At a glance
ClinicalIndex Comparison Record- ✓Adults ≥18 years of age
- ✓Metastatic colorectal cancer
- ✓At least 1 measurable target lesion
- ✕Prior oxaliplatin or bevacizumab therapy
- ✕Prior systemic chemotherapy or immunotherapy for advanced/metastatic disease
- ✕Progressive disease during or within 6 months of completion of previous adjuvant therapy
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A 2x2 Factorial Randomized Phase III Study of Intermittent Oral Capecitabine in Combination With Intravenous Oxaliplatin (Q3W) ("XELOX") With/Without Intravenous Bevacizumab (Q3W) Versus Bolus and Continuous Infusion Fluorouracil/Intravenous Leucovorin With Intravenous Oxaliplatin (Q2W) ("FOLFOX-4") With/Without Intravenous Bevacizumab (Q2W) as First-line Treatment for Patients With Metastatic Colorectal Cancer
In Brief
A Phase 3 clinical trial evaluating Oxaliplatin 130 mg/m^2, Capecitabine 1000 mg/m^2, and 7 other interventions for Colorectal Cancer. Completed, enrolled 2,035 participants across 236 sites in 33 countries.
Detailed Summary
This 4 arm study assessed the efficacy and safety of oral capecitabine (Xeloda) or intravenous (iv) fluorouracil/leucovorin, in combination with iv oxaliplatin (Eloxatin) with or without iv bevacizumab (Avastin), as a first-line treatment in patients with metastatic colorectal cancer. Patients were randomized to receive 1) XELOX (Xeloda 1000 mg/m\^2 orally \[po\] twice a day \[bid\] on Days 1-15 + oxaliplatin in 3 week cycles), 2) FOLFOX-4 (oxaliplatin + leucovorin + fluorouracil \[5-FU\] in 2 week cycles), 3) XELOX + bevacizumab (7.5 mg iv on Day 1 in 3 week cycles), or 4) FOLFOX-4 + bevacizumab (5 mg iv on Day 1 in 2 week cycles).
Study Details
Timeline
Interventions
Oxaliplatin was administered in a 2 h infusion before the first dose of capecitabine.
Capecitabine was taken within 30 min after the end of breakfast and dinner.
Bevacizumab was administered in a 30 to 90 min infusion.
Placebo control for bevacizumab (volume equivalent to 7.5 mg/kg bevacizumab) was administered in a 30 to 90 min infusion.
Oxaliplatin 85 mg/m\^2 was administered simultaneously with leucovorin in a 2 h infusion.
Leucovorin was administered simultaneously with oxaliplatin 85 mg/m\^2 in a 2 h infusion.
Bevacizumab was administered in a 30 to 90 min infusion.
Placebo control for bevacizumab (volume equivalent to 5 mg/kg bevacizumab) was administered in a 30 to 90 min infusion.