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| Study Type: | Interventional |
|---|---|
| Study Design: | Non-Randomized, Open Label, Uncontrolled, Single Group Assignment |
| Conditions: |
Colorectal Neoplasms Metastases Neoplasm |
| Intervention: |
Biological: cetuximab |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
|---|
| A total of 87 patients were enrolled between 22 Oct 2004 and 20 Aug 2007 at nine sites in the USA and four sites in Canada. |
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
|---|
| No text entered. |
| Description | |
|---|---|
| Cetuximab | Initial dose of 400 mg/m2 i.v. over 120 minutes, followed by 250 mg/m2 weekly i.v. over 60 minutes |
| Cetuximab | |
|---|---|
| STARTED | 85[1] |
| COMPLETED | 85[2] |
| NOT COMPLETED | 0 |
| [1] | Patients analyzed for efficacy who met the epidermal growth factor receptor (EGFR) negative criteria |
|---|---|
| [2] | Two patients died prior to receiving cetuximab. |
Baseline Characteristics
| Description | |
|---|---|
| Cetuximab | Initial dose of 400 mg/m2 i.v. over 120 minutes, followed by 250 mg/m2 weekly i.v. over 60 minutes |
| Cetuximab | |
|---|---|
|
Number of Participants [units: participants] |
85 |
|
Age [units: participants] |
|
| <=18 years | 0 |
| Between 18 and 65 years | 42 |
| >=65 years | 43 |
|
Age [units: years] Mean ± Standard Deviation |
64.2 ± 11.41 |
|
Gender [units: participants] |
|
| Female | 26 |
| Male | 59 |
|
Region of Enrollment [units: participants] |
|
| United States | 20 |
| Canada | 65 |
Outcome Measures
| 1. Primary: | Percentage of Participants With an Overall Resonse |
| Measure Type | Primary |
|---|---|
| Measure Title | Percentage of Participants With an Overall Resonse |
| Measure Description | Determine the response rate (complete response [CR] and partial response [PR]) in patients with epidermal growth factor receptor (EGFR)-negative metastatic colorectal carcinoma treated with cetuximab, as classified by the investigator according to the World Health Organization (WHO) criteria. The calculation was the total number of patients with CR or PR divided by the total number of patients treated. |
| Time Frame | Tumor evaluations were performed at a minimum every 6 weeks while on cetuximab therapy until progressive disease (PD) or recurrence. Patients with a PR or CR had a confirmatory tumor assessment no less than 4 weeks after the initial evaluation. |
| Safety Issue | No |
| Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate. |
|---|
| The overall response rate was calculated for the modified Intent to Treat (mITT) population. |
| Description | |
|---|---|
| Cetuximab | Initial dose of 400 mg/m2 i.v. over 120 minutes, followed by 250 mg/m2 weekly i.v. over 60 minutes |
| Cetuximab | |
|---|---|
|
Number of Participants Analyzed
[units: participants] |
85 |
|
Percentage of Participants With an Overall Resonse
[units: percentage of participants] Mean ( 95% Confidence Interval ) |
8.2 ( 3.4 to 16.2 ) |
| 2. Primary: | Number of Participants With Adverse Events |
| Measure Type | Primary |
|---|---|
| Measure Title | Number of Participants With Adverse Events |
| Measure Description | Reported adverse events (AEs) per patient were coded according to the corresponding preferred term and system organ class in the Medical Dictionary for Regulatory Activities dictionary. The National Cancer Insititute-Common Terminology Criteria for Adverse Events (NCI-CTCAE), Version 3.0 was used to grade all AEs. The collection of AEs began at the time the patient received the first cetuximab dose and continued during the study until 30 days after the last dose of cetuximab. All patients who were enrolled and treated with cetuximab were assessed for safety (mITT population, as treated). |
| Time Frame | An adverse event (AE) was included in the safety analysis if its onset date occurred anytime during cetuximab treatment or up to 30 days after the last dose of cetuximab. |
| Safety Issue | Yes |
| Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate. |
|---|
| Patients who were enrolled and treated with any quantity of cetuximab constitute the mITT population. Since this trial was a single arm trial, the mITT population used for the efficacy analyses was also used for the safety analyses. |
| Description | |
|---|---|
| Cetuximab | Initial dose of 400 mg/m2 i.v. over 120 minutes, followed by 250 mg/m2 weekly i.v. over 60 minutes |
| Cetuximab | |
|---|---|
|
Number of Participants Analyzed
[units: participants] |
85 |
|
Number of Participants With Adverse Events
[units: Participants] |
85 |
| 3. Primary: | Number of Participants With Serious Adverse Events |
| Measure Type | Primary |
|---|---|
| Measure Title | Number of Participants With Serious Adverse Events |
| Measure Description | Reported SAEs per patient were coded according to the corresponding preferred term and system organ class in the Medical Dictionary for Regulatory Activities. The NCI-CTCAE Version 3.0 was used to grade all SAEs. An SAE was any untoward medical occurrence that resulted in death, persistent/significant disability/incapacity, was life threatening, required inpatient hospitalization or caused prolongation of existing hospitalization,congenital anomaly/birth defect, or any important medical event. |
| Time Frame | A serious adverse event (SAE) was included in the safety analysis if its onset date occurred anytime during cetuximab treatment or up to 30 days after the last dose of cetuximab. |
| Safety Issue | Yes |
| Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate. |
|---|
