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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00294359
Registration number
NCT00294359
Ethics application status
Date submitted
21/02/2006
Date registered
22/02/2006
Date last updated
22/08/2007
Titles & IDs
Public title
The MAX Study: Mitomycin C, Avastin and Xeloda in Patients With Untreated Metastatic Colorectal Cancer
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Scientific title
The MAX Study: A Randomised Phase II/III Study to Evaluate the Role of Mitomycin C, Avastin and Xeloda in Patients With Untreated Metastatic Colorectal Cancer
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Secondary ID [1]
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AG0501CR
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Metastatic Colorectal Cancer
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Condition category
Condition code
Cancer
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Bowel - Back passage (rectum) or large bowel (colon)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Phase II: - treatment related toxicity
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Assessment method [1]
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Timepoint [1]
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Primary outcome [2]
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Phase III: - progression free survival
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Assessment method [2]
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Timepoint [2]
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Secondary outcome [1]
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Phase II: - treatment response
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [2]
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Phase III:
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Assessment method [2]
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Timepoint [2]
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Secondary outcome [3]
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- treatment related toxicity
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Assessment method [3]
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Timepoint [3]
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Secondary outcome [4]
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- treatment response
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Assessment method [4]
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Timepoint [4]
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Secondary outcome [5]
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- overall survival
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Assessment method [5]
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Timepoint [5]
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Secondary outcome [6]
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- symptoms of disease, treatment and quality of life
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Assessment method [6]
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Timepoint [6]
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Secondary outcome [7]
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- cost of therapy and assessment of gain in quality-adjusted progression free survival
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Assessment method [7]
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Timepoint [7]
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Eligibility
Key inclusion criteria
* Histological diagnosis of colorectal cancer
* Metastatic disease that is not resectable
* Age > 18 years
* Any patient in whom the investigator considers capecitabine monotherapy appropriate
* Measurable and/or non-measurable disease as assessed by CT scan
* ECOG performance status 0, 1 or 2. Patients with PS2 should have serum albumin >30 g/L
* No prior chemotherapy except for adjuvant chemotherapy given in association with (i) complete resection of primary colon or rectal cancer provided there is no clinical, radiological or biochemical evidence of relapse for at least 6 months after completion of adjuvant treatment and/or (ii) complete resection of limited colorectal metastases to liver and/or lung provided there is no clinical, radiological or biochemical evidence of relapse for at least 6 months after completion of adjuvant treatment
* Adequate bone marrow function with platelets > 100 X 109/l; neutrophils > 1.5 X 109/l i) Adequate renal function, with calculated creatinine clearance >30 ml/min (Cockcroft and Gault). For patients with creatinine clearance <50 ml/min the starting dose of capecitabine may not be greater than 2000 mg/m2/d (see Section 7.1)
* Adequate hepatic function with serum total bilirubin < 1.5 X upper limit of normal range
* Life expectancy of at least 12 weeks
* No other concurrent uncontrolled medical conditions
* No other malignant disease apart from non-melanotic skin cancer or carcinoma in situ of the uterine cervix or any other cancer treated with curative intent >2 years previously without evidence of relapse
* Women and partners of women of childbearing potential must agree to use adequate contraception
* Written informed consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Medical or psychiatric conditions that compromise the patient's ability to give informed consent or to complete the protocol
* Patients with a lack of physical integrity of the upper gastrointestinal tract, or known malabsorption syndromes.
* Uncontrolled hypertension
* Active bleeding disorders within the last 3 months
* Patients on full anticoagulation with warfarin. (Patients who require full anticoagulation and who wish to participate in the study should be converted to low molecular weight heparin). (Note: patients receiving full anticoagulation with low molecular weight heparin should have no evidence of tumour invading or abutting major blood vessels on any prior CT scan)
* Participation in any investigational drug study within the previous 8 weeks
* Patients with uncontrolled clinically significant cardiac disease, arrhythmias or angina pectoris
* Patients with a history of acute myocardial infarction or cerebrovascular accident within the last 12 months
* Regular use of aspirin (>325mg/day) or NSAIDs (low dose aspirin (<325 mg/d), or occasional use of NSAIDs is acceptable)
* CNS metastases
* Major surgical procedure within the last 28 days
* Serious non-healing wound, ulcer or bone fracture
* 24 hour urinary protein > 2g/ 24 hours ( performed if urine dipstick > 1+ )
* Pregnancy or lactation
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2005
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/07/2007
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Sample size
Target
333
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,TAS,VIC,WA
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Recruitment hospital [1]
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Lismore Hospital - Lismore
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Recruitment hospital [2]
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Newcastle Mater Hospital - Newcastle
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Recruitment hospital [3]
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Bankstown Hospital - Sydney
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Recruitment hospital [4]
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Campbelltown Hospital - Sydney
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Recruitment hospital [5]
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Liverpool Hospital - Sydney
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Recruitment hospital [6]
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Nepean Hospital - Sydney
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North Shore Private Hospital - Sydney
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Recruitment hospital [8]
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Prince of Wales Hospital - Sydney
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Royal North Shore Hosp - Sydney
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Recruitment hospital [10]
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St George Hospital - Sydney
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Recruitment hospital [11]
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Sydney Cancer Centre, Concord Repat General Hospital - Sydney
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Recruitment hospital [12]
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Sydney Cancer Centre, Royal Prince Alfred Hospital - Sydney
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Recruitment hospital [13]
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Westmead Hospital - Sydney
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Recruitment hospital [14]
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Tamworth Base Hospital - Tamworth
