This phase 2 trial aims to evaluate the continued use of bevacizumab with raltitrexed and oxaliplatin combination versus FOLFOX6 plus bevacizumab in patients with metastatic colorectal cancer whose disease has progressed after irinotecan-based chemotherapy.
Eligible patients are randomly allocated to receive either bevacizumab with raltitrexed and oxaliplatin combination or bevacizumab with FOLFOX 6 combination. Random allocation schedule is performed using a minimization technique for the following stratification factors: * Center * Number of metastatic sites: 1 versus \> 1 * Bevacizumab-based first-line therapy: Yes versus No
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
83
Bevacizumab 5 mg/kg administered as an iv infusion for 1h30, then for 1h and for 30 min. at the following cycles, respectively. Oxaliplatin 85 mg/m² administered as an iv infusion for 2h Elvorine 200 mg/m² administered as an iv infusion for 2h 5FU 400 mg/m2 bolus then 5FU 2,400 mg/m² iv infusion for 46h D1=D15 (12 cycles)
Bevacizumab 7.5 mg/kg administered as an iv infusion for 1h30, then administered for 1h and 30 min at the following cycles, respectively. Oxaliplatin 130 mg/m² administered as an iv infusion for 2h Raltitrexed 3 mg/m² administered as an iv infusion for 15 min
Val d'Aurelle Cancer Institute
Montpellier, France
Disease-free survival
DFS is estimated from the date of randomization until the first date of objectively documented event or death
Time frame: 6 months
Treatment-related toxicity
Treatment-related toxicity is evaluated according to the NCI-CTCAE v.4 criteria.
Time frame: 6 months
Objective response rate
Objective response rate is evaluated according to the RECIST V 1.1 criteria.
Time frame: Every 9 weeks
Overall survival
OS is estimated from the date of randomization until the date of death from any cause
Time frame: unk
Cost-effectiveness study
The cost-effectiveness study includes the number of hospital stays (treatment and toxicity), the global cost of treatments, and the cost of hospital stays due to treatment-induced toxicity
Time frame: 6 months
Quality of life by using the quality of life questionnaire score
Quality of life is measured using the QLQ-C30 questionnaire
Time frame: 6 months
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