At a glance
ClinicalIndex Comparison Record- ✓First-line metastatic colorectal cancer (no prior systemic therapy for mCRC except adjuvant >6 months prior)
- ✓EGFR-positive disease
- ✓Bi-dimensional measurable disease
- ✕Prior exposure to EGFR-targeting therapy (e.g., cetuximab, panitumumab)
- ✕Prior oxaliplatin-based chemotherapy
- ✕Prior chemotherapy for colorectal cancer, except adjuvant treatment with progression >6 months after adjuvant completion
- ✕Brain metastases or leptomeningeal disease
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Open, Randomized, Controlled, Multicenter Phase II Study Comparing 5-FU/FA Plus Oxaliplatin (FOLFOX-4) Plus Cetuximab Versus 5-FU/FA Plus Oxaliplatin (FOLFOX-4) as First-line Treatment for Epidermal Growth Factor Receptor-expressing Metastatic Colorectal Cancer
In Brief
A Phase 2 clinical trial evaluating Cetuximab and Oxaliplatin for Neoplasm Metastasis and Colorectal Cancer. Completed, enrolled 344 participants across 78 sites in 13 countries.
Detailed Summary
This is an open label, randomized, controlled, multicenter phase II study comparing 5-FU/FA + oxaliplatin (FOLFOX-4) + cetuximab versus 5-FU/FA + oxaliplatin as first-line treatment for epidermal growth factor receptor (EGFR)-expressing mCRC.
Study Details
Timeline
Interventions
Cetuximab will always be administered first, followed by oxaliplatin at least 1 hour later. Following completion of the oxaliplatin infusion or simultaneously with oxaliplatin folinic acid (FA) will be administered (at a dose of 200 mg/m\^2, infused over 120 minutes, on day 1 and day 2, every two weeks) and then 5-Fluorouracil (5-FU) (as a bolus of 400 mg/m\^2/day intravenously (IV) over 2-4 minutes followed by 600 mg/m\^2/day infused over 22-hour, on day 1 and day 2, every two weeks). Until progression or unacceptable toxicity develops
Oxaliplatin will always be administered first or simultaneously with FA (at a dose of 200 mg/m\^2, infused over 120 minutes, on day 1 and day 2, every two weeks) and then 5-FU (as a bolus of 400 mg/m\^2/day IV over 2-4 minutes followed by 600 mg/m\^2/day infused over 22-hour, on day 1 and day 2, every two weeks). Until progression or unacceptable toxicity develops