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    Clinical Trial Results:
    FFCD 1102 ETUDE DE PHASE II : TRAITEMENT DE PREMIERE LIGNE PAR FOLFIRINOX POUR LES PATIENTS AYANT UN CANCER DU RECTUM AVEC METASTASES SYNCHRONES NON RESECABLES

    Summary
    EudraCT number
    2011-006266-41
    Trial protocol
    FR  
    Global end of trial date
    13 Mar 2017

    Results information
    Results version number
    v1(current)
    This version publication date
    05 Jul 2025
    First version publication date
    05 Jul 2025
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    FFCD 1102
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01674309
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Fédération Francophone de Cancérologie Digestive (FFCD)
    Sponsor organisation address
    Faculté de Médecine, 7 Boulevard Jeanne d’Arc, BP 87900, Dijon, France, 21079
    Public contact
    Marie Moreau, Fédération Francophone de Cancérologie Digestive (FFCD), +33 755676632, marie.moreaut@u-bourgogne.fr
    Scientific contact
    Marie Moreau, Fédération Francophone de Cancérologie Digestive (FFCD), +33 755676632, marie.moreaut@u-bourgogne.fr
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    14 Mar 2017
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    28 Dec 2015
    Global end of trial reached?
    Yes
    Global end of trial date
    13 Mar 2017
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main objective of the trial was to investigate the tumoral control rate(Complete response or Partial response or stability) at 4 months, according to the RECIST criteria (version 1.1).
    Protection of trial subjects
    This trial was conducted in accordance with the European Directive 2001/20/EC. The investigator undertook to obtain the patient's consent for the clinical trial in writing, after providing adequate information (information sheets and consent forms in Appendices). The study protocol was approved by the French ethics committee ‘CCP Ile de France 8’.
    Background therapy
    The FOLFIRINOX protocol (folinic acid, 5 FU, oxaliplatin, irinotecan) appeared to be a promising protocol as an initial treatment with an objective response rate of about 70%.
    Evidence for comparator
    -
    Actual start date of recruitment
    12 Jul 2012
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Efficacy
    Long term follow-up duration
    2 Years
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 65
    Worldwide total number of subjects
    65
    EEA total number of subjects
    65
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    42
    From 65 to 84 years
    23
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    From July 2012 to February 2015, 65 patients with rectal cancer and synchronous metastases were included in the study and treated in 22 participating French centres.

    Pre-assignment
    Screening details
    Before enrollement, standard examinations (biological, clinical, ECG, coloscopy) and quality of life evaluations (QLQ-C30 + CR29) were done. In terms of imaging, abdominal and pelvic computed tomography scan and MRI and rectosigmoidoscopy were also done.

    Period 1
    Period 1 title
    Baseline period (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded
    Blinding implementation details
    Not blinded

    Arms
    Arm title
    FOLFIRINOX
    Arm description
    FOLFIRINOX induction : 8 planned cycles.
    Arm type
    Experimental

    Investigational medicinal product name
    FOLFIRINOX
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    FOLFIRINOX regimen: oxaliplatin 85 mg/m2 d1 + irinotecan 180 mg/m2 d1 + leucovorin 400 mg/m2 d1 followed by 5FU 400 mg/m2 bolus d1 and 2,400 mg/m2 46h continuous infusion biweekly

    Number of subjects in period 1
    FOLFIRINOX
    Started
    65
    Completed
    56
    Not completed
    9
         Adverse event, serious fatal
    1
         Physician decision
    2
         Tumor regression
    1
         Adverse event, non-fatal
    1
         Diabetic foot requiring surgical management
    1
         Progression
    3

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Baseline period
    Reporting group description
    -

