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Brief Title: A Study of Picoplatin in Colorectal Cancer
Official Title: A Phase I Open-Label Study of Picoplatin in Combination With 5-Fluorouracil and Leucovorin as Initial Therapy in Subjects With Metastatic Colorectal Cancer
Study ID: NCT00478946
Brief Summary: Colorectal cancer is a type of cancer that begins in the large intestine (colon) or the rectum (end of the colon). Several drugs are often given in combination to treat colorectal cancer. One of the most active treatment combinations is known as FOLFOX, which is a combination of 5-fluorouracil (5-FU), leucovorin, and oxaliplatin. Oxaliplatin is a type of platinum drug and was approved by the FDA in 2004. While generally well-tolerated, oxaliplatin may cause toxicity to the nerves, such as sensory loss or cold sensitivity. Picoplatin is a new type of platinum drug that has shown activity with 5-FU in pre-clinical studies and has undergone extensive Phase 1 and Phase 2 testing in a variety of cancers. No significant nerve toxicity has been seen in previous studies of picoplatin. This study will review the safety and effectiveness of FOLPI, which is the combination of 5-FU and leucovorin with picoplatin in participants with colorectal cancer.
Detailed Description: Subjects will be randomized centrally to treatment with picoplatin administered either every two or every four weeks and will be assigned a dose of picoplatin dependent on the study results to date. Each patient will also receive therapy every two weeks with 5-FU and leucovorin. In each schedule, the cohort size will be 3 subjects, to be expanded to 6 subjects if a dose-limiting toxicity is observed. If not dose-limiting toxicity observed among the 3 subjects within a cohort, picoplatin dose escalation may proceed, until the maximum tolerated dose is established.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Leningrad Regional Oncology Center, Chemotherapy Department - Phase 2, Kuzmolovsky Village, Vsevolozhsk, Russian Federation
Regional Oncology Center - Phase 2, Astrakhan, , Russian Federation
Chelyabinsk Regional Oncology Center - Phase 1, Chelyabinsk, , Russian Federation
Regional Oncology Center, Chemotherapy Department - Phase 2, Engels, , Russian Federation
Kazan Oncology Center, Kazan, , Russian Federation
Blokhin Russian Oncology Research Center - Phase 1, Moscow, , Russian Federation
Semashko Central Clinical Hospital #2 - Phase 1, Moscow, , Russian Federation
Medical Radiology Research Center of Russian Academy of Medical Sciences- Phase 1, Obninsk, , Russian Federation
Republic Oncology Center of the Ministry of Healthcare of Karelia Republic - Phase 2, Petrozavodsk, , Russian Federation
Rostov Research Institute of Oncology- Phase 2, Rostov-na-Dony, , Russian Federation
St. Petersburg Academy of Postgraduate Education - Phase 2, St. Petersburg, , Russian Federation
St. Petersburg Mechnikov State Medical Academy - Phase 2, St. Petersburg, , Russian Federation
St. Petersburg City Oncology Center - Phase 1, St. Petersburg, , Russian Federation
Regional Clinical Oncology Center - Phase 2, Ulyanovsk, , Russian Federation
Voronezh Regional Clinical Oncology Center - Phase 2, Voronezh, , Russian Federation
Yaroslavl Regional Oncology Center - Phase 1, Yaroslavl, , Russian Federation
Name: Robert Earhart, MD, PhD
Affiliation: Poniard Pharmaceuticals
Role: STUDY_DIRECTOR