Tocotrienol and bevacizumab in metastatic colorectal cancer. A randomized phase II marker trial

2024-517075-21-00 Protocol Toco-CoR Therapeutic exploratory (Phase II) Ongoing, recruitment ended

Start 26 Jun 2020 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 1 sites · Protocol Toco-CoR

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruitment ended
Participants planned 74
Countries 1
Sites 1

Metastatic Colorectal cancer

To compare the effect and toxicity of standard chemotherapy and bevacizumab with the same regimen supplemented with tocotrienol in metastatic colorectal cancer.

Key facts

Sponsor
Lillebaelt Hospital
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
26 Jun 2020 → ongoing
Decision date (initial)
2024-09-27
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-517075-21-00
EudraCT number
2019-004207-13
ClinicalTrials.gov
NCT04245865

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Safety, Efficacy

To compare the effect and toxicity of standard chemotherapy and bevacizumab with the same regimen supplemented with tocotrienol in metastatic colorectal cancer.

Conditions and MedDRA coding

Metastatic Colorectal cancer

VersionLevelCodeTermSystem organ class
27.0 LLT 10052362 Metastatic colorectal cancer 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. • Histopathologically verified adenocarcinoma of the colon or rectum • Metastatic disease • Planned treatment with FOLFOX or capecitabine combined with bevacizumab • Evaluable disease according to RECIST 1.1 • Performance status 0-2 • Expected survival ≥ 3 months • Patient acceptance to collection of blood samples for translational research • Age ≥ 18 years • Contraception during and 6 months after last dose for women of childbearing potential (less than one year amenorrhea and not undergone hysterectomy, bilateral salpingectomy or bilateral oophorectomy) and for male patients with a fertile partner. Hormonal contraception, intrauterine device, intrauterine hormone-releasing system, bilateral tubal occlusion, vasectomized partner, or sexual abstinence is accepted. • Adequate bone marrow function, liver function, and renal function (within 7 days prior to inclusion): o WBC ≥ 3.0 x 109/l or neutrophils (ANC) ≥ 1.5 x 109/l o Platelet count ≥ 100 x 109/l o Hemoglobin ≥ 6.0 mmol/l o Serum bilirubin ≤ 2.0 x ULN o Serum transaminase ≤ 2.5 x ULN o Serum creatinine ≤ 1.5 ULN • Urine dipstick for protein ≤ 2+, if the dipstick shows protein ≥ 2+, 24 hour urine testing must be performed and show protein contents ≤ 1g. • Written and orally informed consent

Exclusion criteria 1

  1. • Other active malignant disease within 5 years prior to inclusion in the study. • Other experimental therapy within 28 days prior to treatment initiation. • Underlying medical disease not adequately treated. • Surgery, including open biopsy, within 4 weeks prior to first dose of bevacizumab. • Cerebral vascular attack, transient ischemic attack or subarachnoid hemorrhage within six months before start of treatment • Bleeding tumor • Pregnant or breastfeeding women • Fertile patients not willing to use effective methods of contraception during treatment and for six months after end of treatment. • Hypersensitivity to one or more active substances or auxiliary substances

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The rate of progression free patients at six months.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 7

Tocotrienol

PRD11524949 · Product

Active substance
Tocotrienol
Pharmaceutical form
CAPSULES LIQUID FILLED
Route of administration
ORAL
Max daily dose
900 mg milligram(s)
Max total dose
163800 mg milligram(s)
Max treatment duration
6 Month(s)
Authorisation status
Not Authorised
MA holder
SYGEHUS LILLEBAELT
Paediatric formulation
No
Orphan designation
No

Fluorouracil

SUB07721MIG · Substance

Active substance
Fluorouracil
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS
Max daily dose
2800 mg/m2 milligram(s)/square meter
Max total dose
33600 mg/m2 milligram(s)/square meter
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Calcium Folinate

SUB06052MIG · Substance

Active substance
Calcium Folinate
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
400 mg/m2 milligram(s)/sq. meter
Max total dose
4800 mg/m2 milligram(s)/square meter
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Oxaliplatin

SUB09490MIG · Substance

Active substance
Oxaliplatin
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
85 mg/m2 milligram(s)/square meter
Max total dose
680 mg/m2 milligram(s)/square meter
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Bevacizumab

SUB16402MIG · Substance

Active substance
Bevacizumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
7.5 mg/Kg milligram(s)/kilogram
Max total dose
60 mg/Kg milligram(s)/kilogram
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Capecitabine

SUB12474MIG · Substance

Active substance
Capecitabine
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
2000 mg/m2 milligram(s)/square meter
Max total dose
224000 mg/m2 milligram(s)/square meter
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo

SUB21402 · Substance

Active substance
Placebo
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Lillebaelt Hospital

Sponsor organisation
Lillebaelt Hospital
Address
Beriderbakken 4
City
Vejle
Postcode
7100
Country
Denmark

Scientific contact point

Organisation
Lillebaelt Hospital
Contact name
Clinical Trial Unit

Public contact point

Organisation
Lillebaelt Hospital
Contact name
Clinical Trial Unit

Third parties 1

OrganisationCity, countryDuties
Odense University Hospital
ORG-100007716
Odense C, Denmark On site monitoring, E-data capture, Code 8

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruitment ended 74 1
Rest of world 0

Investigational sites

Denmark

1 site · Ongoing, recruitment ended
Lillebaelt Hospital
Department of Oncology, Beriderbakken 4, 7100, Vejle

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2020-06-26 2020-06-26 2024-08-16

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 9 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-517075-21-00 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF all 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC bevacizumab 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC calciumfolinate 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC capecitabine 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC fluorouracil 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC oxaliplatin 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC placebo 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-17 Denmark Acceptable
2024-09-26
2024-09-27