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Brief Title: Cetuximab for Elderly Patients With mCRC
Official Title: Cetuximab Monotherapy and Cetuximab Plus Capecitabine as First-line Treatment in Elderly Patients With KRAS- and BRAF Wild-type Metastatic Colorectal Cancer. A Multicenter Phase II Trial
Study ID: NCT01718808
Brief Summary: OBJECTIVE: The objective of the trial is to judge on the benefit obtained by an upfront cetuximab treatment delivered as monotherapy or as part of a combination treatment with capecitabine in vulnerable elderly patients selected for V-Ki-ras2 Kirsten rat sarcoma viral oncogene homolog (KRAS) wild-type and B-type Raf kinase (BRAF) wild-type metastatic colorectal cancer (mCRC).
Detailed Description: Primary endpoint: If in a treatment arm the number of patients alive and without progression at 12 weeks is 17 or more, this arm will be considered promising, otherwise not promising. Additionally, a two-sided 95% confidence interval for the difference in Progression free survival (PFS) rates between the two arms will be calculated. Secondary endpoints and patient characteristics: * Laboratory values may be expressed as the absolute values (continuous variables) or/and as grading (ordinal categorical variables). * Generally for each categorical variable the results will be summarized by frequencies and percentages. For response rates 95% Clopper-Pearson confidence intervals will be calculated. * For each adverse event, the results will be summarized by frequencies and percentages of different grades among all cycles as well as by frequencies and percentages of the within-patient worst grades * For each continuous variable the results will be summarized by descriptive statistics. * Time-to-event variables will be presented by Kaplan-Meier curves and summarized by medians and 95% confidence intervals. * All analysis will be done by treatment arm.
Minimum Age: 70 Years
Eligible Ages: OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Universitaetsspital-Basel, Basel, , Switzerland
Inselspital, Bern, Bern, , Switzerland
Spitalzentrum Biel, Biel, , Switzerland
Hopital Fribourgeois, Fribourg, , Switzerland
Hopital Cantonal Universitaire de Geneve, Geneva, , Switzerland
Centre Hospitalier Universitaire Vaudois, Lausanne, , Switzerland
Kantonsspital Luzern, Luzern, , Switzerland
Kantonsspital Muensterlingen, Muensterlingen, , Switzerland
Kantonsspital - St. Gallen, St. Gallen, , Switzerland
SpitalSTS AG Simmental-Thun-Saanenland, Thun, , Switzerland
Kantonsspital Winterthur, Winterthur, , Switzerland
Klinik Hirslanden, Zurich, , Switzerland
UniversitaetsSpital Zuerich, Zurich, , Switzerland
Stadtspital Triemli, Zürich, , Switzerland
Name: Dirk Kienle, MD
Affiliation: Kantonsspital Graubünden
Role: STUDY_CHAIR
Name: Roger von Moos, MD
Affiliation: Kantonsspital Graubünden
Role: STUDY_CHAIR
Name: Ralph Winterhalder, MD
Affiliation: Luzerner Kantonsspital
Role: STUDY_CHAIR
Name: Dieter Köberle, MD
Affiliation: Cantonal Hospital of St. Gallen
Role: STUDY_CHAIR