Clinical trial • Phase II • Oncology

Irinotecan hydrochloride trihydrate for Unresectable peritoneal metastases of colorectal cancer

Phase II trial of Irinotecan hydrochloride trihydrate for Unresectable peritoneal metastases of colorectal cancer. 85 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Unresectable peritoneal metastases of colorectal cancer
Trial Stage
Phase II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
08-08-2024
First CTIS Authorization Date
03-09-2024

Trial design

Phase II trial across 3 sites in Netherlands.

Target Sample Size
85

Eligibility

Recruits 85 No vulnerable populations selected. Participants must be adults (aged 18 years or older). Written informed consent is required from participants. No assent procedures or special consent handling for minors/vulnerable groups are described..

Vulnerable Population
No vulnerable populations selected. Participants must be adults (aged 18 years or older). Written informed consent is required from participants. No assent procedures or special consent handling for minors/vulnerable groups are described.

Inclusion criteria

  • {"criterion_text":"- Histologically confirmed colorectal cancer;\n- Radiologically and clinically or pathologically confirmed unresectable colorectal peritoneal metastases (e.g. PCI >20, extensive small bowel involvement, unresectable disease due to anatomical location);\n- WHO performance score of 0-1 with a life expectancy of >3 months;\n- Aged 18 years or older;\n- Written informed consent."}

Exclusion criteria

  • {"criterion_text":"- Presence of extensive systemic metastases that are deemed to be the dominant factor determining prognosis in terms of life expectancy and performance status [e.g. no imminent threat of impaired organ functioning due to the presence of systemic metastases]);\n- Prior cytoreductive surgery;\n- Prior palliative systemic therapy for colorectal cancer;\n- Prior neo-adjuvant/adjuvant systemic therapy for colorectal cancer within the last 6 months;\n- Homozygous UGT1A1*28 genotype;\n- Homozygous dihydropyrimidine dehydrogenase (DPD) deficiency;\n- Microsatellite instable (MSI) primary tumor;\n- Inadequate organ functions, defined as an haemoglobin of <5 mmol/L, an absolute neutrophil count of <1.5 x 109/L, platelet count of <100 x 109/L, serum creatinine of >1.5 x ULN, creatinine clearance of <30 ml/min, Bilirubin > 2x ULN and liver transaminases of >5 x ULN."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- To determine the anti-tumor activity in patients treated with intraperitoneal irinotecan (75 mg) and concomitant palliative systemic therapy, in terms of overall survival (calculated from (a) the interval from diagnosis of peritoneal metastases until death or last follow-up; (b) the interval from the first day of the first cycle until death or last follow-up).","definition_or_measurement_approach":"Overall survival, calculated from (a) interval from diagnosis of peritoneal metastases until death or last follow-up; and (b) interval from the first day of the first cycle until death or last follow-up."}

Recruitment

Planned Sample Size
85
Recruitment Window Months
32
Consent Approach
Written informed consent required from participants. Participants are adults (18 years or older). Subject information and informed consent form document listed (L1_PIF_IC_2024-517152-34).

Geography

Total Number Of Sites
3
Total Number Of Participants
85

Netherlands

Earliest CTIS Part Ii Submission Date
02-09-2024
Latest Decision Or Authorization Date
03-09-2024
Processing Time Days
1
Number Of Sites
3
Number Of Participants
85

Sites

Site Name
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Department Name
Medical Oncology
Contact Person Name
Karen Bolhuis
Contact Person Email
k.bolhuis@nki.nl
Site Name
Catharina Ziekenhuis Stichting
Department Name
Surgery
Contact Person Name
Jacobus (Pim) Burger
Site Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Department Name
Medical Oncology
Contact Person Name
Ron Mathijssen
Contact Person Email
a.mathijssen@erasmusmc.nl

Sponsor

Primary sponsor

Full Name
Catharina Ziekenhuis Stichting
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
Irinotecan Hydrochloride 20 mg/ml concentrate for solution for infusion
Active Substance
Irinotecan hydrochloride trihydrate
Modality
Small molecule
Routes Of Administration
Intraperitoneal
Route
Intraperitoneal
Authorisation Status
Marketing authorisation present (PL 56284/0010)
Starting Dose
75 mg
Dose Levels
75 mg
Maximum Dose
900 mg (maximum total)
Combination Treatment
Yes

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