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Study of the Antitumor Activity of Capecitabine in Combination With Erlotinib in Patients With Metastatic Colorectal Cancer

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. Identifier: NCT00459901
Recruitment Status : Terminated (Study halted by drug manufacturer)
First Posted : April 13, 2007
Last Update Posted : April 29, 2015
Hoffmann-La Roche
Genentech, Inc.
Information provided by (Responsible Party):
Peter Kozuch, Beth Israel Medical Center

Brief Summary:
To document the antitumor activity of capecitabine in combination with erlotinib in patients with previously untreated metastatic colorectal cancer. Time to tumor progression, objective response rate, time to confirmed response rate, duration of confirmed response rate, time to treatment failure, and CEA response will be assessed.

Condition or disease Intervention/treatment Phase
Metastatic Colorectal Cancer Drug: Erlotinib and capecitabine Phase 2

Detailed Description:
Approximately 150,000 people are diagnosed with colorectal cancer in the United States each year. Forty to fifty thousand people eventually will develop metastatic colorectal cancer and 40,000 people die annually because of advanced or metastatic colorectal cancer. Cancer patients prefer oral therapy over intravenous therapy as palliative treatment if efficacy regarding response rate and response duration is not compromised. Therefore, development of a completely oral combination therapy that approximates or improves upon the clinical outcomes attained by the reference triple drug therapies should be a research priority. Compared with intravenous 5-fluourouracil/leucovorin as first-line treatment for metastatic colorectal cancer, oral capecitabine has demonstrated similar survival outcomes (approximately 12-13 months), response rates (15-20%), and response durations (4-5 months) in two multi-institutional international randomized phase III trials. Erlotinib (OSI-774, Tarceva) is an orally available inhibitor of human EGFR tyrosine kinase. The epidermal growth factor receptor (EGFR) is overexpressed in a variety of human cancers including colorectal cancer. The principal goal of anticancer treatment with tyrosine kinase inhibitors such as erlotinib is to restore normal cellular growth by interrupting EGFR mediated cell proliferation and malignant The hypothesis of this phase II trial is that the unique mechanisms of action and non-overlapping toxicity profiles of capecitabine (Xeloda) and erlotinib will allow these drugs to be combined into a safe and tolerable regimen with better activity regarding response, response duration, and median survival than capecitabine alone in patients with previously untreated metastatic colorectal cancer.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 13 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Phase II Trial of OSI-774 (Erlotinib, Tarceva™,) and Capecitabine for Patients With Previously Untreated Metastatic Colorectal Cancer
Study Start Date : June 2004
Actual Primary Completion Date : June 2005
Actual Study Completion Date : June 2005

Resource links provided by the National Library of Medicine

Primary Outcome Measures :
  1. To document the antitumor activity of capecitabine in combination with erlotinib in patients with previously untreated metastatic colorectal cancer [ Time Frame: Time to tumor progression, time to confirmed response rate, time to treatment failure, . ]

Secondary Outcome Measures :
  1. To determine the qualitative and quantitative toxicity of this combination and sequence of drug administration [ Time Frame: Objective response rate, duration of confirmed response rate, CEA response will be assessed. ]

Information from the National Library of Medicine

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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:

  • Patients who have histologically or cytologically confirmed diagnosis of metastatic colorectal adenocarcinoma.
  • Patients must be > 18 years old.
  • Patients must have a performance status of > 60 on the Karnofsky scale
  • Patients must have an expected life expectancy of at least 12 weeks.
  • Patients must give written informed consent as per institutional and federal regulatory requirements.
  • Patients must have measurable or evaluable disease .
  • Patients must have an absolute neutrophil count of > 1,500/mm3 and a platelet count > 100,000/mm3.
  • Patients must have adequate liver and renal function defined by a bilirubin of < 2.0 mg/dl and a creatinine of < 1.5 mg/dl, respectively.
  • Patients must be able to stay in the general area for the duration of their treatment on this clinical research study.

Exclusion Criteria:

  • Prior chemotherapy, treatment with inhibitors of EGFR of any kind, molecularly targeted
  • Pregnant or lactating women
  • Clinical signs of brain involvement or leptomeningeal disease
  • Serious illness or medical conditions
  • Congestive heart failure or unstable angina pectoris, uncontrolled hypertension or arrhythmias
  • Active infections
  • UnstaOphthalmic disorders that might increase the risk for epithelium related complications (bullous keratopathy, aniridia, severe chemical burns, neutrophilic keratitis e.g.)
  • GI tract disease resulting in an inability to take oral medication such as uncontrolled inflammatory GI disease (e.g. Crohn's disease, ulcerative colitis) or post surgical malabsorption characterized by uncontrolled diarrhea that results in weight loss and vitamin deficiency orequires IV hyperalimentation (however, use of pancreatic enzyme supplementation is allowed provided that the above criteria are not met).
  • Prior invasive malignancies for less 5 years
  • Known to be HIV positive.

Information from the National Library of Medicine

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 identifier (NCT number): NCT00459901

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United States, New York
Beth Israel Medical Center
New York, New York, United States, 10003
Sponsors and Collaborators
Peter Kozuch
Hoffmann-La Roche
Genentech, Inc.
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Principal Investigator: Peter Kozuch, MD Continuum Cancer Center
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Responsible Party: Peter Kozuch, Attending, Beth Israel Medical Center Identifier: NCT00459901    
Other Study ID Numbers: 022-03
First Posted: April 13, 2007    Key Record Dates
Last Update Posted: April 29, 2015
Last Verified: April 2015
Keywords provided by Peter Kozuch, Beth Israel Medical Center:
Metastatic Colorectal Cancer
Additional relevant MeSH terms:
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Colorectal Neoplasms
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Erlotinib Hydrochloride
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Protein Kinase Inhibitors
Enzyme Inhibitors