Clinical trial • Phase III • Oncology|Gastroenterology

CAPECITABINE for Colon adenocarcinoma|Upper rectal adenocarcinoma

Phase III trial of CAPECITABINE for Colon adenocarcinoma|Upper rectal adenocarcinoma. Randomised. 973 participants.

Overview

Trial Therapeutic Area
Oncology|Gastroenterology
Trial Disease
Colon adenocarcinoma|Upper rectal adenocarcinoma
Trial Stage
Phase III
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
16-10-2024
First CTIS Authorization Date
17-01-2025

Trial design

Randomised Phase III trial in Belgium, France.

Randomised
Yes
Target Sample Size
973
Trial Duration For Participant
1095

Eligibility

Recruits 973 No vulnerable population selected (isVulnerablePopulationSelected=false). Informed consent(s) signed required; subject information and informed consent forms are provided (multiple language versions available in the documents list)..

Vulnerable Population
No vulnerable population selected (isVulnerablePopulationSelected=false). Informed consent(s) signed required; subject information and informed consent forms are provided (multiple language versions available in the documents list).

Inclusion criteria

  • {"criterion_text":"- Age ≥ 70"}
  • {"criterion_text":"- Effective contraception for male patients throughout the treatment and at least 6 months after stopping the oxaliplatin treatment"}
  • {"criterion_text":"- Informed consent(s) signed"}
  • {"criterion_text":"- Patient deemed fit by the MCM to receive chemotherapy"}
  • {"criterion_text":"- Lee’s score (Appendix 1) examined and faxed to the RMAC"}
  • {"criterion_text":"- Stage III upper rectal or colon adenocarcinoma"}
  • {"criterion_text":"- Resection R0 of the primary tumour"}
  • {"criterion_text":"- Start of the adjuvant chemotherapy possible within 12 weeks after the surgery"}
  • {"criterion_text":"- No prior chemotherapy for colon cancer"}
  • {"criterion_text":"- Initial geriatric “patient” self-questionnaire completed and faxed to the RMAC (Appendix 2)"}
  • {"criterion_text":"- Initial geriatric “team” questionnaire completed and faxed to the RMAC (Appendix 3)"}

Exclusion criteria

  • {"criterion_text":"- Another progressive malignant tumour (cancer not stabilised since less than 2 years)"}
  • {"criterion_text":"- Rectal cancer (localised at less than 10 cm from the anal margin by endoscopy or sub-peritoneal)"}
  • {"criterion_text":"- PMNs < 2,000/mm3 for group 1 and PMNs < 1,500/mm3 for group 2, platelets < 100,000/mm3 or haemoglobin < 9 g/dL"}
  • {"criterion_text":"- Neuropathy for the patients from group 1"}
  • {"criterion_text":"- Known total or partial dihydropyrimidine dehydrogenase (DPD) deficiency"}
  • {"criterion_text":"- Patient with severe liver insufficiency"}
  • {"criterion_text":"- Any contra-indication to the medicinal products used in the study (refer to the updated versions of the SPCs of the products used, in Appendix 8)"}
  • {"criterion_text":"- Impossibility to undergo the trial's medical follow-up for geographical, social, or psychological reasons"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary endpoint is relapse-free survival (RFS). It is defined as the time limit between the randomisation date and the date of the first recurrence (local or remote) or the date of death, regardless of the cause. All second cancers, colon or not, shall not be taken into account. The living patients without recurrence shall be censored at the date of their last assessment.","definition_or_measurement_approach":"It is defined as the time limit between the randomisation date and the date of the first recurrence (local or remote) or the date of death, regardless of the cause. All second cancers, colon or not, shall not be taken into account. The living patients without recurrence shall be censored at the date of their last assessment."}

Secondary endpoints

  • {"endpoint_text":"- The dose intensity","definition_or_measurement_approach":""}
  • {"endpoint_text":"- The overall tolerance to the treatments","definition_or_measurement_approach":""}
  • {"endpoint_text":"- The time to recurrence","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Overall survival","definition_or_measurement_approach":""}
  • {"endpoint_text":"- The time to decrease in autonomy","definition_or_measurement_approach":""}
  • {"endpoint_text":"- The time to decrease in the quality of life","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
973
Recruitment Window Months
127
Consent Approach
Informed consent(s) signed required. Subject information and informed consent forms are provided (documents include L1_SIS and ICF BEL FR/EN/DU clinical Groupe 1 and Groupe 2, L1_SIS and ICF France FR clinical Groupe 1 and Groupe 2, and biological study ICFs). Languages available include French, English and Dutch (Belgium forms include FR/EN/DU; France forms in French). Consent is provided by the participant (patients aged ≥70); no assent process described.

Geography

Total Number Of Participants
973

Belgium

Earliest CTIS Part Ii Submission Date
06-11-2024
Latest Decision Or Authorization Date
17-01-2025
Processing Time Days
72
Number Of Sites
1
Number Of Participants
29

Sites

Site Name
Cliniques Saint Luc
Department Name
oncology
Contact Person Name
Marc Van den Eynde
Contact Person Email
marc.vandeneynde@uclouvain.be

France

Earliest CTIS Part Ii Submission Date
06-11-2024
Latest Decision Or Authorization Date
29-01-2026
Processing Time Days
449
Number Of Participants
944

Sponsor

Primary sponsor

Full Name
Fondation Franc.Cancerologie Digestive
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Third parties

  • {"country":"France","full_name":"CRB EPIGENETEC","duties_or_roles":"sample archiving","organisation_type":"Health care"}

Investigational products

Investigational Product Name
Xeloda 150 mg film-coated tablets
Active Substance
CAPECITABINE
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
Authorised (marketing authorisation number: EU/1/00/163/001)
Maximum Dose
1000 mg/m2
Investigational Product Name
ELOXATINE 5 mg/ml, solution à diluer pour perfusion
Active Substance
OXALIPLATIN
Modality
Small molecule
Routes Of Administration
INTRAVENOUS INFUSION
Route
INTRAVENOUS INFUSION
Authorisation Status
Authorised (marketing authorisation number: 34009 565 984 4 1)
Maximum Dose
85 mg/m2
Investigational Product Name
Folinic acid (as calcium folinate) 10 mg/ml solution for injection/infusion
Active Substance
FOLINIC ACID
Modality
Small molecule
Routes Of Administration
INTRAVENOUS PERFUSION USE
Route
INTRAVENOUS PERFUSION
Authorisation Status
Authorised (marketing authorisation number: PA2165/024/001)
Maximum Dose
400 mg/m2
Investigational Product Name
ELVORINE 100 mg/10 mL, solution injectable
Active Substance
LEVOLEUCOVORIN
Modality
Small molecule
Routes Of Administration
INTRAVENOUS PERFUSION USE
Route
INTRAVENOUS PERFUSION
Authorisation Status
Authorised (marketing authorisation number: 34009 348 990 6 5)
Maximum Dose
85 mg/m2
Investigational Product Name
FLUOROURACILE TEVA 1000 mg/20 ml, solution à diluer pour perfusion
Active Substance
FLUOROURACIL
Modality
Small molecule
Routes Of Administration
INTRAVENOUS PERFUSION USE
Route
INTRAVENOUS PERFUSION
Authorisation Status
Authorised (marketing authorisation number: NL22259)
Maximum Dose
400 mg/m2
Combination Treatment
Yes

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