Phase 2b Study of VELCADE Alone and VELCADE Plus Irinotecan in Patients With Relapsed or Refractory Colorectal Carcinoma
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT00051987 |
Recruitment Status :
Completed
First Posted : January 22, 2003
Last Update Posted : February 11, 2008
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Condition or disease | Intervention/treatment | Phase |
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Colorectal Carcinoma | Drug: VELCADE TM (bortezomib) for Injection, or PS-341 | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Enrollment : | 175 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Randomized, Multicenter, Open-Label, Phase 2b Study of VELCADE Alone and VELCADE Plus Irinotecan in Patients With Relapsed or Refractory Colorectal Carcinoma |
Study Start Date : | December 2002 |
Actual Primary Completion Date : | March 2004 |


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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria
- Patient has histologically confirmed inoperable locally advanced or metastatic CRC.
- Patient has measurable disease.
- Patient is not considered a candidate for immediate curative resection.
- Patient has received no more than 2 prior treatment regimens for metastatic disease, one of which must have contained irinotecan.
- Patient has relapsed or progressed while receiving an irinotecan-containing regimen.
- Patient has KPS of 70% or greater.
- Patient has a life expectancy greater than 3 months.
- Patient is 18 years of age or older.
- Female patient is postmenopausal, surgically sterilized, or willing to use an acceptable method of birth control (ie, a hormonal contraceptive, intrauterine device, diaphragm with spermicide, condom with spermicide, or abstinence) for the duration of the study.
- Male patient agrees to use an acceptable method of birth control for the duration of the study.
- Patient has given voluntary written informed consent before performance of any study-related procedure not part of normal medical care, with the understanding that consent may be withdrawn by the patient at any time without prejudice to his or her future medical care.
- Patient is, in the investigator's opinion, willing and able to comply with the protocol requirements.
Exclusion Criteria
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Patient has greater than or equal to Grade 2 neuropathy as defined by the NCI Common Toxicity Criteria (CTC):
- Grade 2: Objective sensory loss or paresthesia (including tingling), interfering with function, but not interfering with activities of daily living (ADL).
- Grade 3: Sensory loss or paresthesia interfering with ADL.
- Grade 4: Permanent sensory loss that interferes with function.
- Patient has previously received treatment with VELCADE.
- Patient has other malignancies except non-melanoma skin cancers and carcinoma of the cervix in situ.
- Patient has received chemotherapy within 4 weeks prior to enrollment.
- Patient has received radiation therapy within 4 weeks prior to enrollment.
- Patient has received monoclonal antibodies within 6 weeks prior to enrollment.
- Patient had major surgery within 4 weeks prior to enrollment.
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Patient has inadequate organ function at Baseline (ie, Day 1 of Cycle 1) as defined by the following laboratory values:
- Platelet count ≤ 100,000 x 109/L
- Hemoglobin ≤ 8.0 g/dL
- Absolute neutrophil count (ANC) ≤ 1.5 x 109/L
- Aspartate transaminase (AST) ≥ 3 times the upper limit of the normal range (ULN)
- Alanine transaminase (ALT) ≥ 3 times ULN
- Total bilirubin ≥ 1.5 times ULN, unless clearly related to the disease
- Calculated or measured creatinine clearance ≤ 60 mL/minute.
- Patient has had a myocardial infarction within 6 months of enrollment or has New York Hospital Association (NYHA) Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities. Prior to study entry, any electrocardiogram (ECG) abnormality at Screening has to be documented by the investigator as not medically relevant.
- Patient has symptomatic brain metastases.
- Patient has an active systemic infection requiring treatment.
- Patient has a history of inflammatory bowel disease.
- Patient has a history of allergic reaction attributable to compounds containing boron or mannitol.
- Patient previously required premature discontinuation of irinotecan therapy because of drug-related toxicity.
- Patient is known to be human immunodeficiency virus (HIV)-positive. Patients assessed by the investigator to be at risk for HIV infection should be tested in accordance with local regulations.
- Patient is known to be hepatitis B surface antigen-positive or has known active hepatitis C infection. Patients assessed by the investigator to be at risk for hepatitis B or C infection should be tested in accordance with local regulations.
- Patient has poorly controlled hypertension, diabetes mellitus, or another serious medical or psychiatric illness that could, in the investigator's opinion, potentially interfere with the completion of treatment according to this protocol.
- Female patient is pregnant or breast-feeding. Confirmation that the patient is not pregnant must be established by a negative serum β-human chorionic gonadotropin (β-hCG) pregnancy test result obtained during the Screening period. Pregnancy testing is not required for postmenopausal or surgically sterilized women.
- Patient currently is enrolled in another clinical research study or has received an investigational agent for any reason within 4 weeks of enrollment.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00051987

ClinicalTrials.gov Identifier: | NCT00051987 |
Other Study ID Numbers: |
M34102-049 |
First Posted: | January 22, 2003 Key Record Dates |
Last Update Posted: | February 11, 2008 |
Last Verified: | February 2008 |
Carcinoma Colorectal Neoplasms Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms |
Neoplasms by Site Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Rectal Diseases Bortezomib Antineoplastic Agents |