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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00305188
Registration number
NCT00305188
Ethics application status
Date submitted
20/03/2006
Date registered
21/03/2006
Date last updated
4/05/2016
Titles & IDs
Public title
Evaluation of the Efficacy of Xaliproden (SR57746A) in Preventing the Neurotoxicity of Oxaliplatin / 5FU/LV Chemotherapy.
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Scientific title
A Multicenter, Randomized Double-blind Placebo Controlled Phase III Study of the Efficacy of Xaliproden in Preventing the Neurotoxicity of Oxaliplatin in First-line Treatment of Patients With Metastatic Colorectal Cancer Treated With Oxaliplatin / 5-FU/LV
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Secondary ID [1]
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EUDRACT : 2005-002570-30
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Secondary ID [2]
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EFC5505
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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:
Metastases
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Colorectal Neoplasms
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0
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Colorectal Carcinoma
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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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Neurological
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0
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Other neurological disorders
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Injuries and Accidents
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0
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Poisoning
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Xaliproden (SR57746A)
Treatment: Drugs - Placebo
Treatment: Drugs - Oxaliplatin
Treatment: Drugs - 5-Fluorouracil
Treatment: Drugs - Leucovorin
Experimental: Xaliproden (SR57746A) -
Placebo comparator: Placebo -
Treatment: Drugs: Xaliproden (SR57746A)
oral administration
Treatment: Drugs: Placebo
oral administration
Treatment: Drugs: Oxaliplatin
IV administration
Treatment: Drugs: 5-Fluorouracil
IV administration
Treatment: Drugs: Leucovorin
IV administration
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Intervention code [1]
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Treatment: Drugs
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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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Clinical evaluation of peripheral sensory neuropathy using the Oxaliplatin specific scale for dose adjustment
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Assessment method [1]
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Timepoint [1]
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Q2W during treatment, Q4W to Q12W during post-treatment follow-up
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Secondary outcome [1]
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Main: response rate using RECIST criteria
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Assessment method [1]
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Timepoint [1]
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Q8W
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Secondary outcome [2]
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Other: nerve conduction studies
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Assessment method [2]
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Timepoint [2]
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baseline, end of treatment with oxaliplatin, end of treatment with study drug
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Secondary outcome [3]
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Other: progression free survival and survival
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Assessment method [3]
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Timepoint [3]
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Q8W and study period
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Eligibility
Key inclusion criteria
Main inclusion criteria :
* Histologically or cytologically-proven metastatic cancer of the colon or rectum.
* Metastatic disease not amenable to potentially curative treatment (eg: inoperable metastatic disease).
* Male or female aged >18 years.
* WHO Performance Status (PS) : 0 or 1.
* Measurable disease.
* No prior chemotherapeutic regimen for metastatic disease.
* Disease-free interval from end of adjuvant therapy of at least 6 months (1 year if oxaliplatin was part of the adjuvant therapy).
* Prior radiotherapy is permitted if it was not administered to target lesions identified for this study - unless progression within the radiation portal is documented - and provided it has been completed at least 3 weeks before randomization.
* Signed written informed consent prior to study entry.
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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
Main exclusion criteria :
* Any condition or past medical history that contra-indicates treatment with oxaliplatin and 5-FU, as reported in approved labeling information.
* Received chemotherapeutic agents other than 5-FU, LV, Levamisole, irinotecan, capecitabine, oxaliplatin as part of adjuvant therapy.
* Peripheral neuropathy >Grade 1.
* Concomitant treatments with drugs/ingredients reported to have a potential activity in preventing peripheral sensory neuropathy.
* Concurrent active cancer originating from a primary site other than colon or rectum.
* Presence of any symptom suggesting brain metastasis.
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Study design
Purpose of the study
Prevention
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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
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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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
1/12/2005
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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
1/10/2009
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Sample size
Target
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Accrual to date
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Final
879
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Sanofi-Aventis Administrative Office - Macquarie Park
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Recruitment postcode(s) [1]
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- Macquarie Park
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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New Jersey
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Country [2]
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Argentina
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State/province [2]
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Buenos Aires
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Country [3]
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Brazil
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State/province [3]
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Sao Paulo
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Country [4]
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Canada
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State/province [4]
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Laval
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Country [5]
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Chile
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State/province [5]
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Santiago
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Country [6]
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Germany
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State/province [6]
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Berlin
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Country [7]
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Hungary
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State/province [7]
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Budapest
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Country [8]
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Italy
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State/province [8]
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Milano
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Country [9]
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Poland
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State/province [9]
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Warszawa
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Country [10]
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Portugal
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State/province [10]
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Porto Salvo
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Country [11]
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Spain
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State/province [11]
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Barcelona
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Country [12]
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United Kingdom
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State/province [12]
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Guildford Surrey
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Sanofi
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Primary Objective : Compare the risk of occurrence of Grade3-4 cumulative peripheral sensory neuropathy (PSN) relative to cumulative dose of oxaliplatin between treatment group and placebo group. Main Secondary Objective : Compare the response rate (RR) between treatment group and placebo group in order to ensure that the efficacy of the chemotherapy is not compromised by the addition of xaliproden to the chemotherapeutic regimen. Other Secondary Objectives : study of the neurotoxicity parameters (Duration of oxaliplatin-induced PSN (G2,3,4); overall incidence of PSN during treatment; dose of onset of PSN ; incidence of dose-reduction and dose delay due to PSN; incidence of oxaliplatin treatment discontinuation due to PSN; change in Nerve Conduction Studies (NCS)) ; study of the safety profile (other than PSN) ; study of the chemotherapy efficacy (progression free survival, overall survival).
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Trial website
https://clinicaltrials.gov/study/NCT00305188
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Trial related presentations / publications
Abdel-Rahman O. Effect of Body Mass Index on 5-FU-Based Chemotherapy Toxicity and Efficacy Among Patients With Metastatic Colorectal Cancer; A Pooled Analysis of 5 Randomized Trials. Clin Colorectal Cancer. 2019 Dec;18(4):e385-e393. doi: 10.1016/j.clcc.2019.07.005. Epub 2019 Jul 15. Abdel-Rahman O. Impact of Sex on Chemotherapy Toxicity and Efficacy Among Patients With Metastatic Colorectal Cancer: Pooled Analysis of 5 Randomized Trials. Clin Colorectal Cancer. 2019 Jun;18(2):110-115.e2. doi: 10.1016/j.clcc.2018.12.006. Epub 2018 Dec 28.
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Public notes
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Contacts
Principal investigator
Name
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Clinical Sciences & Operations
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Address
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Sanofi
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Phone
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Fax
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Email
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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/NCT00305188
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