    Reporting group values
    Baseline period Total
    Number of subjects
    65 65
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    42 42
        From 65-84 years
    23 23
        85 years and over
    0 0
    Age continuous
    Units: years
        median (full range (min-max))
    61 (34 to 78) -
    Gender categorical
    Units: Subjects
        Female
    14 14
        Male
    51 51
    ECOG PS
    Units: Subjects
        PS 0
    24 24
        PS1
    40 40
        PS 2
    1 1
    Rectal tumour
    in MRI ( magnetic resonance imaging) central review
    Units: Subjects
        Lower
    22 22
        Middle
    35 35
        Upper
    5 5
        Missing
    3 3
    Differenciation grade
    Units: Subjects
        Well
    23 23
        Moderate
    23 23
        Poor
    3 3
        Unknown
    16 16
    T stage at diagnosis
    in MRI ( magnetic resonance imaging) central review
    Units: Subjects
        T2
    3 3
        T3
    13 13
        T4
    42 42
        Missing
    7 7
    Mutational status
    Units: Subjects
        RAS mutated
    29 29
        BRAF mutated
    3 3
        RAS/BRAF non mutated
    23 23
        Unknown
    10 10
    Number of metastatic sites
    Units: Subjects
        One
    24 24
        >= 2
    41 41

    End points

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    End points reporting groups
    Reporting group title
    FOLFIRINOX
    Reporting group description
    FOLFIRINOX induction : 8 planned cycles.

    Primary: 4-month disease control rate

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    End point title
    4-month disease control rate [1]
    End point description
    Disease control (Complete response or Partial response or stability) at 4 months according to RECIST 1.1 and assessed by central review.
    End point type
    Primary
    End point timeframe
    4 months after inclusion
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The study was a single-arm study that's why no statistical analyses was done.
    End point values
    FOLFIRINOX
    Number of subjects analysed
    64 [2]
    Units: patients
        Disease control
    60
        No disease control
    4
    Notes
    [2] - One patient was excluded because of death unrelated to study treatment after the first cycle
    No statistical analyses for this end point

    Secondary: Progression-free survival

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    End point title
    Progression-free survival
    End point description
    Progression free-survival was measured from inclusion to the date of the first documented progression or relapse (in the case of R0/R1 resections of rectal tumor and metastases) or death from any cause. Patients alive without progression were censored at the last follow-up.
    End point type
    Secondary
    End point timeframe
    until the last follow-up or the apperance of progression or death
    End point values
    FOLFIRINOX
    Number of subjects analysed
    65
    Units: months
        median (confidence interval 95%)
    10.9 (8.8 to 12.9)
    Attachments
    PFS and OS in the ITT population
    No statistical analyses for this end point

    Secondary: Overall survival

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    End point title
    Overall survival
    End point description
    Overall survival was defined as the time between inclusion and death (all causes). Patients alive were censored at the last follow-up.
    End point type
    Secondary
    End point timeframe
    until the end of the follow-up or death (Whatever the cause)
    End point values
    FOLFIRINOX
    Number of subjects analysed
    65
    Units: months
        median (confidence interval 95%)
    33.4 (22.6 to 38.2)
    Attachments
    PFS and OS in the ITT population
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events were collected after each cycles of treatment until the end of the treatment period.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    NCI-CTC
    Dictionary version
    4.0
    Reporting groups
    Reporting group title
    FOLFIRINOX
    Reporting group description
    FOLFIRINOX induction : 8 planned cycles.

