallas,  Texas,  75230
United States
 

Pennsylvania Oncology Hematology Associates
Philadelphia,  Pennsylvania,  19107
United States
 

Hope Center
Terre Haute,  Indiana,  47809
United States
 

Oklahoma Oncology Inc.
Tulsa,  Oklahoma,  74104
United States
 

West Cancer Clinic
Memphis,  Tennessee,  38120
United States
 

Monmouth Medical Center
Long Branch,  New Jersey,  07740-6395
United States
 

Lawrence M. Stallings Medical Practice
Wooster,  Ohio,  44691
United States
 

Reddy Cancer Treatment Center
Malone,  New York,  12953
United States
 

Oncology-Hematology Group of South Florida
Miami,  Florida,  33176
United States
 

Cancer Care Specialists of Central Illinois, S.C.
Decatur,  Illinois,  62526
United States
 

Dreyer Medical Clinic
Aurora,  Illinois,  60506
United States
 

Florida Cancer Specialists
Ft. Myers,  Florida,  33901
United States
 

Deaconess Billings Clinic
Billings,  Montana,  59107-5100
United States
 

Saints Memorial Medical Center
Lowell,  Massachusetts,  01852
United States
 

John Muir Medical Center
Walnut Creek,  California,  94598
United States
 

California Cancer Care, Inc.
Greenbrae,  California,  94904
United States
 

Seattle Cancer Care Alliance
Seattle,  Washington,  98109
United States
 

Baton Rouge General Medical Center
Baton Rouge,  Louisiana,  70821-2511
United States
 


Additional Information:
Study ID Numbers:
  CDR0000068606;  SANOFI-EFC4760,PROLOGUE-EFC4760
Study Start Date: May 2001
Record last reviewed: January 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00016198

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