Clinical trial • Phase II • Oncology

TOCOTRIENOL for Metastatic colorectal cancer

Phase II trial of TOCOTRIENOL for Metastatic colorectal cancer.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Metastatic colorectal cancer
Trial Stage
Phase II
Drug Modality
Small molecule|Monoclonal antibody

Key dates

Initial CTIS Submission Date
17-09-2024
First CTIS Authorization Date
27-09-2024

Trial design

Randomised, standard chemotherapy (folfox or capecitabine) plus bevacizumab versus the same regimen supplemented with tocotrienol; specific drug doses and schedules not specified in the record.-controlled Phase II trial across 1 site in Denmark.

Randomised
Yes
Comparator
Standard chemotherapy (FOLFOX or capecitabine) plus bevacizumab versus the same regimen supplemented with tocotrienol; specific drug doses and schedules not specified in the record.
Target Sample Size
74

Eligibility

Recruits 74 isVulnerablePopulationSelected: true; participants must be age ≥ 18 years; 'Written and orally informed consent' is required. No details on assent or proxy consent are provided..

Pregnancy Exclusion
Pregnant or breastfeeding women
Vulnerable Population
isVulnerablePopulationSelected: true; participants must be age ≥ 18 years; 'Written and orally informed consent' is required. No details on assent or proxy consent are provided.

Inclusion criteria

  • {"criterion_text":"- Histopathologically verified adenocarcinoma of the colon or rectum\n- Metastatic disease\n- Planned treatment with FOLFOX or capecitabine combined with bevacizumab\n- Evaluable disease according to RECIST 1.1\n- Performance status 0-2\n- Expected survival ≥ 3 months\n- Patient acceptance to collection of blood samples for translational research\n- Age ≥ 18 years\n- Contraception during and 6 months after last dose for women of childbearing potential (less than one year amenorrhea and not undergone hysterectomy, bilateral salpingectomy or bilateral oophorectomy) and for male patients with a fertile partner. Hormonal contraception, intrauterine device, intrauterine hormone-releasing system, bilateral tubal occlusion, vasectomized partner, or sexual abstinence is accepted.\n- Adequate bone marrow function, liver function, and renal function (within 7 days prior to inclusion):\n - WBC ≥ 3.0 x 109/l or neutrophils (ANC) ≥ 1.5 x 109/l\n - Platelet count ≥ 100 x 109/l\n - Hemoglobin ≥ 6.0 mmol/l\n - Serum bilirubin ≤ 2.0 x ULN\n - Serum transaminase ≤ 2.5 x ULN\n - Serum creatinine ≤ 1.5 ULN\n- Urine dipstick for protein ≤ 2+, if the dipstick shows protein ≥ 2+, 24 hour urine testing must be performed and show protein contents ≤ 1g.\n- Written and orally informed consent"}

Exclusion criteria

  • {"criterion_text":"- Other active malignant disease within 5 years prior to inclusion in the study.\n- Other experimental therapy within 28 days prior to treatment initiation.\n- Underlying medical disease not adequately treated.\n- Surgery, including open biopsy, within 4 weeks prior to first dose of bevacizumab.\n- Cerebral vascular attack, transient ischemic attack or subarachnoid hemorrhage within six months before start of treatment\n- Bleeding tumor\n- Pregnant or breastfeeding women\n- Fertile patients not willing to use effective methods of contraception during treatment and for six months after end of treatment.\n- Hypersensitivity to one or more active substances or auxiliary substances"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The rate of progression free patients at six months.","definition_or_measurement_approach":"Proportion (rate) of patients who are progression-free at six months (no further definition provided in the record)."}

Recruitment

Planned Sample Size
74
Recruitment Window Months
94
Consent Approach
Written and orally informed consent is required. Participants must be ≥18 years and provide consent themselves. Subject information and informed consent form document (L1_SIS and ICF all) is listed; no languages or additional consent/assent details provided.

Geography

Total Number Of Sites
1
Total Number Of Participants
74

Denmark

Earliest CTIS Part Ii Submission Date
07-08-2024
Latest Decision Or Authorization Date
27-09-2024
Processing Time Days
51
Number Of Sites
1
Number Of Participants
74

Sites

Site Name
Lillebaelt Hospital
Department Name
Department of Oncology
Principal Investigator Name
Torben Frøstrup Hansen
Principal Investigator Email
torben.hansen@rsyd.dk
Contact Person Name
Torben Frøstrup Hansen
Contact Person Email
torben.hansen@rsyd.dk
Number Of Participants
74

Sponsor

Primary sponsor

Full Name
Lillebaelt Hospital
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Denmark

Third parties

  • {"country":"Denmark","full_name":"Odense University Hospital","duties_or_roles":"sponsorDuties codes: 1, 7, 8","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
TOCOTRIENOL
Active Substance
TOCOTRIENOL
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Maximum Dose
900 mg
Investigational Product Name
OXALIPLATIN
Active Substance
OXALIPLATIN
Modality
Small molecule
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Maximum Dose
85 mg/m2
Investigational Product Name
PLACEBO
Active Substance
PLACEBO
Modality
Other
Routes Of Administration
ORAL
Route
ORAL
Maximum Dose
0 mg
Investigational Product Name
CAPECITABINE
Active Substance
CAPECITABINE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Maximum Dose
2000 mg/m2
Investigational Product Name
CALCIUM FOLINATE
Active Substance
CALCIUM FOLINATE
Modality
Small molecule
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Maximum Dose
400 mg/m2
Investigational Product Name
FLUOROURACIL
Active Substance
FLUOROURACIL
Modality
Small molecule
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Maximum Dose
2800 mg/m2
Investigational Product Name
BEVACIZUMAB
Active Substance
BEVACIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Maximum Dose
7.5 mg/Kg
Combination Treatment
Yes

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