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NCT00009737 · CITED IN SOURCE DOCUMENTS

A Study of Xeloda (Capecitabine) Compared With 5-Fluorouracil in Combination With Low-Dose Leucovorin in Patients Who Have Undergone Surgery for Colon Cancer

An NCI or FDA source cites this study. A citation does not establish that it applies to an individual diagnosis.

Phase
PHASE3
Status at capture
COMPLETED
Registry last update
2016-06-22

This 2 arm study will compare the safety and efficacy of oral Xeloda, or 5-fluorouracil in combination with leucovorin, in patients who have undergone surgery for colon cancer. Patients will be randomized to receive either Xeloda 1250mg/m2 po bid on days 1-14 every 21 days, or leucovorin 20mg/m2 iv + 5-fluorouracil 425mg/m2 iv daily from day 1 to day 5 every 28 days. The anticipated time on study treatment is 3-12 months, and the target sample size is 500+ individuals.

Open the original ClinicalTrials.gov record → · Download preserved record

What did the study report?

Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.

Who could take part
eligibility Criteria
Inclusion Criteria: * adult patients 18-75 years of age; * histologically confirmed colon cancer with potentially curative resection of the tumor within 8 weeks before study initiation. Exclusion Criteria: * previous chemotherapy
healthy Volunteers
false
maximum Age
75 Years
minimum Age
18 Years
sex
ALL
std Ages
  1. ADULT
  2. OLDER_ADULT
Treatment arms and interventions
arm Groups
  1. description
    Participants received capecitabine 1250 milligram per square meter (mg/m \^ 2) orally, twice a day, for 14 days, followed by a 7-day rest period without treatment, as an intermittent therapy in a 3-week cycle for 8 cycles (24 weeks).
    intervention Names
    1. Drug: Capecitabine [Xeloda]
    label
    Capecitabine
    type
    EXPERIMENTAL
  2. description
    Participants received leucovorin 20 mg/m \^ 2 followed by 5-fluorouracil at 425 mg/m \^ 2, by rapid intravenous injection, daily, from Days 1 to 5 of the first week in each 4-week cycle for 6 cycles (24 weeks).
    intervention Names
    1. Drug: 5-Fluorouracil
    2. Drug: Leucovorin
    label
    5-Fluorouracil + Leucovorin
    type
    ACTIVE_COMPARATOR
interventions
  1. arm Group Labels
    1. 5-Fluorouracil + Leucovorin
    description
    425mg/m2 iv daily from day 1 to day 5 every 28 days.
    name
    5-Fluorouracil
    type
    DRUG
  2. arm Group Labels
    1. 5-Fluorouracil + Leucovorin
    description
    20mg/m2 iv daily from day 1 to day 5 every 28 days.
    name
    Leucovorin
    type
    DRUG
  3. arm Group Labels
    1. Capecitabine
    description
    1250mg/m2 po bid on days 1-14 every 21 days.
    name
    Capecitabine [Xeloda]
    type
    DRUG
Study design
allocation
RANDOMIZED
intervention Model
PARALLEL
masking Info
masking
NONE
primary Purpose
TREATMENT
Enrollment
count
1987
type
ACTUAL
Registered outcome plans (not posted results)
primary Outcomes
  1. description
    Participants with disease-free survival were reported. Disease-free survival was assessed as the number of days between randomization and the first time at which relapse, a new occurrence of colon cancer, or death was recorded, or the last time at which a participant was known to be disease free (censoring time).
    measure
    Disease-free Survival
    time Frame
    Approximately 3 years
secondary Outcomes
  1. description
    Participants with relapse-free survival were reported. Relapse-free survival was assessed as the number of days between randomization and the first time at which relapse, a new occurrence of colon cancer, or death was recorded, or the last time at which a participants was known to be disease free (censoring time), excluding deaths that were not related to treatment or to disease progression.
    measure
    Relapse-Free Survival
    time Frame
    Approximately 3 years
  2. description
    Participants with overall survival were reported. Overall survival was assessed as the number of days between randomization and death or the last time at which a participant was known to be alive (censoring time).
    measure
    Overall Survival
    time Frame
    Approximately 3 years
  3. description
    Global health status was assessed as a sub scale of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30. It was scored on a scale of 0-100; where higher score indicates better quality of life. Wherever the scores for the participants were not available, the last value carried forward (LVCF) were used.
    measure
    Mean Change From Baseline in Global Health Status at Week 25
    time Frame
    Baseline (Days -7 to 1) and at Week 25
  4. description
    Laboratory abnormalities were categorized according to the National Cancer Institute of Canada Common Toxicity Criteria (NCIC - CTC) grading system (May 1991 revised) as Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (life- threatening). Participants with abnormalities in hemoglobin, granulocytes, lymphocytes, neutrophils, neutrophils/granulocytes, platelets, white blood cell, potassium, serum creatinine, sodium, total bilirubin, alanine transaminase, aspartate aminotransferase, alkaline phosphatase, calcium (hyper), and calcium (hypo) with Grades 1-4 were presented.
    measure
    Number of Participants With Abnormalities for Blood Chemistry and Hematological Parameters
    time Frame
    Up to Week 25
  5. description
    An Adverse Event (AE) is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered to be related to the medicinal product. An Serious Adverse Events (SAEs) is any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or results in a congenital anomaly/birth defect.
    measure
    Number of Participants With Any Adverse Events and Serious Adverse Events
    time Frame
    Up to Week 29
Full study description
brief Summary
This 2 arm study will compare the safety and efficacy of oral Xeloda, or 5-fluorouracil in combination with leucovorin, in patients who have undergone surgery for colon cancer. Patients will be randomized to receive either Xeloda 1250mg/m2 po bid on days 1-14 every 21 days, or leucovorin 20mg/m2 iv + 5-fluorouracil 425mg/m2 iv daily from day 1 to day 5 every 28 days. The anticipated time on study treatment is 3-12 months, and the target sample size is 500+ individuals.
Source references
Source notices and limitations
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      occurrences
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        14 CLINICAL STUDIES 14.1 Colorectal Cancer Adjuvant Treatment of Colon Cancer Single Agent The efficacy of XELODA was evaluated in X-ACT ( NCT00009737 ), a multicenter, randomized, controlled clinical trial. Eligible patients were between 18 and 75 years of age with histologically-confirmed Dukes' Stage C col
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    Preserved source evidence · Not medical advice