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Brief Title: An Observational Study to Evaluate the Safety and Efficacy of FOLFIRI / FOLFOX Plus Cetuximab as First-line Therapy in Patients With KRAS Wild-type Metastatic Colorectal Cancer
Official Title: An Observational Study to Evaluate the Safety and Efficacy of FOLFIRI / FOLFOX Plus Cetuximab as First-line Therapy in Patients With KRAS Wild-type Metastatic Colorectal Cancer
Study ID: NCT01134666
Brief Summary: This is an open-label, non-randomized, prospective, multicentric, Phase IV study evaluating FOLFIRI/ FOLFOX plus cetuximab in the first-line therapy of subjects with KRAS wild-type metastatic CRC.
Detailed Description: Cetuximab, a chimeric immunoglobulin G1 (IgG1) monoclonal antibody, has been found to potentiate the effects of chemotherapy and radiotherapy in experimental systems. The findings from clinical trials suggest a favorable risk-benefit ratio of the combination of irinotecan or oxaliplatin, infusional 5-FU/FA and biweekly cetuximab, and support the current study to demonstrate the therapeutic value of the biweekly cetuximab regimen as a combination partner for those regimens in subjects with KRAS wild-type mCRC in the first-line setting. The purpose of this study is to generate post marketing surveillance (PMS) data for cetuximab in first-line mCRC, which is mandated by the Licensing Authorities. This is an open-label, non-randomized, prospective, multicentric Phase IV study evaluating FOLFIRI/ FOLFOX plus cetuximab in the first-line therapy of subjects with KRAS wild-type metastatic CRC. The study plans to enroll 100 subjects with KRAS wild type CRC at 20 centres across India. Tumour status, physical and laboratory examinations will be performed during the baseline visit. Subjects will be administered FOLFIRI/ FOLFOX and cetuximab according to the clinical condition in the following treatment visits. Regular safety assessments and all adverse events (AEs) will be documented throughout and until the end-of-study visit. The outcome of AEs ongoing at the final tumour assessment visit will be followed up at the end-of-study visit (If possible, 6 weeks after the last administration of study medication but before second-line anticancer treatment, and not earlier than 30 days after the end of study treatment). Skin toxicity present at the end-of-study visit will be followed up until outcome is known. OBJECTIVES Primary Objective: * To evaluate the safety and tolerability of Cetuximab in combination with standard chemotherapy such as FOLFOX or FOLFIRI as first-line therapy of patients with KRAS wild-type metastatic colorectal cancer. Secondary Objective: * To evaluate the efficacy of Cetuximab in combination with standard chemotherapy as first-line therapy of patients with KRAS wild-type metastatic colorectal cancer.
Minimum Age:
Eligible Ages: CHILD, ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Indo- American Cancer Institute & Research Centre, Hyderabad, Andhra Pradesh, India
NVS Ramakrishna's Clinic, Hyderabad, Andhra Pradesh, India
Dr. Nikhil's Clinic, Secunderabad, Andhra Pradesh, India
Nikhil Gharyalpatil's Clinic, Secunderabad, Andhra Pradesh, India
Ravi Kumar's Clinic, Hyderabad, Andrapradesh, India
Ambaa Hospitals, Hyderabad, Andrapradesh, India
Swarna Sai Hospital, Hyderabad, Andrapradesh, India
Manipal Centre For Clinical Research, Mangalore, Bangalore, India
Medical College Calicut, Kerala, Calicut, India
Hemato Oncology Clinic, Ahmedabad, Gujarat, India
Kattimani Oncology Clinic, Hubli, Karnataka, India
SKIMS, Srinagar, Kashmir, India
S. K. I. M. S., Srinagar, Kashmir, India
Dr. T. P. Sahoo's Clinic, Bhopal, Madhya Pradesh, India
BND Onco Centre, Mumbai, Maharashtra, India
Joy Hospital, Mumbai, Maharashtra, India
Ruby Hall Clinic, Pune, Maharashtra, India
Grace Nursing Home, Aizwal, Mizoram, India
Lilavati Hospital, Bandra, Mumbai, India
S.L.Raheja Hospital, Mahim, Mumbai, India
Apollo Cancer Institute, Delhi, New Delhi, India
Rajiv Gandhi Cancer Institute & Research, Delhi, New Delhi, India
Fortis Escorts Hospital, Amritsar, Punjab, India
Dr. Rajeev Bedi's Clinic, Chandigarh, Punjab, India
D.M.C Hospital, Ludhiana, Punjab, India
IVY Hospital, Mohali, Punjab, India
Cancer Clinic, Jaipur, Rajasthan, India
SMS Hospital, Jaipur, Rajasthan, India
Bhagwan Mahaveer Cancer Hospital, Jaipur, Rajasthan, India
Bhagwan Mahaveer Cancer Hospital & Research Centre, Jaipur, Rajasthan, India
Vyas Cancer Care, Jodhpur, Rajasthan, India
TC 14/ 764 Sreemangalam, Trivandrum, Tamilnadu, India
Shati Gopal Hospital, Ghaziabad, Uttar Pradesh, India
Annapurna Medical and Cancer Relief Society, Lucknow, Uttar Pradesh, India
Chittaranjan National Cancer Institute, Kolkata, West Bengal, India
Apollo Gleneagles Cancer Hospital, Kolkata, West Bengal, India
Nothern Railway Central Hospital, Delhi, , India
Indraprastha Apollo Hospital, Delhi, , India
Shanti Mukand Hospital, Delhi, , India
Dharamshila Cancer Hospital & Research Centre, Delhi, , India
Name: Rajiv Rana, MD
Affiliation: Merck Ltd., India
Role: STUDY_DIRECTOR