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    Clinical Trial Results:
    A randomized investigation of side effects to FOLFOXIRI in combination with tocotrienol or placebo as first line treatment of metastatic colorectal cancer.

    Summary
    EudraCT number
    2015-004850-17
    Trial protocol
    DK  
    Global end of trial date
    27 Mar 2024

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

    Trial information

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    Trial identification
    Sponsor protocol code
    FOLFOXIRI-Toco
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02705300
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Vejle Hospital
    Sponsor organisation address
    Beriderbakken 4, Vejle, Denmark, 7100
    Public contact
    Clinical Trial Unit, Vejle Hospital, kfe.onko@rsyd.dk
    Scientific contact
    Clinical Trial Unit, Vejle Hospital, 45 79406038, kfe.onko@rsyd.dk
    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
    15 Aug 2024
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    27 Mar 2024
    Global end of trial reached?
    Yes
    Global end of trial date
    27 Mar 2024
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To investigate toxicity of FOLFOXIRI in combination with tocotrienol or placebo as first line treatment of metastatic colorectal cancer
    Protection of trial subjects
    Antiemetics and other supportive treatment as necessary.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    06 May 2016
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Denmark: 70
    Worldwide total number of subjects
    70
    EEA total number of subjects
    70
    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)
    43
    From 65 to 84 years
    27
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Recruitment between May 2016 and December 2018.

    Pre-assignment
    Screening details
    Patients referred for first line treatment of metastatic colorectal cancer

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Arm A, tocotrienol
    Arm description
    FOLFOXIRI + tocotrienol
    Arm type
    Experimental

    Investigational medicinal product name
    Tocotrienol
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, soft
    Routes of administration
    Oral use
    Dosage and administration details
    300 mg x 3 daily

    Arm title
    Arm B, placebo
    Arm description
    FOLFOXIRI + placebo
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, soft
    Routes of administration
    Oral use
    Dosage and administration details
    300 mg x 3 daily

    Number of subjects in period 1
    Arm A, tocotrienol Arm B, placebo
    Started
    36
    34
    Completed
    36
    34

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall trial
    Reporting group description
    -

    Reporting group values
    Overall trial Total
    Number of subjects
    70 70
    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)
    43 43
        From 65-84 years
    27 27
        85 years and over
    0 0
    Age continuous
    Units: years
        median (full range (min-max))
    64 (40 to 75) -
    Gender categorical
    Units: Subjects
        Female
    27 27
        Male
    43 43

    End points

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    End points reporting groups
    Reporting group title
    Arm A, tocotrienol
    Reporting group description
    FOLFOXIRI + tocotrienol

    Reporting group title
    Arm B, placebo
    Reporting group description
    FOLFOXIRI + placebo

    Primary: Time to first serious adverse event

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    End point title
    Time to first serious adverse event
    End point description
    End point type
    Primary
    End point timeframe
    From date of first treatment to first hospital admission
    End point values
    Arm A, tocotrienol Arm B, placebo
    Number of subjects analysed
    36
    34
    Units: Months
        median (confidence interval 99%)
    10 (1.87 to 99)
    3.7 (1.93 to 99)
    Statistical analysis title
    Randomized phase II screening trial statistics
    Comparison groups
    Arm A, tocotrienol v Arm B, placebo
    Number of subjects included in analysis
    70
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.05
    Method
    Fisher exact
    Confidence interval

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Every two weeks
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    CTCAE
    Dictionary version
    4
    Reporting groups
    Reporting group title
    Toxicity
    Reporting group description
    -

    Serious adverse events
    Toxicity
    Total subjects affected by serious adverse events
         subjects affected / exposed
    54 / 70 (77.14%)
         number of deaths (all causes)
    62
         number of deaths resulting from adverse events
    1
    Cardiac disorders
    Acute coronary syndrome
         subjects affected / exposed
    2 / 70 (2.86%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Cardiac arrest
         subjects affected / exposed
    2 / 70 (2.86%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    1 / 2
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    1 / 70 (1.43%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Pain
         subjects affected / exposed
    2 / 70 (2.86%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Fatique
         subjects affected / exposed
    3 / 70 (4.29%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Anemia
         subjects affected / exposed
    6 / 70 (8.57%)
         occurrences causally related to treatment / all
    0 / 10
         deaths causally related to treatment / all
    0 / 0
    Febrile neutropenia
         subjects affected / exposed
    8 / 70 (11.43%)
         occurrences causally related to treatment / all
    0 / 8
         deaths causally related to treatment / all
    0 / 0
    Neutropenia
         subjects affected / exposed
    36 / 70 (51.43%)
         occurrences causally related to treatment / all
    0 / 36
         deaths causally related to treatment / all
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    2 / 70 (2.86%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    2 / 70 (2.86%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Vomiting
         subjects affected / exposed
    2 / 70 (2.86%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Diarrea
         subjects affected / exposed
    4 / 70 (5.71%)
         occurrences causally related to treatment / all
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    Ileus
         subjects affected / exposed
    2 / 70 (2.86%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnea
         subjects affected / exposed
    1 / 70 (1.43%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pulmonary embolus
         subjects affected / exposed
    1 / 70 (1.43%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Infection
         subjects affected / exposed
    11 / 70 (15.71%)
         occurrences causally related to treatment / all
    0 / 24
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    2 / 70 (2.86%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Toxicity
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    70 / 70 (100.00%)
    Vascular disorders
    Thrombocytopenia
         subjects affected / exposed
    34 / 70 (48.57%)
         occurrences all number
    102
    Nervous system disorders
    Sensory neuropathy
         subjects affected / exposed
    65 / 70 (92.86%)
         occurrences all number
    216
    Motor neuropathy
         subjects affected / exposed
    19 / 70 (27.14%)
         occurrences all number
    29
    General disorders and administration site conditions
    Pain
         subjects affected / exposed
    43 / 70 (61.43%)
         occurrences all number
    73
    Fatique
         subjects affected / exposed
    60 / 70 (85.71%)
         occurrences all number
    272
    Blood and lymphatic system disorders
    Anemia
         subjects affected / exposed
    57 / 70 (81.43%)
         occurrences all number
    192
    Neutropenia
         subjects affected / exposed
    13 / 70 (18.57%)
         occurrences all number
    54
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    52 / 70 (74.29%)
         occurrences all number
    168
    Vomiting
         subjects affected / exposed
    34 / 70 (48.57%)
         occurrences all number
    82
    Stomatitis
         subjects affected / exposed
    37 / 70 (52.86%)
         occurrences all number
    102
    Constipation
         subjects affected / exposed
    34 / 70 (48.57%)
         occurrences all number
    72
    Diarrea
         subjects affected / exposed
    50 / 70 (71.43%)
         occurrences all number
    132
    Skin and subcutaneous tissue disorders
    PPE
         subjects affected / exposed
    13 / 70 (18.57%)
         occurrences all number
    33

    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
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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