| Patients who were enrolled and treated with any quantity of cetuximab constitute the mITT population. Since this trial was a single arm trial, the mITT population used for the efficacy analyses was also used for the safety analyses. |
| Description | |
|---|---|
| Cetuximab | Initial dose of 400 mg/m2 i.v. over 120 minutes, followed by 250 mg/m2 weekly i.v. over 60 minutes |
| Cetuximab | |
|---|---|
|
Number of Participants Analyzed
[units: participants] |
85 |
|
Number of Participants With Serious Adverse Events
[units: Participants] |
19 |
| 4. Secondary: | Percentage of Participants With Disease Control (CR, PR, or SD) |
| Measure Type | Secondary |
|---|---|
| Measure Title | Percentage of Participants With Disease Control (CR, PR, or SD) |
| Measure Description | This is the total number of patients with a best overall response of CR, PR, and stable disease (SD) divided by the total number of patients treated. |
| Time Frame | Tumor evaluations were performed at a minimum of every 6 weeks while on cetuximab therapy. Patients with a PR or CR had a confirmatory tumor assessment no less than 4 weeks after the initial evaluation demonstrating a response. |
| Safety Issue | No |
| Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate. |
|---|
| Disease control rate was the total number of patients with best overall response of CR, PR and SD divided by the total number of patients treated. |
| Description | |
|---|---|
| Cetuximab | Initial dose of 400 mg/m2 i.v. over 120 minutes, followed by 250 mg/m2 weekly i.v. over 60 minutes |
| Cetuximab | |
|---|---|
|
Number of Participants Analyzed
[units: participants] |
85 |
|
Percentage of Participants With Disease Control (CR, PR, or SD)
[units: Percentage of participants] Mean ( 95% Confidence Interval ) |
49.4 ( 38.4 to 60.5 ) |
| 5. Secondary: | Duration of Response |
| Measure Type | Secondary |
|---|---|
| Measure Title | Duration of Response |
| Measure Description | In patients with a best overall response of CR or PR, the duration of response is measured from the date criteria are first met for CR or PR, until the first date that Progressive Disease (PD) is objectively documented or death occurs. Duration of response of living patients with no evidence of PD was censored on the date of their last tumor assessment. |
| Time Frame | The duration of response was measured from the date of response to the first date of PD (range 2 to 7 months). |
| Safety Issue | No |
| Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate. |
|---|
| The duration of response was calculated for the subgroup of the mITT population who demonstrated a response. |
| Description | |
|---|---|
| Cetuximab | Initial dose of 400 mg/m2 i.v. over 120 minutes, followed by 250 mg/m2 weekly i.v. over 60 minutes |
| Cetuximab | |
|---|---|
|
Number of Participants Analyzed
[units: participants] |
7 |
|
Duration of Response
[units: Months] Median ( 95% Confidence Interval ) |
5.1 ( 2.7 to 6.9 ) |
| 6. Secondary: | Time to Progression |
| Measure Type | Secondary |
|---|---|
| Measure Title | Time to Progression |
| Measure Description | This measure was defined as the time from the first day of treatment until the date of PD. Deaths without objective progression were censored. Patients who did not progress were censored at their last day of tumor assessment. |
| Time Frame | Patients with PD after receiving at least one standard chemotherapeutic regimen that included a fluoropyrimidine (range: 1-3 months). |
| Safety Issue | No |
| Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate. |
|---|
| This measure was calculated for the mITT population. |
| Description | |
|---|---|
| Cetuximab | Initial dose of 400 mg/m2 i.v. over 120 minutes, followed by 250 mg/m2 weekly i.v. over 60 minutes |
| Cetuximab | |
|---|---|
|
Number of Participants Analyzed
[units: participants] |
85 |
|
Time to Progression
[units: Months] Median ( 95% Confidence Interval ) |
2.5 ( 1.3 to 2.8 ) |
| 7. Secondary: | Overall Survival |
| Measure Type | Secondary |
|---|---|
| Measure Title | Overall Survival |
| Measure Description | This measure is defined as the time from the first day of therapy to the date of death. Survival of living patients or those lost to follow-up were censored on the last date the patients were known to be alive. |
| Time Frame | Survival information was collected every 3 months after completion of therapy and/or follow-up up to 24 months. |
| Safety Issue | No |
| Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate. |
|---|
| Overall survival was calculated from the time of the first day of therapy to the date of death for the mITT population. |
| Description | |
|---|---|
| Cetuximab | Initial dose of 400 mg/m2 i.v. over 120 minutes, followed by 250 mg/m2 weekly i.v. over 60 minutes |
| Cetuximab | |
|---|---|
|
Number of Participants Analyzed
[units: participants] |
85 |
|
Overall Survival
[units: Months] Median ( 95% Confidence Interval ) |
10.0 ( 7.5 to 12.0 ) |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. | ||||||
| There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. | ||||||
The agreement is:
|
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
|---|
| No text entered. |
| Responsible Party: | ImClone LLC ( Eric Rowinsky/ Chief Medical Officer ) |
| Study ID Numbers: | CP02-0451 |
| Study First Received: | May 28, 2004 |
| Results First Received: | April 16, 2009 |
| Last Updated: | November 2, 2009 |
| ClinicalTrials.gov Identifier: | NCT00083720 History of Changes |
| Health Authority: | United States: Food and Drug Administration; Canada: Ethics Review Committee; Canada: Health Canada |