E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
adjuvant treatment of colorectal cancer |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The main study objective is to compare the efficiacy of the two regimens: standard chemotherapy with capecitabine against capecitabine + bevacizumab. Primary endpoint is disease free survival. Secondary endpoints: disease free survival for stage III patients, overall survival, safety profiles. |
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E.2.2 | Secondary objectives of the trial | |
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Histologically proven stage III and stage II colorectal cancer. 2. Patients must have undergone complete resection of the primary tumour without evidence of residual disease. 3. Patients must be randomised to start treatment a minimum of 28 days and maximum of 70 days after surgery. 4. WHO performance status 0 or 1. 5. Male or female patients age >= 18 years. 6. Written informed consent given. 7. Life expectancy of >= 5 years, in terms of non-cancer-related morbidity.
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E.4 | Principal exclusion criteria |
1. Previus chemotherapy, immunotherapy or infra-diaphragmatic radiotherapy or patients who are expected to require radiotherapy to these sites within the next 12 months, for any reason. 2. Received any investigational drug or agent/procedure within 4 weeks of randomisation. 3. Moderate or severe renal impairment. 4. Any of the following laboratory values: ANC < 1.5 x 10Exp9/L platelet count < 100 x 10Exp9/L total bilirubin > 1.5 ULN ALT, AST > 2.5 x ULN alkaline phosphatase > 2.5 x ULN 5. Patients requiring chronic use of full dose oral or parenteral anticoagulants, high dose aspirin (> 325 mg/day), anti-platelet drugs or known bleeding diathesis. Low dose aspirin allowed. 6. Proteinuria > 500 mg/24 hours. 7. Known coagulopathy. 8. Clinically significant cardiovascular disease. 9. Concominant treatment with sorivudine or its chemically related analogues. 10. Pregnant or lactating women. 11. Sexually active patients of child bearing potential not using adequate contraception (male and female). 12. Previous malignancies other than adequately treated in situ carcinoma of the uterine cervix or basal or squamous cell carcinoma of the skin, unless there has been a disease free interval of at least 10 years. 13. Lack of physical integrity of upper GI tract, malabsorption syndrome or inability to take oral medication. 14. Chronic inflammatory bowel disease and/or active peptic ulcer, either of which have been active or required medication in the last 2 years. 15. History of uncontrolled seizures, CNS disorders or psychiatric disability judged by the investigator to be clinically significant. 16. Known DPD deficiency. 17. Patients with known allergy to Chinese hamster ovary cell proteins or other recombinant human or humanized antibodies or to any excipients of bevacizumab formulation. |
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E.5 End points |
E.5.1 | Primary end point(s) |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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last visit of the last subject undergoing the trial |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 6 |
E.8.9.1 | In the Member State concerned months | 5 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 6 |
E.8.9.2 | In all countries concerned by the trial months | 5 |
E.8.9.2 | In all countries concerned by the trial days | 0 |