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
- Contact Person Email
- pim.burger@catharinaziekenhuis.nl
- 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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