E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Metastatic colorectal cancer |
|
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 8.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10052362 |
E.1.2 | Term | Metastatic colorectal cancer |
|
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 primary objective of this study is to compare the PFS in subjects receiving cetuximab plus either UFOX or FOLFOX-4 as initial treatment for metastatic colorectal cancer. |
|
E.2.2 | Secondary objectives of the trial |
The secondary objectives of this study include the assessment and comparison of: • Response rate (the sum of CR rate and PR rate) in each treatment group • OS in each treatment group • Safety • Quality of Life (QOL), assessed by Functional Assessment of Cancer Therapy–Colorectal (FACT-C), and Euro-QOL (EQ-5D) at each site where appropriate translations of the questionnaires are available and validated, as well as the Therapy Preference Questionnaire (TPQ) • Treatment impact on social daily living and health care resource utilization
|
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Both male and female subjects are eligible for randomization. For inclusion in the study, all of the following inclusion criteria must be fulfilled: • Subject has given written informed consent before any study-related activities are carried out • Inpatient or outpatient ≥18 years of age • Histologically confirmed diagnosis of adenocarcinoma of the colon or rectum • First occurrence of metastatic disease (at presentation not curatively resectable) • Presence of at least one lesion unidimensionally measurable by CT- and/or MRI-scans. (target lesion(s) must not lie within an irradiated area) • Life expectancy of ≥3 months • Karnofsky performance status of ≥60 at study entry • White blood cell count (WBC) ≥3 x 10^9/L, with neutrophils ≥1.5 x 10^9/L, platelets ≥100 x 10^9/L, and hemoglobin ≥9 g/dL • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) <2.5 x upper limit of normal range (ULN) (<5 x ULN if liver metastasis are present) • Normal serum creatinine (in case of elevated creatinine, labeled EDTA (ethylenediaminetetraacetic acid) clearance ≥65mL/min is acceptable) • Effective contraception for both male and female subjects if the risk of conception exists • Tumor biopsy or archived tumor sample available
|
|
E.4 | Principal exclusion criteria |
Subjects are not eligible for this study if they fulfill one or more of the following exclusion criteria: • Brain metastasis and/or leptomeningeal disease (known or suspected) • Previous chemotherapy for CRC except adjuvant treatment with progression of disease documented >6 months after end of adjuvant treatment • Previous oxaliplatin-based chemotherapy • Surgery (excluding diagnostic biopsy) or irradiation within 4 weeks prior to randomization • Concurrent or previous chronic systemic immune therapy, targeted therapy, anti-VEGF therapy, or EGFR-pathway targeting therapy not indicated in the study protocol • Concurrent hormonal therapy not indicated in the study protocol except for physiologic replacement or contraception • Clinically relevant coronary artery disease, history of myocardial infarction in the last 12 months, or high risk of uncontrolled arrhythmia • Peripheral neuropathy >grade 1 • Known hypersensitivity reaction to any of the components of the treatment • Any concurrent malignancy other than basal cell cancer of the skin, or pre-invasive cancer of the cervix (subjects with a previous malignancy but without evidence of disease for ≥5 years will be allowed to enter the study) • Pregnancy (absence to be confirmed by beta-human choriongonadotrophin [β-hCG] test) or lactation period • Known drug abuse/alcohol abuse • Legal incapacity or limited legal capacity • Medical or psychological condition which in the opinion of the investigator would not permit the subject to complete the study or sign meaningful informed consent • Participation in another clinical study within the 30 days before randomization • Significant disease which, in the investigator’s opinion, would exclude the subject from the study
|
|
E.5 End points |
E.5.1 | Primary end point(s) |
The primary variable is progression-free survival. |
|
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 | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | Yes |
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 | Yes |
E.6.13 | Others | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
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 | Yes |
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
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 80 |
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 |
|
E.8.7 | Trial has a data monitoring committee | No |
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
|
The end of the trial occurs 12 months after all subjects have completed the end of study visit. |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 3 |