Sequential Combined TAS-102 and Oxaliplatin Alternating With TAS-102 and Irinotecan (Sequential TASOXIRI) With Bevacizumab for Late-Line Metastatic Colorectal Cancer
Summary
This study is to evaluate the disease control rate and time to progression of the sequential combination of oxaliplatin with an alternative anti-metabolite Trifluridine/tipiracil hydrochloride mixture, TAS-102,(TAS-OX) as well as irinotecan in combination with TAS-102 oxaliplatin(TAS-OX) + Bevacizumab in late-line metastatic colorectal cancer (mCRC)
Detailed description
This phase II trial will evaluate efficacy of TAS-OX alternating with TAS-IRI (sequential TASOXIRI) with Bevacizumab, in the treatment of mCRC. Participants will be treated with the study drugs until radiological evidence of disease progression or until treatment discontinuation secondary to adverse events.
Arms & interventions
- DrugTAS-102, oxaliplatin, irinotecan with bevacizumab
Participants will be treated with the study drugs until radiological evidence of disease progression or until treatment discontinuation secondary to adverse events. TAS-OX alternating with TAS-IRI (sequential TASOXIRI) with Bevacizumab, in the treatment of mCRC.
Outcome measures
Primary
Disease control rate (DCR):
Defined as the percentage of patients who have achieved complete response (CR), partial response (PR) and stable disease (SD). The disease control rate will be calculated along with 95% confidence interval. As Simon's two stage design is used in the study, 95% CI will be calculated for the two-stage nature of the study design. Response will be determined by independent radiologists using the RECIST criteria.
Time frame: From baseline until the date of first documented progression of disease, as assessed up to 100 months
Secondary
Progression Free Survival (PFS)
Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, on average up to 100 months
Overall Survival (OS)
Time frame: From date of randomization until the date of death up to 100 months
Overall Response Rate (ORR)
Time frame: From the date of randomization and measured through the course of study treatment, assessed up to 100 months
Duration of Response
Time frame: From the date of response until the date of first documented disease progression or death, assessed up to 100 months
Eligibility criteria
Study locations (9)
Trinitas Hospital and Comprehensive Cancer Center
Elizabeth, New Jersey, 07202
RWJBarnabas Health Jersey City Medical Center
Jersey City, New Jersey, 07302
RWJBarnabas Health - Monmouth Medical Center Southern Campus
Lakewood, New Jersey, 08701
Cooperman Barnabas Medical Center (Saint Barnabas Medical Center)
Livingston, New Jersey, 07039
RWJBarnabas Health - Monmouth Medical Center
Long Branch, New Jersey, 07740
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903
RWJBarnabas Health - Robert Wood Johnson University Hospital
New Brunswick, New Jersey, 08903
RWJBarnabas Health - Robert Wood Johnson University Hospital
Somerset, New Jersey, 08873
RWJBarnabas Health - Community Medical Center
Toms River, New Jersey, 08755