    Serious adverse events
    FOLFIRINOX
    Total subjects affected by serious adverse events
         subjects affected / exposed
    14 / 65 (21.54%)
         number of deaths (all causes)
    41
         number of deaths resulting from adverse events
    1
    Investigations
    Weight loss
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Tumor-related fever
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Injury, poisoning and procedural complications
    Reaction in relation to perfusion
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Ischemic stroke
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    General disorders and administration site conditions
    Fever
         subjects affected / exposed
    2 / 65 (3.08%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Phlebitis at the catheter site
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General deterioration of health
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hyperthermia
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Febrile neutropenia
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Agranulocytosis
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Diarrhea
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Abdominal pain
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Dysphagia
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Intestinal obstruction
         subjects affected / exposed
    2 / 65 (3.08%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Subileus
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pulmonary embolism
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumothorax
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    Hyperbilirubinemia
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Diabetic foot
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Staphylococcal septic arthritis
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Diabetes
         subjects affected / exposed
    1 / 65 (1.54%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    FOLFIRINOX
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    65 / 65 (100.00%)
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    20 / 65 (30.77%)
         occurrences all number
    20
    Aspartate aminotransferase increased
         subjects affected / exposed
    23 / 65 (35.38%)
         occurrences all number
    23
    Creatinine increased
         subjects affected / exposed
    6 / 65 (9.23%)
         occurrences all number
    6
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    37 / 65 (56.92%)
         occurrences all number
    37
    White blood cell count decreased
         subjects affected / exposed
    33 / 65 (50.77%)
         occurrences all number
    33
    Lymhocytes decreased
         subjects affected / exposed
    26 / 65 (40.00%)
         occurrences all number
    26
    Neutrophils decreased
         subjects affected / exposed
    42 / 65 (64.62%)
         occurrences all number
    42
    Weight loss
         subjects affected / exposed
    27 / 65 (41.54%)
         occurrences all number
    27
    Phosphatases Alcalines increased
         subjects affected / exposed
    53 / 65 (81.54%)
         occurrences all number
    53
    Vascular disorders
    Thromboembolic event
         subjects affected / exposed
    7 / 65 (10.77%)
         occurrences all number
    7
    Nervous system disorders
    Dysgueusia
         subjects affected / exposed
    8 / 65 (12.31%)
         occurrences all number
    18
    Peripheral neuropathy
         subjects affected / exposed
    48 / 65 (73.85%)
         occurrences all number
    48
    Paresthesia
         subjects affected / exposed
    35 / 65 (53.85%)
         occurrences all number
    35
    Blood and lymphatic system disorders
    Anemia
         subjects affected / exposed
    55 / 65 (84.62%)
         occurrences all number
    55
    Thrombocytopenia
         subjects affected / exposed
    33 / 65 (50.77%)
         occurrences all number
    33
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    55 / 65 (84.62%)
         occurrences all number
    55
    Fever
         subjects affected / exposed
    11 / 65 (16.92%)
         occurrences all number
    11
    Immune system disorders
    Allergic reaction
         subjects affected / exposed
    4 / 65 (6.15%)
         occurrences all number
    4
    Gastrointestinal disorders
    Constipation
         subjects affected / exposed
    14 / 65 (21.54%)
         occurrences all number
    14
    Diarrhoea
         subjects affected / exposed
    49 / 65 (75.38%)
         occurrences all number
    49
    Abdominal pain
         subjects affected / exposed
    17 / 65 (26.15%)
         occurrences all number
    17
    Nausea
         subjects affected / exposed
    37 / 65 (56.92%)
         occurrences all number
    37
    Stomatitis
         subjects affected / exposed
    19 / 65 (29.23%)
         occurrences all number
    19
    Vomiting
         subjects affected / exposed
    18 / 65 (27.69%)
         occurrences all number
    18
    Respiratory, thoracic and mediastinal disorders
    Dyspnea
         subjects affected / exposed
    5 / 65 (7.69%)
         occurrences all number
    5
    Epistaxis
         subjects affected / exposed
    6 / 65 (9.23%)
         occurrences all number
    6
    Cough
         subjects affected / exposed
    6 / 65 (9.23%)
         occurrences all number
    6
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    27 / 65 (41.54%)
         occurrences all number
    27
    Palmar-plantar erythrodysaesthesia syndrome
         subjects affected / exposed
    5 / 65 (7.69%)
         occurrences all number
    5
    Musculoskeletal and connective tissue disorders
    Bone pain
         subjects affected / exposed
    4 / 65 (6.15%)
         occurrences all number
    4
    Metabolism and nutrition disorders
    Anorexia
         subjects affected / exposed
    18 / 65 (27.69%)
         occurrences all number
    18
    Hyperglycemia
         subjects affected / exposed
    4 / 65 (6.15%)
         occurrences all number
    4
    Hypokaliemia
         subjects affected / exposed
    8 / 65 (12.31%)
         occurrences all number
    8
    Hyponatremia
         subjects affected / exposed
    4 / 65 (6.15%)
         occurrences all number
    4

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/30343254
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