Unique ID issued by UMIN | UMIN000007195 |
---|---|
Receipt number | R000008473 |
Scientific Title | Phase II Study of XELOX and Cetuximab as First Line Therapy in Patients with Wild Type KRAS Metastatic Colorectal Cancer |
Date of disclosure of the study information | 2012/02/01 |
Last modified on | 2018/09/20 08:25:05 |
Phase II Study of XELOX and Cetuximab as First Line Therapy in Patients with Wild Type KRAS Metastatic Colorectal Cancer
FLEET2 study
Phase II Study of XELOX and Cetuximab as First Line Therapy in Patients with Wild Type KRAS Metastatic Colorectal Cancer
FLEET2 study
Japan |
Metastatic colorectal cancer
Gastroenterology | Hematology and clinical oncology | Gastrointestinal surgery |
Hepato-biliary-pancreatic surgery |
Malignancy
NO
To evaluate the efficacy and safety of XELOX+Cetuximab as first line treatment in metastatic colorectal cancer with EGFR-detectable and KRAS wild type
Safety,Efficacy
Confirmatory
Pragmatic
Phase II
Response Rate
Overall Survival, Progression Free Survival, Safety, Disease Control Rate, Dose Intensity, Surgery rate
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Capecitabine+oxaliplatin(XELOX)+Cetuximab
Cetuximab loading dose 400mg/m2, 250mg/m2/week or 500mg/m2/2weeks
Capecitabine 2000mg/m2(day1-7)/2weeks
20 | years-old | <= |
Not applicable |
Male and Female
(1) Patients with histologicaly proven colorectal cancer
(2) Metastatic colorectal cancer with EGFR
(3) KRAS wild type in codon 12, 13
(4) No prior chemotherapy
(5) Age over 20 years
(6) ECOG Performance Status (PS) 0-1
(7) Presence of metastatic lesion(RECIST Ver. 1.1)
(8) Patients have enough organ function for study treatment
(9) Life expectancy of more than 3 months
(10) Written informed consent
(1) Severe myelosupression
(2) Severe infectious disease
(3) Sensory neuropathy
(4) Psychological illness, Central nervous system damage or vascular brain disease
(5) Comorbidity or history of heart failure
(6) Intestinal lung disease or pulmonary fibrosis
(7) Prior radiotherapy for metastatic mesurable lesions
(8) History of severe allergy
(9) Pregnancy and breast feeding
(10) Severe comorbidity(renal failure, hepatic failure, hypertension, hypercalcemia)
(11) Symptomatic brain metastases
(12) multiple malignancy
(13) Any other cases who are regarded as inadequate for study enrollment by investigators
35
1st name | |
Middle name | |
Last name | Hideyuki Mishima |
Aichi Medical University
Cancer Center
1-1 Yazakokarimata, Nagakute, Aichi
0561-62-3311
hmishima@aichi-med-u.ac.jp
1st name | |
Middle name | |
Last name | Mai Hatta |
Nagoya University Graduate School of Medicine
Department of Young Leaders' Program in Medical Administration
65 Tsurumai Showa-ku Nagoya
052-744-2442
m-hatta@med.nagoya-u.ac.jp
Epidemiological and Clinical research Information Network (ECRIN)
Epidemiological and Clinical research Information Network (ECRIN)
Non profit foundation
NO
2012 | Year | 02 | Month | 01 | Day |
Published
ESULTS:
Forty patients who fulfilled the inclusion criteria participated in this study. The median treatment cycle number was 8 and the median dose intensities were 218 mg/m2/wk for cetuximab, 34 mg/m2/wk for oxaliplatin, and 821 mg/m2/d for capecitabine. One patient showed complete response and partial response was observed in 19 patients, giving an overall RR of 50% (95% confidence interval [CI], 33.8%-66.2%). Stable disease was obtained in 13 patients, resulting in a DCR of 82.5% (95% CI, 67.2%-92.7%). The PFS was 6.5 months (95% CI, 3.5-9.6 months), and the OS was 24.3 months (95% CI, 14.9-33.7 months). The safety profile revealed the common Grade 3/4 adverse events to be acneiform eruption (12.5%), peripheral neuropathy (7.5%), and elevated alanine transaminase levels (7.5%). Grade 3/4 thrombocytopenia and neutropenia occurred only in 5.0% and 2.5% of the patients, respectively. Grade 1 hand-foot syndrome (HFS) was not uncommon (20%), whereas Grade 2/3 HFS occurred in only 3 patients (7.5%). No deaths were reported within 30 days of the last dose.
Completed
2011 | Year | 11 | Month | 18 | Day |
2012 | Year | 01 | Month | 01 | Day |
A Phase II Study of XELOX and Cetuximab as First-Line Therapy in Patients With KRAS Wild Type Metastatic Colorectal Cancer (FLEET2 Study).
Hazama S, Maeda H, Iwamoto S, Kim HM, Takemoto H, Kobayashi K, Sakamoto J, Nagata N, Oba K, Mishima H.
Clin Colorectal Cancer. 2016 Jul 18. pii: S1533-0028(16)30084-6. [Epub ahead of print]
2012 | Year | 02 | Month | 01 | Day |
2018 | Year | 09 | Month | 20 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008473