Leucovorin, Fluorouracil, Cetuximab, and Oxaliplatin in Treating Patients With Stage IV Colorectal Cancer and Liver Metastases That Cannot Be Removed by Surgery

• Status: Completed
• Trial end date: 1969-12-31
• Target enrollment: 0
• Participant gender: All

Summary

RATIONALE: Drugs used in chemotherapy, such as leucovorin, fluorouracil, and oxaliplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as cetuximab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Giving more than one drug (combination chemotherapy) and giving them together with cetuximab may kill more tumor cells.

PURPOSE: This phase II trial is studying how well giving leucovorin together with fluorouracil, cetuximab, and oxaliplatin works in treating patients with stage IV colorectal cancer and liver metastases that cannot be removed by surgery.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Gustave Roussy, Cancer Campus, Grand Paris
• Treatments: Calcium; Cetuximab; Fluorouracil; Leucovorin; Levoleucovorin; Oxaliplatin

Criteria

DISEASE CHARACTERISTICS:

• Histologically confirmed primary cancer of the colon or rectum

• Isolated hepatic metastases

• Not amenable to curative resection or requirement for complex and or larger (i.e., > 4 liver segments) liver resection

• Measurable disease (RECIST criteria)

• Original tumor must be (or have been) removed

PATIENT CHARACTERISTICS:

Inclusion criteria:

• WHO performance status 0-1

• Life expectancy > 3 months

• ANC ≥ 1,500/mm³

• Platelet count ≥ 100,000/mm³

• Hemoglobin ≥ 9 g/dL

• Creatinine ≤ 1.5 times normal

• Bilirubin ≤ 1.5 times upper limit of normal

• Transaminases ≤ 5 times normal

• Not pregnant or nursing

• Fertile patients must use effective contraception

Exclusion criteria:

• Contraindication or allergy grade 3-4 to any components of the study drugs

• Peripheral neuropathy

• Intestinal occlusion or subocclusion or prior inflammatory intestinal disease

• Severe cardiac disease including any of the following:

• Symptomatic coronary disease

• Myocardial infarction in the past 6 months

• New York Heart Association grade II-IV cardiac insufficiency

• Severe arrhythmia (even if treated)

• Active or uncontrolled infection

• Other concurrent serious disorder

• Severe uncontrolled medical condition

• Other malignancy within the past 5 years or concurrently except basal cell skin cancer or carcinoma in situ of the cervix

• Study impossible due to psychological, geographical, or social reasons

• Prisoners or patients under guardianship

PRIOR CONCURRENT THERAPY:

Exclusion criteria:

• Prior chemotherapy except adjuvant chemotherapy comprising fluorouracil, leucovorin calcium, capecitabine, oxaliplatin, irinotecan hydrochloride, and/or bevacizumab (completed > 6 months ago if oxaliplatin- or irinotecan-based)

• Prior epidermal growth factor (EGF), monoclonal antibody inhibiting transduction of EGF receptor (EGFR), or any other treatment targeting the EGFR

• Other concurrent anticancer immunotherapy, chemotherapy, or hormone therapy

• Participation in another study in the past 30 days