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Recruitment hospital [15]
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Tweed Heads Hospital - Tweed Heads
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Recruitment hospital [16]
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Southern Medical Daycare - Wollongong
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Recruitment hospital [17]
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Royal Brisbane Hospital - Brisbane
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Recruitment hospital [18]
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Flinders Medical Centre - Adelaide
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Recruitment hospital [19]
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Queen Elizabeth Hospital / Lyell McEwin Centre - Adelaide
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Recruitment hospital [20]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [21]
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Royal Hobart Hospital - Hobart
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Recruitment hospital [22]
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Bendigo Public Hospital - Bendigo
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Recruitment hospital [23]
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Geelong Hospital - Geelong
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Recruitment hospital [24]
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Austin Health - Melbourne
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Recruitment hospital [25]
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Box Hill Hospital - Melbourne
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Recruitment hospital [26]
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Frankston Hospital - Melbourne
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Recruitment hospital [27]
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Monash Medical Centre - Melbourne
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Recruitment hospital [28]
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Peter MacCallum Cancer Institute - Melbourne
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Recruitment hospital [29]
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St Vincent's Hospital - Melbourne
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Recruitment hospital [30]
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Border Medical Oncology - Wodonga
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Recruitment hospital [31]
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Fremantle Hospital - Perth
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Recruitment hospital [32]
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Royal Perth Hospital - Perth
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Recruitment hospital [33]
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Sir Charles Gairdner Hospital - Perth
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Recruitment hospital [34]
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St John of God Hospital, Subiaco - Perth
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Recruitment postcode(s) [1]
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- Lismore
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Recruitment postcode(s) [2]
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- Newcastle
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Recruitment postcode(s) [3]
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- Sydney
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Recruitment postcode(s) [4]
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- Tamworth
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Recruitment postcode(s) [5]
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- Tweed Heads
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Recruitment postcode(s) [6]
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- Wollongong
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Recruitment postcode(s) [7]
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- Brisbane
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Recruitment postcode(s) [8]
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- Adelaide
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Recruitment postcode(s) [9]
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- Hobart
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Recruitment postcode(s) [10]
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- Bendigo
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Recruitment postcode(s) [11]
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- Geelong
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Recruitment postcode(s) [12]
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- Melbourne
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Recruitment postcode(s) [13]
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- Wodonga
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Recruitment postcode(s) [14]
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- Perth
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Christchurch
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Country [2]
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New Zealand
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State/province [2]
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Palmerston
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Funding & Sponsors
Primary sponsor type
Other
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Name
Australasian Gastro-Intestinal Trials Group
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
Although it is possible to cure bowel cancer when it is detected at an early stage, in many cases it may spread to involve other organs and in these cases is generally incurable. Chemotherapy prolongs survival and improves quality of life in such patients, but standard chemotherapy for this disease has not been defined. There are several possible chemotherapy treatments for patients with bowel cancer, which has spread to other organs. However, these treatments are only partly effective and only work for a limited period of time. Most treatments are associated with a number of possible side effects which may have a detrimental effect on quality of life. Thus, it is imperative that more effective treatments with the lowest possible risk of side effects are developed. Previous studies have shown that the addition of a new type of antibody treatment (bevacizumab) to an intensive combination chemotherapy regimen improved survival in patients with advanced bowel cancer and extended the time before tumours began to grow. However, intensive chemotherapy is likely to only be a suitable treatment for a proportion of patients with bowel cancer, because intensive chemotherapy causes a high rate of side effects. This study compares a gentle chemotherapy treatment (capecitabine chemotherapy tablets given by mouth) with the combination of capecitabine and bevacizumab and the combination of capecitabine, bevacizumab and intravenous mitomycin C. It is expected that a gentle chemotherapy treatment or a gentle chemotherapy treatment combined with bevacizumab would be an appropriate treatment for both young and fit patients as well as older and less fit patients who would not easily tolerate intensive chemotherapy.
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Trial website
https://clinicaltrials.gov/study/NCT00294359
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Trial related presentations / publications
Mooi JK, Wirapati P, Asher R, Lee CK, Savas P, Price TJ, Townsend A, Hardingham J, Buchanan D, Williams D, Tejpar S, Mariadason JM, Tebbutt NC. The prognostic impact of consensus molecular subtypes (CMS) and its predictive effects for bevacizumab benefit in metastatic colorectal cancer: molecular analysis of the AGITG MAX clinical trial. Ann Oncol. 2018 Nov 1;29(11):2240-2246. doi: 10.1093/annonc/mdy410. Roohullah A, Wong HL, Sjoquist KM, Gibbs P, Field K, Tran B, Shapiro J, Mckendrick J, Yip D, Nott L, Gebski V, Ng W, Chua W, Price T, Tebbutt N, Chantrill L. Gastrointestinal perforation in metastatic colorectal cancer patients with peritoneal metastases receiving bevacizumab. World J Gastroenterol. 2015 May 7;21(17):5352-8. doi: 10.3748/wjg.v21.i17.5352.
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Public notes
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Contacts
Principal investigator
Name
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Niall C Tebbutt, BA (Hons) BM BCh PhD MRCP FRAC
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Address
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Ludwig Oncology Unit, Austin Health
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00294359
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