Evaluation of the Efficacy of Xaliproden (SR57746A) in Preventing the Neurotoxicity of Oxaliplatin / 5FU/LV Chemotherapy.
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Purpose
Primary Objective : Compare the risk of occurrence of Grade3-4 cumulative peripheral sensory neuropathy (PSN) relative to cumulative dose of oxaliplatin between treatment group and placebo group.
Main Secondary Objective : Compare the response rate (RR) between treatment group and placebo group in order to ensure that the efficacy of the chemotherapy is not compromised by the addition of xaliproden to the chemotherapeutic regimen.
Other Secondary Objectives : study of the neurotoxicity parameters (Duration of oxaliplatin-induced PSN (G2,3,4); overall incidence of PSN during treatment; dose of onset of PSN ; incidence of dose-reduction and dose delay due to PSN; incidence of oxaliplatin treatment discontinuation due to PSN; change in Nerve Conduction Studies (NCS)) ; study of the safety profile (other than PSN) ; study of the chemotherapy efficacy (progression free survival, overall survival).
| Condition | Intervention | Phase |
|---|---|---|
|
Metastases Colorectal Neoplasms Colorectal Carcinoma |
Drug: xaliproden (SR57746A) Drug: Placebo Drug: oxaliplatin |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Prevention |
| Official Title: | A Multicenter, Randomized Double-blind Placebo Controlled Phase III Study of the Efficacy of Xaliproden in Preventing the Neurotoxicity of Oxaliplatin in First-line Treatment of Patients With Metastatic Colorectal Cancer Treated With Oxaliplatin / 5-FU/LV |
- Clinical evaluation of peripheral sensory neuropathy using the Oxaliplatin specific scale for dose adjustment [ Time Frame: Q2W during treatment, Q4W to Q12W during post-treatment follow-up ] [ Designated as safety issue: No ]
- Main: response rate using RECIST criteria [ Time Frame: Q8W ] [ Designated as safety issue: No ]
- Other: nerve conduction studies [ Time Frame: baseline, end of treatment with oxaliplatin, end of treatment with study drug ] [ Designated as safety issue: No ]
- Other: progression free survival and survival [ Time Frame: Q8W and study period ] [ Designated as safety issue: No ]
| Enrollment: | 879 |
| Study Start Date: | December 2005 |
| Study Completion Date: | October 2009 |
| Primary Completion Date: | October 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1 |
Drug: xaliproden (SR57746A)
oral administration
Drug: oxaliplatin
in combination with 5-Fluorouracil and Leucovorin
|
| Placebo Comparator: 2 |
Drug: Placebo
oral administration
Drug: oxaliplatin
in combination with 5-Fluorouracil and Leucovorin
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Main inclusion criteria :
- Histologically or cytologically-proven metastatic cancer of the colon or rectum.
- Metastatic disease not amenable to potentially curative treatment (eg: inoperable metastatic disease).
- Male or female aged >18 years.
- WHO Performance Status (PS) : 0 or 1.
- Measurable disease.
- No prior chemotherapeutic regimen for metastatic disease.
- Disease-free interval from end of adjuvant therapy of at least 6 months (1 year if oxaliplatin was part of the adjuvant therapy).
- Prior radiotherapy is permitted if it was not administered to target lesions identified for this study - unless progression within the radiation portal is documented - and provided it has been completed at least 3 weeks before randomization.
- Signed written informed consent prior to study entry.
Exclusion Criteria:
Main exclusion criteria :
- Any condition or past medical history that contra-indicates treatment with oxaliplatin and 5-FU, as reported in approved labeling information.
- Received chemotherapeutic agents other than 5-FU, LV, Levamisole, irinotecan, capecitabine, oxaliplatin as part of adjuvant therapy.
- Peripheral neuropathy >Grade 1.
- Concomitant treatments with drugs/ingredients reported to have a potential activity in preventing peripheral sensory neuropathy.
- Concurrent active cancer originating from a primary site other than colon or rectum.
- Presence of any symptom suggesting brain metastasis.
Contacts and Locations| United States, New Jersey | |
| Sanofi-Aventis Administrative Office | |
| Bridgewater, New Jersey, United States, 08807 | |
| Argentina | |
| Sanofi-Aventis Administrative Office | |
| Buenos Aires, Argentina | |
| Australia | |
| Sanofi-Aventis Administrative Office | |
| Macquarie Park, Australia | |
| Brazil | |
| Sanofi-Aventis Administrative Office | |
| Sao Paulo, Brazil | |
| Canada | |
| Sanofi-Aventis Administrative Office | |
| Laval, Canada | |
| Chile | |
| Sanofi-Aventis Administrative Office | |
| Santiago, Chile | |
| Germany | |
| Sanofi-Aventis Administrative Office | |
| Berlin, Germany | |
| Hungary | |
| Sanofi-Aventis Administrative Office | |
| Budapest, Hungary | |
| Italy | |
| Sanofi-Aventis Administrative Office | |
| Milano, Italy | |
| Poland | |
| Sanofi-Aventis Administrative Office | |
| Warszawa, Poland | |
| Portugal | |
| Sanofi-Aventis Administrative Office | |
| Porto Salvo, Portugal | |
| Spain | |
| Sanofi-Aventis Administrative Office | |
| Barcelona, Spain | |
| United Kingdom | |
| Sanofi-Aventis Administrative Office | |
| Guildford Surrey, United Kingdom | |
| Study Director: | Clinical Sciences & Operations | Sanofi |
More Information
No publications provided
| Responsible Party: | Trial Transparency Team, sanofi-aventis |
| ClinicalTrials.gov Identifier: | NCT00305188 History of Changes |
| Other Study ID Numbers: | EFC5505, EUDRACT : 2005-002570-30 |
| Study First Received: | March 20, 2006 |
| Last Updated: | December 16, 2010 |
| Health Authority: | United States: Food and Drug Administration United Kingdom: National Health Service |
Keywords provided by Sanofi:
|
Neurotoxicity syndromes Paresthesia Oxaliplatin Xaliproden |
Additional relevant MeSH terms:
|
Neoplasms Carcinoma Colorectal Neoplasms Neoplasm Metastasis Neurotoxicity Syndromes Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Digestive System Diseases Gastrointestinal Diseases |
Colonic Diseases Intestinal Diseases Rectal Diseases Neoplastic Processes Pathologic Processes Nervous System Diseases Poisoning Substance-Related Disorders Oxaliplatin Antineoplastic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 23, 2013