Study of Skin Toxicity of Cetuximab: Find a Link Between Skin Inflammation and Tumor Response
Recruitment status was Recruiting
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Purpose
Colon cancer is one of the most common cancers in France with more than 36,000 new cases per year. Despite significant advances in therapeutic care, the prognosis of colon cancers with metastases remains bad. The treatment of metastatic disease is based on chemotherapy coupled with therapeutic antibodies. The most commonly used are anti-EGFR (Epidermal Growth Factor Receptor), which allowed a significant increase in patient survival. They are responsible for skin toxicity in the form of an acneiform rash which can be debilitating for patients and require discontinuation of treatment. However, this toxicity is strongly correlated with treatment efficacy. Understanding the mechanisms of cutaneous side effects of anti-EGFR is therefore a major challenge to treat and better understand the association with treatment efficacy.
The objective of this study is to investigate a link between cutaneous inflammatory response in patients treated with anti-EGFR, serum level of anti-EGFR and treatment efficacy. It will be conducted systematic consultations dermatology, skin biopsies and blood samples in patients treated with anti-EGFR. From biopsies, it will be searched by an infiltration of inflammatory cells and expression of genes involved in skin inflammation.
| Condition | Intervention | Phase |
|---|---|---|
|
Metastatic Colon Cancer |
Drug: cetuximab |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Pharmacokinetics Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
- Main criteria is the variation of skin pro-inflammatory cytokines in pre and post-therapeutic punch skin biopsies [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 30 |
| Study Start Date: | December 2010 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: cetuximab | Drug: cetuximab |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients older than 18 years
- Patient with histologically proven metastatic colorectal cancer with KRAS wild-type
- Treatment with cetuximab in first line chemotherapy combined with FOLFOX or FOLFIRI
- Patient has signed informed consent
- Patient affiliated to the Social Security
- Prescription of cetuximab in agreement with the Summary of Product Characteristics
Exclusion Criteria:
- Patients aged under 18
- Patients taking immunosuppressive therapy
- Patient having a severe skin disease
- No measurable metastasis
- Patients with a contra-indication of cetuximab: hypersensitivity to cetuximab or to any excipients
- Severe alteration of respiratory or cardiac function or severe coronary disease
- Patients with contra-indication to chemotherapy FOLFOX and FOLFIRI
- Participation in another research protocol
- Patients not affiliated to the Social Security
- Hospitalized patients without consent
- Pregnant or nursing women, women of childbearing age with no effective contraception
Contacts and Locations| Contact: David TOUGERON, MD | • + (33) 5.49.44.37.51 | david.tougeron@chu-poitiers.fr |
| France | |
| Chu de Poitiers | Recruiting |
| Poitiers, France, 86021 | |
| Principal Investigator: David TOUGERON, MD | |
More Information
No publications provided
| Responsible Party: | Docteur David TOUGERON, CHU DE POITIERS |
| ClinicalTrials.gov Identifier: | NCT01292356 History of Changes |
| Other Study ID Numbers: | CUTACETUX 2010-0198378-85 |
| Study First Received: | February 7, 2011 |
| Last Updated: | July 9, 2012 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Additional relevant MeSH terms:
|
Colonic Neoplasms Colorectal Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Neoplasms Digestive System Diseases |
Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Cetuximab Antineoplastic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013